Posterior Pituitary Flashcards

1
Q

Hypothalamic nuclei of Posterior Pituitary

A
  • supraoptic nucleus (SON)

- paraventricular nucleus (PVN)

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2
Q

magnocellular neurons

A

neurons in the SON and PVN that extend to and terminate at posterior pituitary

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3
Q

the 2 peptides that magnocellular neurons in SON and PVN synthesize

A
  • Oxytocin (OT)

- ADH

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4
Q

OT is largely derived from the ___________.

A

PVN

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5
Q

ADH is largely derived from the _________.

A

SON

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6
Q

Synthesis and Secretion of Oxytocin

A
  • preprooxyphysin (preprohormone) & neurophysin I (NPI)
  • signal peptide cleaved from preprooxyphysin at the endoplasmic reticulum to yield prohormone
  • prohormone then packaged into secretory granules in cell bodies of PVN & transported along axons through pituitary stalk towards axon terminals in Posterior Pituitary
  • during axonal transport, prohormone cleaved to yield OT and NPI, along with C-terminal glycoproteins
  • release of OT from nerve terminals into blood via exocytosis
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7
Q

Synthesis and Secretion of ADH

A
  • preprovasophysin (preprohormone) & neurophysin II (NPII)
  • signal peptide cleaved from preprovasophysin at the endoplasmic reticulum to yield prohormone
  • prohormone then packaged into secretory granules in cell bodies of SON & transported along axons through pituitary stalk towards axon terminals in Posterior Pituitary
  • during axonal transport, prohormone cleaved to yield ADH and NPII, along with C-terminal glycoproteins
  • release of ADH from nerve terminals into blood via exocytosis
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8
Q

ADH is secreted from the posterior pituitary in response to…

A

an ↑ in plasma osmolality or a ↓ in plasma volume

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9
Q

Functions of ADH: Kidneys

A

V2 receptor

collecting duct

↑ water reabsorption into blood
—produces more concentrated urine

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10
Q

Functions of ADH: Arterioles

A

V1 receptor

vasoconstriction - ↑ blood pressure

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11
Q

Central (Neurogenic) Diabetes Insipidus

A
  • inadequate synthesis/release of ADH due to head injury/pituitary tumor/brain tumor
  • production of large volumes of dilute urine (cannot concentrate urine)
  • must ingest large volumes of water to maintain plasma osmolality
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12
Q

Syndrome of Inappropriate ADH Secretion (SIADH)

A
  • ↑ ADH synthesis and secretion due to brain tumor, anti-tumor agents, infection, pulmonary carcinoma
  • water retention, concentrated urine, hyposmotic plasma if water intake not ↓
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13
Q

What stimulates release of oxytocin?

A
  • mechanical stimulation of uterine cervix by fetus near end of gestation
  • uterine contraction during fetal expulsion reflex
  • stimulation of tactile receptors in nipples of lactating breast
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14
Q

2 major sites of action for Oxytocin

A
  1. pregnant uterus

2. lactating breast

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15
Q

Effects of Oxytocin: Pregnant Uterus

A
  • produces rhythmic contractions to help induce labor

- promotes regression of uterus following delivery

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16
Q

Effects of Oxytocin: Lactating Breast

A

-stimulates milk ejection by contracting the my-epithelial cells that line the alveoli and ducts in mammary gland