S8) The HPA Axis & Growth Hormone Flashcards

1
Q

Describe the relationship between the hypothalamus and the pituitary gland

A

The hypothalamus and pituitary gland form a complex functional unit that serves as the major link between the endocrine and nervous systems

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2
Q

Where is the pituitary gland found?

A
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3
Q

The hypothalamus and pituitary gland modulate a wide variety of processes.

Identify some

A
  • Body growth
  • Reproduction
  • Lactation
  • Thyroid & adrenal gland function
  • Water homeostasis
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4
Q

The pituitary gland consists of two distinct parts.

What are they?

A
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5
Q

The anterior and posterior pituitary glands have distinct embryological origins.

Describe these

A
  • Anterior pituitary gland (adenohypophysis) arises from evagination of oral ectoderm (primitive gut tissue)
  • Posterior pituitary gland (neurohypophysis) originates from neuroectoderm (primitive brain tissue)
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6
Q

The hormones produced by nerve cells in the hypothalamus act via two distinct neurocrine pathways.

Describe these pathways

A
  • Direct effects on distant target tissues via oxytocin and antidiuretic hormone from the posterior pituitary
  • Hormones secreted exclusively into hypophyseal portal system affect endocrine cells within the anterior pituitary
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7
Q

In 3 steps, outline the neuroendocrine function of the posterior pituitary gland

A

⇒ Oxytocin and ADH are produced by neurosecretory cells in the supraoptic and paraventricular nuclei of hypothalamus

⇒ Transported down nerve cell axons to the posterior pituitary

Stored and released from posterior pituitary into the general circulation

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8
Q

In four steps, describe the synthesis, transport, release and action of the hormones acting on the anterior pituitary gland

A

⇒ Hormones synthesised in hypothalamus

⇒ Hormones transported down axons and stored in median eminence

⇒ Hormones released into hypophyseal portal system

⇒ Hormones stimulate/inhibit target endocrine cells in the anterior pituitary gland

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9
Q

Describe the action of the hormones produced by the anterior pituitary gland

A

⇒ Endocrine cells of anterior pituitary secrete a variety of hormones into the bloodstream to act on distant target cells (endocrine function)

⇒ Anterior pituitary hormones also effect neighbouring cells (autocrine and paracrine function)

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10
Q

Which hormones are released from the posterior pituitary gland and what do they do?

A
  • Oxytocin – milk let down and uterine contractions during birth
  • Antidiuretic hormone – regulation of body water volume
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11
Q

6 tropic hormones produced in the hypothalamus and have direct effects on the release of anterior pituitary hormones.

Identify them

A
  • TRH – Thyrotropin releasing hormone / PRH
  • PIH – Prolactin release-inhibiting hormone (dopamine)
  • CRH – Corticotropin releasing hormone
  • GnRH – Gonadotropin releasing hormone
  • GHRH – Growth hormone releasing hormone
  • GHIH – Growth hormone-inhibiting hormone (somatostatin)
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12
Q

Identify the 6 hormones produced in the anterior pituitary gland

A
  • TSH – Thyroid stimulating hormone
  • ACTH – Adrenocorticotropic hormone
  • LH – Luteinising hormone
  • FSH – Follicle stimulating hormone
  • PRL – Prolactin
  • GH – Growth hormone
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13
Q

Summarise the relationship between the tropic hormones of the hypothalamus and the hormones produced by the adenohypophysis as well as their respective effects

A
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14
Q

Outline the hypothalamic-pituitary-adrenal axis as an example of a negative feedback system

A
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15
Q

Growth is influenced by many factors.

Identify some of these

A
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16
Q

Growth hormone is produced in the anterior pituitary.

Describe its stimulation and inhibition

A
  • Stimulation: hypothalamic GHRH
  • Inhibition: hypothalamic Somatostatin
17
Q

How do growth hormones exert their effects?

A
  • Growth-promoting effects mainly exerted indirectly via insulin-like growth factors (somatomedins)
  • In response to GH cells of the liver and skeletal muscle produce and secrete IGFs
18
Q

Explain the role of GH and IGFs in bone development in childhood/teenage years as well as in adulthood

A
  • In childhood/teenage years:

I. GH stimulates long bone growth length & width prior to epiphyseal closure (width after epiphyseal closure)

II. IGFs stimulate both bone and cartilage growth

  • In adults:

I. GH & IGFs maintain muscle and bone mass and promote healing and tissue repair

II. GH & IGFs modulate metabolism and body composition

19
Q

CNS regulates GH secretion via inputs into the hypothalamus affecting GHRH and somatostatin levels.

Describe some of these

A
  • Deep sleep = surge in GH secretion
  • REM sleep = ↓ GH secretion
  • Exercise/stress = ↑ GH secretion
  • Decreased glucose/FA = ↑ GH secretion
  • Fasting = ↑ GH secretion
  • Obesity = ↓ GH secretion
20
Q

GH secretion is regulated by long loop and short loop negative feedback.

Describe the long loop negative feedback mechanism

A

Mediated by IGFs:

  • Inhibit release of GHRH from hypothalamus
  • Stimulate release of somatostatin from hypothalamus
  • Inhibit release of GH from anterior pituitary
21
Q

GH secretion is regulated by long loop and short loop negative feedback.

Describe the short loop negative feedback mechanism

A

Short loop negative feedback – mediated by GH itself via stimulation of somatostatin release

22
Q

What is the consequence of growth hormone deficiency in childhood?

A

Pituitary dwarfism – proportionate type of dwarfism due to complete/partial deficiency

23
Q

What are the consequences of growth hormone excess?

A
  • In childhood – gigantism (rare, often caused by pituitary adenoma)
  • In adulthood – acromegaly (large hands, feet, lower jaw)
24
Q

How does GH exert its effects on cells?

A

GH receptors activate Janus kinases (JAKs)

25
Q

There are 2 IGFs in mammals.

Describe their respective actions

A
  • IGF1 – major growth factor in adults
  • IGF2 – mainly involved in fetal growth
26
Q

Binding proteins modulate the availability of IGFs.

What are the three ways in which IGFs communicate?

A
  • Autocrine
  • Paracrine
  • Endocrine
27
Q

IGFs act through IGF receptors (distinct from GH receptors) to modulate cell processes.

Identify four of these processes

A
  • Hypertrophy
  • Hyperplasia
  • Increase in the rate of protein synthesis
  • Increase in the rate of lipolysis in adipose tissue
28
Q

Other hormones influence growth. Describe the growth-related actions of the following hormones:

  • Insulin
  • Thyroid hormones
  • Androgens
  • Oestrogens
  • Glucocorticoids
A
  • Insulin – enhances somatic growth; interacts with IGF receptors
  • Thyroid hormones – promote CNS development and enhance GH secretion
  • Androgens – accelerate pubertal growth spurt; increase muscle mass; promote closure of epiphyseal plates
  • Oestrogens – decrease somatic growth; promote closure of epiphyseal plate
  • Glucocorticoids – inhibit somatic growth