The HPG axis Flashcards

1
Q

What does HPG stand for? (3)

A
  • Hypothalamus
  • Pituitary
  • Gonads
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which system is the HPG axis part of?

A

Endocrine system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is an axis?

A

Multiple endocrine glands working together as a system to regulate development, reproduction and aging in animals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What do endocrine glands do?

A

Secrete hormones into the bloodstream which travel to and act on other organs/tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the HPG axis?

A

Hypothalamic-pituitary-gonadal axis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the hypothalamus? (3)

A
  • Part of the diencephalon in the forebrain
  • Regulates many core body functions e.g. metabolism, growth, reproduction and stress
  • In contact with the anterior pituitary gland via the infundibulum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the function of the hypothalamus in the HPG axis?

A

Secretes GnRH which travels down the infundibulum and acts on the anterior pituitary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is GnRH? (2)

A
  • Gonadotrophin releasing hormone
  • Peptide hormone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the pituitary gland?

A

Made up of posterior and anterior pituitary which are derived from separate cell types during embryogenesis and have different functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which part of the pituitary is relevant to the HPG axis?

A

Anterior pituitary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the anterior pituitary made up of? (5)

A
  • Thyrotropes
  • Somatotropes
  • Gonadotrophs
  • Corticotropes
  • Lactotropes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the function of thyrotropes?

A

Make thyroid stimulating hormone (TSH)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the function of somatotropes?

A

Make growth hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the function of gonadotrophs? (2)

A
  • Make follicle stimulating hormone (FSH)
  • Make luteinising hormone (LH)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the function of corticotropes?

A

Make adrenocorticotrophic hormone (ACTH) which acts on the adrenal cortex in the stress response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the function of lactotropes?

A

Make prolactin (PRL)

17
Q

What is the function of the anterior pituitary in the HPG axis? (2)

A
  • GnRH from the hypothalamus travels in the portal blood to the anterior pituitary
  • Gonadotrophs in the anterior pituitary respond to GnRH from the hypothalamus by secreting FSH and LH which travel to the gonads
18
Q

What are the gonadotrophins? (2)

A
  • Hormones produced by the gonadotrophs in the anterior pituitary and act on the gonads
  • FSH and LH
19
Q

How do gonadotrophs respond to hypothalamic signals? (4)

A
  • GnRH binds to GnRH receptors (GnRHr) on the gonadotroph membrane and stimulates proliferation and triggers signalling cascades resulting in upregulation of FSH, LH and GnRHr genes
  • Causes expression of FSH and LH, both heterodimeric glycoprotein hormones
  • Increased intracellular calcium stimulates gonadotrophin release
  • FSH and LH travel to the ovaries and testes in the bloodstream
20
Q

What are the sex steroids? (3)

A
  • Oestrogens
  • Androgens
  • Progestogens
21
Q

Where are the sex steroids released from?

22
Q

How do cells in the gonads (male and female) respond to stimulation by FSH and LH from the anterior pituitary? (2)

A
  • Release sex steroids
  • Release inhibins and activins which are important for feedback control
23
Q

What are examples of sex steroids? (3)

A
  • Progestogens: progesterone
  • Androgens: testosterone, dihydrotestosterone, androstenedione
  • Oestrogens: oestradiol, oestrone
24
Q

How are sex steroids made? (2)

A
  • All derived from common precursor: cholesterol
  • Interconversion occurs via a biosynthetic network
25
Q

What is the function of the sex steroids? (3)

A
  • Action of the sex steroids is dictated by tissue-specific receptors so not only about hormone levels but which cells are expressing the receptors at a given time and the level of receptor expression
  • Essential for normal reproductive development, gametogenesis and the maintenance of secondary sex characteristics
  • Feedback mechanisms onto the pituitary and hypothalamus in the HPG axis are an additional aspect
26
Q

How do the sex steroids secreted by the gonads feedback onto the anterior pituitary? (3)

A
  • Progesterone/oestrogen/testosterone are internalised by the gonadotrophs and bind to intracellular receptors
  • Hormone-receptor complexes enter the nucleus and mediate negative transcriptional control of target genes
  • Therefore negative feedback onto FSH, LH and GnRHr which also reduces gonadotroph stimulation by the hypothalamus
27
Q

How do inhibin and activin secreted by the gonads feedback onto the anterior pituitary? (3)

A
  • Bind to specific cell-surface receptors on the gonadotrophs
  • Exert opposing actions on FSH expression (inhibin inhibits, activin activates)
  • Inhibin also inhibits activin activity
28
Q

What is the function of inhibin and activin? (2)

A
  • Members of the TGF-beta family which regulate FSH expression from the gonadotrophs
  • Have additional diverse biological roles e.g. sperm development, tumour suppression, erythropoiesis
29
Q

How is GnRH released? (3)

A
  • GnRH release is pulsatile (~1 per hour)
  • Pulses begin at puberty and pulse generator resides in the hypothalamus
  • Therefore anterior pituitary hormones FSH and LH are also released in a pulsatile manner
30
Q

What is GnRH essential for? (2)

A
  • Gonadal function
  • Gonadal atrophy observed in the absence of GnRH
31
Q

How can alterations in FSH and LH output be achieved? (2)

A
  • Increasing/decreasing the amplitude or frequency of GnRH pulses
  • Modulating the response of the gonadotrophs to the pulses by changing their levels of cellular receptors
32
Q

How is GnRH secretion regulated? (2)

A
  • Positive regulation by kisspeptin
  • Negative regulation by RFRP-3
33
Q

What is Kisspeptin? (5)

A
  • Master regulator of reproduction
  • Neuropeptide encoded by the KiSS1 gene
  • Produced by neurons in the hypothalamus and binds to KiSS1 receptors (KiSS1R/GPR54) on the GnRH neurons, causing GnRH secretion (positive regulator)
  • KiSS1R found in many tissues in the body so this isn’t its only role
  • Sex steroids also negatively regulate KiSS1 neurons resulting in less GnRH production
34
Q

What is RFRP-3? (3)

A
  • RFamide-related peptide 3 is a mammalian orthologue of gonadotropin-inhibitory hormone (GnIH)
  • Acts on the gonadotrophs, KiSS1 neurons and GnRH neurons in the hypothalamus, and the gonads
  • Results in reduced GnRH output and suppresses the signalling cascade in the gonadotrophs which causes FSH and LH expression
35
Q

What is the feedback action of the sex steroids produced by the gonads? (2)

A
  • Pituitary: internalised by the gonadotrophs and negatively regulate FSH, LH and GnRHr
  • Hypothalamus: negatively regulate KiSS1 neurons so less kisspeptin and less GnRH production
36
Q

How is energy balance involved in regulation of the HPG axis? (5)

A
  • Kisspeptin-GnRH axis becomes fully activated at puberty
  • Pulse generator mechanism causes regulator production of kisspeptin and then pulsatile release of GnRH
  • Puberty is metabolically gated and energy balance is sensed by many peripheral hormones and central transmitters e.g. leptin, insulin and grehlin
  • Leptin is necessary for puberty but isn’t the sole requirement and acts on GnRH neurons indirectly via other neurons including KiSS1 neurons
  • Leptin levels correlate with fat levels so females with low fat content are likely to go through puberty later than those with higher fat content
37
Q

How do the sex steroids differ between males and females?

A

Both males and females have all of the sex steroids but the balances differ (males have higher testosterone, females have higher oestrogen)