The hypothalamus-adenohypophysial axis Flashcards

1
Q

What is the bony dip the pituitary gland lies in called?

A

Sella Turcica

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2
Q

Rough size of pituitary gland

A

Thumbnail size

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3
Q

How many lobes make up the pituitary gland?

A

2

Anterior and Posterior

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4
Q

What is the anterior lobe in the pituitary gland called?

A

Adenohypophysis

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5
Q

What is the posterior lobe in the pituitary gland called?

A

Neurohypophysis

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6
Q

Embryological origin of adenohypophysis

A

Upward growth derived from part of Buccal cavity- Rathke’s pouch

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7
Q

Embryological origin of neurohypophysis

A

Downward growth from base of brain

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8
Q

Which is the secretory lobe of the pituitary gland?

A

Adenohypophysis

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9
Q

Which is the neural lobe of the pituitary gland, made up of nerve axons derived from base of brain?

A

Neurohypophysis

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10
Q

What is a collection of neural cell bodies?

A

Nuclei

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11
Q

Where do hypothalamic nuclei send axons to in pituitary gland?

A

LONG: Down pituitary stalk to neurohypophysis
SHORT: To median eminence

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12
Q

What can median eminence communicate with?

A

Systemic circulation

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13
Q

What is the Pars Distalis?

A

Body of anterior pituitary

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14
Q

What is the Pars Tuberalis?

A

Part of anterior pituitary which wraps around pituitary stalk

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15
Q

How is the anterior pituitary gland regulated?

A

Via the bloodstream- a special circulation

= Hypothalamic- hypophyseal portal circulation

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16
Q

Where is the median eminence?

A

Between the pituitary stalk and the hypothalamus.

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17
Q

What are the 2 areas of the brain that are useful anatomical markers for distinguishing the posterior pituitary from the anterior?

A

Anterior - Optic chiasma

Posterior - Mammilary body

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18
Q

Describe the hypothalamic– hypophyseal portal circulation

A

Blood supplied by superior hypophyseal artery
Enters 1st plexus in median eminence
Travels down long portal vein
Enters 2nd plexus in anterior pituitary

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19
Q

Plexus

A

Cluster of capillaries

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20
Q

How does the hypothalamic-hypophyseal portal circulation allow communication with anterior pituitary

A

Capillary walls are fenestrated (leaky)
Hormone from hypothalamic neurone can enter at 1st plexus
Hormone leaks out at 2nd plexus and acts on anterior pituitary target cells

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21
Q

What do short hypothalamic neurones which terminate in the median eminence lie on?

A

The surface of the primary capillary plexus

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22
Q

Name 5 adenohypophysial cells

A
Somatotrophs
Lactotrophs
Thyrothrophs
Gonadotrophs
Corticotrophs
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23
Q

What do somatotrophs produce?

A

Somatotrophin

Growth hormone

24
Q

What do lactotrophs produce?

A

Prolactin

25
Q

What do thyrotrophs produce?

A

Thyroid stimulating hormone

=TSH/ Thyrotrophin

26
Q

What do gonadotrophs produce?

A
Luteinising Hormone (LH)
Follicle Stimulating Hormone (FSH)
27
Q

What do corticotrophs produce?

A

Adrenocorticotropic Hormone

=ACTH/ Corticotrophin

28
Q

Most hormones are made from longer precursors called

A

Pro-hormones

29
Q

Enzymatic cleavage of pro-hormone yields

A

Bioactive hormone

30
Q

What are adenohypophysial hormones stored in?

A

Secretory granules

31
Q

What are the longest adenohypophysial hormones?

A

Protein hormones:
Somatotrophin
Prolactin

32
Q

What are adenohypophysial glycoprotein hormones

A

TSH
LH
FSH

33
Q

What are the shortest adenohypophysial hormones?

A

Polypeptide hormones:

ACTH

34
Q

Which hypothalamic hormones regulate production of somatotrophin?

A

Growth hormone releasing hormone (GHRH)

Somatostatin (SS)

35
Q

Which hypothalamic hormones regulate production of Prolactin?

A

Dopamine

Thyrotrophin releasing hormone (TRH)

36
Q

Which hypothalamic hormones regulate production of TSH?

A

Thyrotrophin releasing hormone (TRH)

37
Q

Which hypothalamic hormones regulate production of LH and FSH?

A

Gonadotrophin releasing hormone (GnRH)

38
Q

Which hypothalamic hormones regulate production of ACTH?

A

Corticotrophin releasing hormone (CRH)

Vasopressin (VP)

39
Q

Which hypothalamic hormones are inhibitory?

A

Somatostatin

Dopamine

40
Q

How are hypothalamic hormones (and hence anterior pituitary hormones) released?

A

In a pulsatile fashion

41
Q

Which is the dominant hypothalamic hormone in regulation of somatotrophin?

A

GHRH

As SS is a short polypeptide (minor in comparison)

42
Q

Which is the dominant hypothalamic hormone in regulation of prolactin?

A

Dopamine

43
Q

What are the main targets of growth hormone?

A
General body tissue
Particularly liver (causes secretion of IGF 1 and 2)
44
Q

What are the main targets of Prolactin?

A

Breasts in lactating women

45
Q

What is the main target of thyrotrophin?

A

Thyroid

46
Q

What are the main targets of gonadotrophins?

A

Testes (men)

Ovaries (women)

47
Q

What is the main target of corticotrophin?

A

Adrenal cortex

48
Q

Why does growth hormone stimulate liver to make IGF 1 and 2?

A

They are somatomedins (mediate growth)

IGF 1 also has indirect effect on growth (has anabolic and metabolic effects)

49
Q

What are the indirect effects on growth caused by IGF 1?

A

Stimulation of aa transport into cells and protein synthesis
Increased gluconeogenesis
Stimulation of lipolysis leading to increased fatty acid production
Increased cartilaginous and somatic cell growth

50
Q

What is the “on” switch for growth hormone?

A

GHRH

51
Q

What is the “off” switch for growth hormone?

A

Somatostatin

52
Q

What does dopamine constantly inhibit?

A

Production of prolactin by lactotrophs in anterior pituitary

53
Q

What do you need to increase prolactin?

A

Reduction in dopamine

54
Q

What is prolactin essential for?

A

Milk production

55
Q

How is prolactin regulated?

A

By neuro-endocrine reflex arc

56
Q

What is the neuro-endocrine reflex arc in a breast feeding woman?

A
  • Neural part- suckling stimulates neuronal tactile receptors
  • Feedback to hypothalamic dopamineuric neurones
  • Suppresses dopamine
  • Less inhibition of prolactin
  • More prolactin released
  • Formation of milk in breast