Lecture 28 Flashcards

1
Q

What are the main anatomical parts of the mammary glands?

A

Composed of lobules that merge into alveoli (the milk producing region) then travel into the milk releasing cisterns (outer surface- highly vascularised)

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2
Q

What is the first stage that is involved in the lactation provide its name, a brief description and the hormones involved?

A

MAMMOGENESIS- growth of mammary tissue

  • Oestrogens- stimulate the developement of the ducts and growth of the adipose tissues
  • Progesterone- stimulates the growth of glandular tissue (alveoli are responsible for secretion of milk after birth)
  • Prolactin- secreted by the anterior pituitary gland, progesterone inhibits the release of prolactin during early gestation but as progesterone levels decrease more prolactin will be present. Prolactin has a role in breast development during later stages of pregnancy
  • Permissive actions of certain other hormones including cortisol, T3/T4 and insulin allow progesterone and other oestrogen’s to function
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3
Q

Briefly describe the second stage that is involved in lactogenesis:

A

LACTOGENESIS

  • involved in the initiation of lactation including the synthesis of sugars, fats and carbohydrates
  • Falling levels of progesterone before birth lead to increased prolactin and milk/colostrum synthesis
  • Prolactin receptors-located on membranes of alveolar cells in the mammary glands
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4
Q

What are the steps involved in the third stage of lactation?

A

GALACTOPOIESIS - maintenance of milk production

  • maintenance of production occurs through prolactin
  • FIL is a feedback inhibitor of lactation, if the milk is not being consumed this is released preventing the production of milk
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5
Q

What is the fourth stage that is involved in lactation?

A
  • milk ejection-involves neurohormonal reflex and the release of milk to the offspring, this reflex arc involves the release of oxytocin, that is promoting the synthesis and secretion of milk
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6
Q

What is the role of prolactin in lactogenesis?

A
  • inhibits GnRH release resulting in decreased reproductive function
  • prolactin secretion decreases as lactation decreases
  • somatosensory pathway important in prolactin release
  • TRH and endorphins result in release of of prolactin by blocking PIF’s actions
  • dominent influence in lactation is in response to the suckling response
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7
Q

What is the role of GH in lactogenesis?

A
  • involved in milk production
  • GH acts to divert nutrients to milk production
  • exogenous administration of bovine somatotropin in early lactations increases overall efficiency of milk production
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8
Q

Explain the neural and hormonal events involved in the milk ejection reflex at suckling

A
  • Mammary cisterns, then milk is immediately available to the infant (movement is passive)
  • Removal of milk from alveoli requires neurohormonal reflex (milk ejection reflex)
  • Young starts suckling on teat causing mammary glands to swell under pressure from alveolar expulsion of milk leading to contraction of myoepithelial cells leading to release of oxytocin
  • above phenomenon becomes a conditioned reflex that occurs in anticipation of milk release
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