ENDO Week 6 Flashcards

(48 cards)

1
Q

what hormone class is GH? which pathway does it use?

A

protein hormone

acts through the JAKSTAT **(tyrosine kinase) binding site

o no second messenger
o dimerization** occurs for receptor activation

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2
Q

how does it travel in the blood

A

50% in bound form

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3
Q

where are some of growth hormones receptors located

A

in the blood as well as target tissues

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4
Q

what other hormones are involved in growth

A

TH, androgens, estrogen, cortisol, insulin

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5
Q

what are some actions of GH

A

Increase protein synthesis
Decreased protein catabolism

Increases lipolysis

Increases blood glucose level

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6
Q

what effect does GH have on BP

A

increases GH = increased BP

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7
Q

what are the effects of GH on protein metabolism

A

o Increased rate of protein synthesis **

o Decreased protein catabolism

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8
Q

what are the effects of GH on lipid metabolism

A

o Increased free fatty acids in the blood

o Increased use of fatty acids for energy, breakdown of fat, lipolytic

o Can be ketogenic after long term release of GH

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9
Q

what are the effects of GH on carbohydrate metabolism

A

o GH causes insulin resistance and decreases glucose uptake

increases blood glucose

o Decreased rate of glucose utilization throughout the body

o Increase hepatic output of glucose

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10
Q

what role does insulin play in growth

A

insulin is increased with GH release because they work synergistically for growth

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11
Q

what is the effect of GH on insulin

A

GH increases insulin secretion and reduces its action

GH= hyperglycaemic
insulin= hypoglycaemic

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12
Q

why is GH considered a diabetogenic hormone

A

excess GH = hyperglycaemia and diabetes mellitus

GH’s antagonistic actions of insulin

GH increases BG by inhibiting glucose uptake

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13
Q

GH effect on bone and cartilage

A

Increases number of chondrocytes

causes proliferation of chondrocytes

chondrocyte deposition

increase bone formation from osteoblasts

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14
Q

what effect does GH have on the receptors of chondrocytes

A

increases receptors for IGF-1 on chondrocytes

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15
Q

when does linear growth stop

A

Once bone grows from epiphyseal plate and fuses with epiphysis

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16
Q

what kind of hormone is IGF-1 (somatomedin C) and where is it secreted from

A

a protein hormone

secreted from liver mainly (also cartilage)

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17
Q

what does GH stimulate the liver to do?

A

stimulates IGF -1 production

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18
Q

how does IGF-1 secretion change from before and after birth

A

before birth: IGF-1 secretion is independent of GH

after birth: IGF -1 secretion is stimulated by GH

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19
Q

how is IGF-1 transported in blood

A

bound form

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20
Q

what protein does IGF-1 bind to

A

IGF binding protein 3 (IGFBP3)

21
Q

what receptor pathway does IGF -1 use?

A

Tyrosine kinase receptor

22
Q

what is the action of IGF -1

23
Q

does IGF -1 cause hypoglycaemia like insulin?

24
Q

where is IGF-2 (somatomedin A) secreted from and what is its function

A

secreted from placenta and fetal liver

major role for fetal growth

25
what are the direct effects of GH
- decreased insulin insensitivity - lipolysis - protein synthesis - epiphyseal growth
26
what are the indirect actions of GH
growth of bones and visceral organs GH results in increased cartilage growth, long-bone length, and periosteal growth
27
when is GH at its peak and what causes this
GHRH increases just before sleep GH increases as you sleep
28
what are some factors that increase GH secretion
- GHRH - dopamine - ghrelin - acute stress - hypoglycaemia/ starvation - IV Argenine
29
what are some factors that inhibit GH secretion
- GHIH - hyperglycaemia - chronic stress - high free fatty acid - IV glucose - increase of IGF -1
30
how is hyposecretion of GH treated
synthetic GH
31
what occurs if hyposecretion of GH occurs before puberty
- growth is severely impaired - obesity - dwarfism - normal intelligence - life span is unaffected
32
what could excess secretion of GH be caused by
an adenoma
33
what occurs from excess secretion of GH
increases BG --> pituitary diabetes
34
what can excess secretion of GH cause
premature death due to cardiovascular disorders
35
what is Laron dwarfism
GH receptor is not responding to GH GH receptor insensitivity GH mutation
36
what are African pygmies caused by
no peak in IGF during puberty growth is normal until puberty normal GH
37
what is gigantism caused by
Increased GH before epiphyseal plates are fused
38
what can panhypopituitarism be caused by
a tumour
39
what is acromegaly caused by
Excessive GH secretion after the epiphyses close Cartilage and membranous bones continue to grow
40
what are some complications which result from acromegaly
hypertension decreased vision
41
what is growth*
growth is an orderly sequence of maturational changes
42
what are the most important hormones for growth
GH and IGF
43
what are the second most important hormones needed for growth
Thyroid hormone, testosterone, estrogen, cortisol
44
what are the two period of rapid growth
infancy and puberty
45
what occurs in infants during this period of rapid growth
- Plasma GH is elevated in newborns - Plasma IGF -1 levels rise
46
what hormones cause puberty
GH, androgens, testosterone, estrogens and IGF-1
47
what stops linear growth and what hormone causes this
Cessation of growth is due to closure of the epiphyses by estrogens - Girls stop growing sooner because estrogen levels are higher
48
is liver an endocrine gland?
no