Exam 2 Flashcards

1
Q

Under high levels of ______ and low levels of ________ Krebs cycle will be inhibited

A

NADH; ATP

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2
Q

Surgical methods, specifically surgical ablation, is a technique that affects hormone levels.
Provide an example of surgical ablation and its effect on hormone levels while including the concept of compensatory hypertrophy.

How would you confirm your example of surgical ablation.

A
  • Surgical ablation if the removal of an organ. For example, orchidectomy is the removal of the male gonads. When one testes is removed, at first, there will not be a large negative feedback on the anterior pituitary and hypothalamus. They will continue to stimulate the production of testosterone until the one testis becomes enlarged and reaches homeostasis.
  • Monitor changes in testosterone level within the blood
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3
Q

Alloxan, also known as Streptozotocin (STZ), destroys ______ of pancreatic islets while cobalt chloride destroys _____ of pancreatic islets.

A

Beta
Alpha

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4
Q

If action of a hormone is inhibited by actinomycin D, it can be implied that this hormone works through ______ process.

A

a transcriptional RNA synthesis - this hormone uses genomic effects via changing gene expression to carry out its function - most likely a steroid hormone or thyroid hormone
actinomycin D inhibits RNA production

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5
Q

If action of a hormone is inhibited by puromycin and cycloheximide, it can be implied that this hormone works through _____ process.

A

a translational protein synthesis - this hormone uses genomic effects via changing protein synthesis to carry out its function - most likely a steroid hormone or thyroid hormone
puromycin and cycloheximide inhibit protein synthesis `

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6
Q

Some drugs interfere with cell transport mechanism, thus inhibit protein hormone secretion. For example, colchicine destroys _______ and cytochalasin B destroys ___________.

A

Microtubles
Microfiliments

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7
Q

In genetic engineering, the leptin receptors in POMC neurons can be excised using Cre-mediated tissue-specific knockout. Describe how Cre recombinase and Lox P are used to excise the leptin receptors.

A

Lox P sites flank the leptin receptor gene. In order to remove the leptin receptor gene only in the POMC neurons, the Cre gene will only be expressed in POMC neurons. When Cre recombinase is expressed in POMC neurons, it lines up with lox P sites and excises DNA sequence between two loxP sequences. As a result, the leptin receptors are not able to be made in POMC neurons only. Leptin receptors are normal in all other cells and tissues.

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8
Q

A hormone uses cAMP as a second messenger as signal transduction mechanism to induce cellular responses.
Which enzyme is activated to produce cAMP? Briefly describe how you measure activity of this enzyme?

A

Adenylyl cyclase. Use enzyme assay, label ATP with radioisotope tritium [3H], trace label to cAMP to quantitate conversion of ATP to cAMP. If radioisotope labeled cAMP level is high, adenylyl cyclase enzyme activity is high.

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9
Q

Can you measure cAMP level to indicate the activity of this enzyme? Why or why not?

A

No. Because cAMP level is also altered by phosphodiesterase activity, which is unrelated to cyclase activity and cAMP formation

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10
Q

When discussing exogenous hormone production, specifically replacement, what are things that should be taken into consideration?

A

Not very specific or sophisticated - not replaced to specific cells or tissues or organs because the replaced hormone would reach all cells/tissues/organs.
Effect of hormone will regulate complete suite of hormone-dependent traits in vivo
Treatment with “standard” amount of hormone could have very different effects in different individuals
Need to manipulate animals within normal physiological range not to produce pharmacological (e.g. toxic) effects

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11
Q

____________ is the increase in size of a cell, while _______ is the decrease in the size of a cell

A

Hypertrophic
Hypotrophic/ atrophic

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12
Q

___________ is the increase in the number of cells present in the sample, while ___________ is the decrease in the number of cells present in the sample.

A

Hyperplasia
Hypoplasia

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13
Q

Double-labeling immunohistochemistry is a type of Immunohistochemistry (IHC) in which two specific antibodies can detect and label two different receptors in one tissue.
Provide an example of a double-labeling immunohistochemistry experiment.
- describe the procedure

A

.
Two specific primary antibodies to detect and label estrogen receptor and progesterone receptor in one tissue.
-
Tissue to be examined is treated with a fixative, sectioned into thin slices. Primary antibody for estrogen receptor is added to the tissue; Excess primary antibody for estrogen receptor is rinsed from the tissue. Secondary antibody (for estrogen receptor’s primary antibody) conjugated to an enzyme or a fluorescent dye. Then, primary antibody for progesterone receptor is added to the tissue; Excess primary antibody for progesterone receptor is rinsed from the tissue. Secondary antibody (for progesterone receptor’s primary antibody) conjugated to another enzyme or another fluorescent dye.

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14
Q

____________ method labels cells expressing mRNA of nucleic acid sequence.

A

In Situ Hybridization (ISH)

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15
Q

Immunoblot/Western Blotting allows researchers to analyze the amount of ______.

A

protein

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16
Q

A sample was injected with the radioisotope tritium [3H]-labeled thymidine (autoradiographic method) into the anterior pituitary of rats that had one testicle removed. Describe what the researchers should have observed.

A

In rats with a testicle removed, the autoradiographic results would have shown a silver color/grains showing mitotic division in the anterior pituitary gonadotrophs, due to reduced long-loop negative feedback → increased gonadotroph activity to synthesize and secrete gonadotropins, which leads to compensatory hypertrophy of the remaining testis.

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17
Q

_____ measure levels of a hormone based on biological activity.

A

bioassay

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18
Q

In radioimmunoassays (RIA), which is a type of ____________ inhibition assay, the ____________ hormone (Unknown - what you will measure) competes with ____________ hormone (*Hormone) for binding to antibody. The amount of each of these hormones is ________ proportional to each other.

A

Competitive
Unlabeled
Radiolabeled
Inversely

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19
Q

Enzyme linked immunosorbent assays (ELISA) measures the amount of hormones _______ and also measures ________, not radioisotopes.

A

Directly
Absorbance

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20
Q

You will compare insulin receptor number and affinity between a healthy person and a type 2 diabetic patient.
- Which assay would you use?
- What is your possible result? Explain your results

A
  • Use radioreceptor assays (aka radioligand binding assay)
    It tests the physiological regulation of hormone receptor number or affinity.
  • Chronic hyperinsulinemia: Chronic hyperinsulinemia as seen in type 2 diabetes mellitus patients reduce plasma membrane insulin receptor number (due to internalization and degradation of receptors in target cells) and reduce insulin receptor binding, therefore reduce responsiveness of target tissues to insulin.
    decrease number of insulin receptor – as condition 2 in (a)
    reduce insulin receptor binding affinity – as condition 1 in (b)
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21
Q

Neurons that produce hormones are _______ cells. Whereas, hormones released by neurons are _______.

A

Neuroendocrine
Neurohormones

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22
Q

Magnocellular neurons within the hypothalamus consist of cell bodies in ________ and ________. These neurons project into the _______ pituitary to release the neurohormones, _______ and _______, into the blood.

A

supraoptic nucleus (SON)
paraventricular nucleus (PVH)
Posterior
Vasopressin (AVP) or Antidiuretic Hormone (ADH)
Oxytocin (OXY)

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23
Q

Parvicellular neurons within the hypothalamus have cell bodies located in the ________, _________, and ________ regions. These neurons release neuropeptides (releasing factors) into pituitary portal vessel to ________ pituitary.

A

periventricular (PeVH)
paraventricular nucleus (PVH)
arcuate nucleus (Arc)
anterior

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24
Q

Hypothalamic projection neurons within the hypothalamus have cell bodies located in the ________, __________, and _________ regions. These neurons terminate at synapses on other neurons.

A

paraventricular nucleus (PVH)
arcuate nucleus (Arc)
lateral hypothalamic area (LHA)

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25
Q

Innervation by __________nervous system stimulates pancreatic beta cells to _______ insulin before, during, and after a meal.

A

cholinergic/ parasympathetic
release

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26
Q

Innervation by __________nervous system to the pancreatic beta cells _______ insulin secretion as well as prevent glucose uptake by non-muscle cells.

A

Sympathetic
Inhibits

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27
Q

Provide an example of how the nervous system controls or modifies the function of endocrine glands?

A
  • Three types of neural cells of the central nervous system regulate neurosecretion of tropic hormones or neurohormones.
    a. Neural cells at PVN and SON in the hypothalamus regulate posterior pituitary hormone release.
    b. tropic hormones (hormones 1 and 2 regulate endocrine gland secretion).
  • Sensory and autonomic nervous system of the peripheral nervous system regulate endocrine glands.
    c. Adrenal gland, pancreas, pineal glands (and many others) are regulated through direct innervation (noradrenergic and cholinergic neurotransmission) from autonomic (sympathetic and parasympathetic) nervous system.
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28
Q

The pituitary gland gland is often referred to as the ______ ______, and it is located just below the _______. These two structures are connected by the _______ which contains nerve fibers and blood vessels (hypothalamic-pituitary portal system). Together, they make up the ________ unit.

A

Master gland
Hypothalamus
Infundibulum
Hypothalamic-pituitary

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29
Q

When describing the composition of the Hypothalamic-pituitary unit, the _______ lobe consists of Pars Distalis and Pars Tuberalis, the ______ lobe consists of the Pars Intermedia, and the _______ lobe consists of the Pars Nervosa.

A

Anterior
Intermediate
Posterior

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30
Q

The posterior pituitary is an outgrowth of the hypothalamus which is derived from the ________ ________, whereas the anterior pituitary is derived from the _________ _________.

A

Neural ectoderm
Oral ectoderm

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31
Q

Hormones released from anterior pituitary are _________ unless directed to be released by the hypothalamus via ________ ________.

A

Dormant
Releasing factors

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32
Q

What is the main function of the Hypothalamic-pituitary unit?

A

Secretes a number of hormones
Most of the hormones are released from the anterior pituitary
Two protein hormones (oxytocin & vasopressin) are released from posterior pituitary

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33
Q

What are the 6 major hormones released by the anterior pituitary?

A

FSH - follicle stimulating hormone
LH - Luteinizing hormone
TSH - Thyroid stimulating hormone
ACTH - Adrenal corticotrophic hormone
GH - Growth hormone
PRL - prolactin

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34
Q

Do hormone isoforms exists? If so, why?

A

Yes, this is due to differential splicing of mRNA, post-transcriptional, or post-translational modifications. Multiple hormones can be produced from one gene transcript.

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35
Q

Describe the structure, metabolism, release, actions of growth hormone.

A

It is a protein that binds to a receptor on the cell membrane.
The pulsatile patterns of release greatly increases during adolescence.
Release is stimulated by GHRH and inhibited by Somatostatin (SST).
GH stimulates body growth (both bone and tissue growth).

36
Q

What causes acromegaly? What results from it? What is a common metabolic defect of acromegaly patients?

A

Increased GH production
After epiphyseal closure, increased GH production causes enlargement of hands/feet with thick toes and fingers; proliferation of connective tissue and interstitial fluid (thicken skin and facial features); enlarged viscera and organs (lung, liver, heart, kidney); changed metabolic rates; double vision; irregular periods; a release of breast milk; increased sweating
Chronic overproduction of growth hormone (GH) often leads to insulin resistance, glucose intolerance and, ultimately, diabetes mellitus.

37
Q

What are the actions of prolactin?

A

Mammotropic
Lactotropic
Luteotropic

38
Q

The most common pituitary tumor is prolactinoma. Describe three physiological symptoms you might observe in patients with a prolactinoma

(2) What method could confirm the presence of high level of prolactin?

(3) Surgical removal of suspected prolactinoma. Which method could confirm prolactinoma?

A
  1. (1) Mammotropic
    abnormal development of large mammary glands -> breast enlargement
    (2) Lactotropic
    excess production and discharge (spontaneous flow) of milk from breast
    (3) Luteotropic
    stimulate progesterone secretion from corpus luteum (negative feedback on hypothalamus and pituitary) -> absence of menstrual cycle and inhibition of ovulation - infertal
  2. RIA or ELISA
  3. Removed tumor tissue: western blot – high protein level of prolactin; IHC – show high immunohistochemical labeling for prolactin.
39
Q

_________ and __________ are two hormones released from the anterior pituitary that use a Tyrosine kinase associated receptor in their mechanism of action.

A

GH
Prolactin

40
Q

Predict pattern of prolactin secretion of a woman who nurses her baby and a woman who does not during postpartum period. Provide a mechanistic explanation for the likely difference in prolactin levels between these two women.

A

Non breast-feeding mom:
Prolactin level remains high for ~1 week post-partum (even in the absence of suckling).
Non breast-feeding mom lacks neuroendocrine reflex stimulates PRL secretion.
Breast-feeding mom:
Prolactin level remains high for ~1 week post-partum. Then prolactin secretion would be stimulated by suckling.
Breast-feeding mom receives suckling stimulus. Neural afferents from areolae area, inhibit dopaminergic neurons in the hypothalamus increase prolactin secretion.

41
Q

The cessation of menstrual cycles during lactation (lactation amenorrhea) is referred to as ‘nature’s own contraception’.
Provide a hypothesis as to the possible mechanisms that mediate the inhibitory effects of nursing on menstrual cyclicity.

Design an experiment that could be used to test your hypothesis in experimental animals.

A

-Hypothesis: High prolactin level during lactation leads to low level of gonadotropins, which has inhibitory effects on menstrual cyclicity.
Mechanisms: Prolactin level remains high during lactation → high prolactin level has luteotropic effects → stimulates corpus luteum to produce high levels of progesterone → inhibits gonadotropins → low FSH/LH
——-Low FSH → no ovarian follicular development occurs → nature’s own contraception
——-Low LH and low E2 → need LH surge for ovulation and need E2 for proliferative phase of uterine cycle – no ovulation, no menstrual cyclicity
-Administration of gonadotropins LH and FSH to lactating animals → induce menstrual cyclicity.
Any methods that could reduce prolactin level or increase gonadotropins → induce menstrual cyclicity.

42
Q

Glycoproteins are a class of proteins that have carbohydrate groups attached to the polypeptide chain. The ____ chain is almost identical in all glycoproteins whereas the ____ chain has functional and immunological specificity.

A

ɑ
Β

43
Q

Describe the role of LH and FSH in both males and females

A

MALES: LH binds to receptors on Leydig cells, stimulating synthesis and secretion of testosterone.
FSH works on Sertoli cells to support sperm cell maturation in the seminiferous tubules. FSH enhances LH action by stimulating the synthesis of LH receptors on Leydig cells
FEMALES: LH stimulates the production of estrogen and the LH surge causes ovulation of mature follicles
FSH works on Granulosa cells to stimulate maturation of ovarian follicles and oocytes (gametogenesis). It also stimulates aromatase activity in granulosa cells → estrogen synthesis and secretion

44
Q

What signals are for FSH and androgen?

A

FSH: Endocrine
Androgen: Paracrine

45
Q

During moderate levels of estrogen, there is _______ feedback on LH secretion. During elevated levels of estrogen, there is a ______ feedback on LH with causes the LH ______.

A

Negative
Positive
surge

46
Q

Would androgen treatment be potentially useful as a male contraceptive strategy? How might it work?

A

High level of testosterone → negative feedback decreases GnRH → lower FSH decrease spermatogenesis;
High level of testosterone → negative feedback decreases LH lower testosterone production → decrease spermatocyte maturation
Spermatogenesis depends on FSH and testosterone.

47
Q

Most hormone pregnancy tests indicate the presence or absence of human chorionic gonadotropin (hCG) in a woman’s urine.
- Why is this an accurate indicator of pregnancy?

A
  • hCG is secreted by syncytiotrophoblast cells. Only after implantation of fertilized egg, trophoblastic cells invasively proliferate into the endometrium of the uterine wall and become syncytiotrophoblast cells that release hCG
48
Q
  • Would a pregnancy test that is based on the detection of hCG be useful within the first week following fertilization? Why or why not? Would it still be likely to indicate the presence of hCG during the third trimester of pregnancy? Why or why not?
A

Not useful within the first week following fertilization. hCG level is low during 1st week. hCG rises to highest 8th -14th week of pregnancy, then luteal function begins to decline, hCG declines and reaches nadir at 20th of gestation - Not likely to indicate presence of hCG during the third trimester of pregnancy.

49
Q

-What is the function of hCG?

A

hCG maintains corpus luteum; stimulates progesterone synthesis by luteal cells of corpus luteum - plays crucial role in early pregnancy

50
Q

hCG is often used in hormone regimens that are designed to induce ovulation. Why would hCG be effective in this regard (how does it work)?

A

hCG is a glycoprotein with α and β subunits, and β subunits of LH and hCG are closely related. hCG activates LH receptor → ovulation (follicle final maturation, follicle ruptures, and oocyte expulsion).

51
Q

Ectopic pituitary transplants provide evidence for hypothalamic control of pituitary hormone secretion.
What happens after removal of the pituitary gland?

A

Atrophy of all target organs (adrenal cortex, thyroid, gonads, mammary gland) – no exception.

52
Q

What happens after ectopic pituitary transplantation?

A

Pituitary transplant is well vascularized in an ectopic site. Initially, adrenal, thyroid, gonad gland, and mammary gland start to develop.
But after a while, adrenal, thyroid, gonad gland become atrophy, due to lack of tropic hormones from the hypothalamus.
Exception: selectively maintain mammary gland and corpus luteum of ovary, but remainder of ovary atrophies – PRL secretions from pituitary transplant due to lack of DA inhibition- mammotropic and luteotropic

53
Q

What happens after transplantation of the pituitary back under hypothalamus?

(ectopic pituitary trasplant)

A

Pituitary revascularization with the hypothalamus → reactivation of pituitary to release anterior pituitary hormones (e.g., adrenal, thyroid, gonad gland start to develop; female rats cycles, ovulates, etc).

54
Q

What happens after transplantation of the pituitary back under hypothalamus?

(ectopic pituitary trasplant)

A

Pituitary revascularization with the hypothalamus → reactivation of pituitary to release anterior pituitary hormones (e.g., adrenal, thyroid, gonad gland start to develop; female rats cycles, ovulates, etc).

55
Q

What happens after transplantation of the pituitary back under hypothalamus?

(ectopic pituitary trasplant)

A

Pituitary revascularization with the hypothalamus → reactivation of pituitary to release anterior pituitary hormones (e.g., adrenal, thyroid, gonad gland start to develop; female rats cycles, ovulates, etc).

56
Q

What can you do to reactivate pituitary function after ectopic pituitary transplantation?

A

Infusion of hypothalamus (or median eminence) extracts.
Because hormones of hypothalamus (released at median eminence) control functions of anterior pituitary

57
Q

The _______ _______ of the hypothalamus is part of the hypophyseal portal system

A

Median Eminence

58
Q

Concentrations of hypophysiotropic hormones are _________ in portal vessels than in systemic circulation

A

higher

59
Q

Cells of origin of hypothalamic hormones (hypophysiotropins) reside mostly within _____-_____ tissues.

A

MBH (Medial Basal Hypothalamus)
POA (Preoptic Area)

60
Q

______ hormones act in the fetal brain to program sexual orientations. This action is ________ and _______.

A

Steroid
Irreversible
Chronic

61
Q

differentiation of a male hypothalamus occurs when testosterone is synthesized into estradiol by aromatase. Knowing this, why isn’t the female brain masculinized?

A

FEBP (Fetoneonatal Estradiol (E2) Binding Protein) binds estrogen with high affinity in female during development

62
Q

When examining the Interstitial nuclei of anterior hypothalamus (INAH 3), also known as Sexually dimorphic nucleus (SDN) of POA, its volume is ______ in normal males and _______ in normal females.

A

larger / smaller

63
Q

Activational Effects of steroid hormones in the adult brain regulate reproductive events, and these events are ______ and ______.

A

reversible / acute

64
Q

The Anteroventral periventricular nucleus (AVPV) is _______ in females then in males. In females, the pulsatile GnRH release is _______. In males, the pulsatile GnRH release is _______ because AVPV does not respond to neuroendocrine signals.

A

Larger
Cyclic
Constant

65
Q

For each scenario determined the sexual behavior (lordosis or mounting), Gonadotropin sectretion (constant or cyclic), SDN size (small or large), and AVPV size (large or small), respectfully based on the treatment the receive on the day following their birth.
1. XY, castration
2. XX, castration

A

SAME ! Lordosis, constant, small, small

66
Q

For each scenario determined the sexual behavior (lordosis or mounting), Gonadotropin sectretion (constant or cyclic), SDN size (small or large), and AVPV size (large or small), respectfully based on the treatment the receive on the day following their birth.
1. XX, testosterone

A

Mounting, cyclic, large, large

67
Q

For each scenario determined the sexual behavior (lordosis or mounting), Gonadotropin sectretion (constant or cyclic), SDN size (small or large), and AVPV size (large or small), respectfully based on the treatment the receive on the day following their birth.
1. XY, castration plus testosterone
2. XY, castration plus estrogen`

A

SAME ! Mounting, constant, large, small

68
Q

What is the general function for each of the following input tracts.
Nucleus of the solitary tract (NTS)

A

Collects visceral sensory information (e.g. blood pressure and gut distension) via vagus nerve

69
Q

general function for each of the following input tracts.; Reticular formation (RF)

A

In the brainstem collects information from spinal cord (e.g., skin temperature)

70
Q

general function for each of the following input tracts.;
Suprachiasmatic nucleus (SCN)

A

In the hypothalamus collects information of light and darkness from retina and optic nerve. Helps regulates circadian rhythms/ light-dark cycles related sleep, metabolism, hormone production, etc.

71
Q

general function for each of the following input tracts.;
Circumventricular organs

A

Collects information from blood (e.g., osmolality and concentrations of various substances in CSF)

72
Q

general function for each of the following input tracts.;
Limbic system

A

Including hippocampus, amygdala, and olfactory cortex, projects to the hypothalamus involving neurotransmitters and neuromodulators to regulate behaviors (e.g., emotion, learning, memory, motivation, reward and fear, reproduction, appetite).

73
Q

general function for each of the following input tracts.;
Intrinsic receptors

A

e.g., thermoreceptors, osmoreceptors, glucose-sensing cells

74
Q

The hypothalamus has two main outputs. The _______ output acts via autonomic nervous system which controls heart rate, vasoconstriction, digestion, sweating, etc. The ______ output acts via pituitary which synthesizes and releases hypothalamic hormones.

A

Neural
Endocrine

75
Q

Which primary hormone does not have a long negative feedback loop and is an amine hormone?

A

Dopamine - PRL target tissue does not secrete hormone

76
Q

T3 and T4, and TSH regulate TRH secretion via negative feedback regulation. What would happen to negative feedback regulation of TRH in the presence of actinomycin or cycloheximide?

A

actinomycin blocks mRNA synthesis; cycloheximide inhibits protein synthesis
T3 and T4 do not have negative feedback (long-loop) regulation on TRH; but TSH still has negative feedback (short-loop) regulation on TRH.

77
Q

Describe the neural pathway that deliver stimulatory signal to hypophysiotropic neuron AND which hypophysiotropic hormones and pituitary hormone it regulates, is released in response to:
Cold temperature

A

INPUTS:
Cold temperature exposure → lower skin temperature → activate thermoreceptors (intrinsic receptors) → activate reticular formation → project to hypothalamus (via CNS center neurons using NE or via stimulating TRH-stimulating neurons in the PVN and POA)
Central themoreceptors → project to hypothalamus
OUTPUTS:
Hormonal output: Increase TRH → increase TSH → increase thyroid hormone to increase body temperature
Neural output: activate PVN neurons → activate sympathetic outflow to intermediolateral cell column (IML) of spinal cord → peripheral organ

78
Q

Describe the neural pathway that deliver stimulatory signal to hypophysiotropic neuron AND which hypophysiotropic hormones and pituitary hormone it regulates, is released in response to: STRESS

A

INPUTS:
Stress → activates vagus nerve → activates NTS → axons projected to PVN → neurotransmitters Ach and NE → stimulate CRH release from PVN
OUTPUTS:
Hormonal: activated CRH at PVN → increase CRH → increase ACTH → cortisol release
Neural output: activated PVN → activate sympathetic outflow to intermediolateral cell column (IML) of spinal cord → peripheral organs

79
Q

Describe the neural pathway that deliver stimulatory signal to hypophysiotropic neuron AND which hypophysiotropic hormones and pituitary hormone it regulates, is released in response to:
Circadian Rhythm

A

INPUT
Suprachiasmatic nucleus of hypothalamus (SCN) → PVN (CRH), POA (GnRH, SST), ARC (GnRH, GHRH, SST), VMN (GHRH, SST)

80
Q

Why is a constant infusion of GnRH often used as antifertility, contraceptive agents?

A

GnRH releases in a pulsatile manner, which has critical importance in maintaining continued responsiveness of gonadotroph at anterior pituitary to GnRH stimulus.
Constant infusion of GnRH would cause desensitization or down-regulation of processes responsible for gonadotropin release, and thus fail to reestablish LH and FSH secretion.

81
Q

During menopause, the ovaries produce declining levels of estrogen and progesterone.
Which anterior pituitary hormones might be measured as a sensitive indicator for menopause?

A

Anterior pituitary hormone LH - as a sensitive indicator for menopause.
Low estrogens during menopause → has less negative feedback; activates GnRH neurons in the hypothalamus → acceleration of pulsatile GnRH secretion by increasing frequency of GnRH pulse → LH β chain gene transcription → preferential for LH secretion.

82
Q

Which hypophysiotropin would be secreted at a higher rate in a postmenopausal woman than a premenopausal woman?

A

GnRH is secreted at a higher rate in a postmenopausal woman (no negative feedback inhibition by gonadal steroids).

83
Q

GH deficiency and resultant short stature can be due to hyporesponsiveness of pituitary somatotrophs, or secondary to insufficient neurohormone secretion.
Hyporesponsiveness of somatotrophs – there is GHRH (GHRH level is normal or higher than normal), but somatotrophs do not response to GHRH to release GH
Insufficient neurohormone secretion – not enough GHRH (GHRH level lower than normal)
What diagnostic tool might be used to differentiate between these two possibilities?

How would it be used?

What would be measured and what would be the outcome of the tests in each scenario?

A
  • using administration (intravenous) of GHRH (GHRH needs to reach the anterior pituitary).
    If increase GH after administration = Insufficient neurohormone secretion
  • RIA or ELISA measure plasma GH before and after administration of GHRH. OR quantify GHRH-immunoreactive staining with immunohistochemistry using hypothalamus section, OR quantify GHRH protein amount with western blot using protein extracted from the hypothalamus, together with measuring GH level from plasma.
    Intermittent administration of GHRH to prime somatotroph → stimulate GH synthesis and release.
    Measure circulating GH from systemic blood samples (from large veins).
    (in animal models may measure GH secretion from pituitary somatotrophs).
    Low GHRH and low GH suggests insufficient neurohormone secretion;
    High GHRH and low GH suggests hyporesponsiveness of pituitary somatotrophs.
84
Q

Low GHRH and low GH suggests

A

insufficient neurohormone secretion;

85
Q

High GHRH and low GH suggests

A

hyporesponsiveness of pituitary somatotrophs.