Growth Hormone and Somatomedin Flashcards

(38 cards)

1
Q

which hypothalamic hormones regulate the pulsatile secretion of GH

A

GHRH

somatostatin (also called somatotropin release-inhibiting factor, SRIF)

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2
Q

after GHRH interacts with its membrane receptor…

A

increases cAMP and Ca2+ levels in the cell

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3
Q

negative feedback loop on GH secretion

A

insulin-like growth factor-1 (IGF-1) that is released from liver and other tissues….

inhibits release of GH from pituitary gland

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4
Q

What stimulates the secretion of GHRH from the hypothalamus

A

sleep, stress, amino acid rich meal

leads to increase GH from pituitary gland

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5
Q

short term vs long term effects of GHRH on the somatotrophs

A

short = increased release of stored GH

long = increased transcription of the GH gene
–> activates the pituitary gland transcription factor (Pit1)

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6
Q

Thyroid hormone and cortisol effect on GH

A

synergistically enhance transcription of GH gene

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7
Q

what stimulates release of somatostatin from the hypothalamus

A

somatomedin (IGF) and GH

leads to decreased release of GH from pituitary gland

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8
Q

somatomedin regulation on GH release

A

(+) somatostatin release from hypothalamus –> less GH

and

directly (-) GH release at pituitary gland by interacting with receptor and decreasing cAMP and Cs2+

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9
Q

on the balance, GH can partially be considered what kind of hormone

A

diabetogenic

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10
Q

effects downstream of high protein intake…

A

(+) GH and (+) insulin –> caloric storage (+/-)

(+) somatomedin –> (+) protein synthesis, (+) growth

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11
Q

effects downstream of carbohydrate intake…

A

(-) GH with (+) insulin –> (+) caloric storage

(+/-) somatomedin –> (+/-) protein synthesis and growth

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12
Q

effects downstream of fasting

A

(+) GH with (-) insulin –> caloric mobilization

(-) somatomedin –> (-) protein synthesis and growth

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13
Q

effects of GH on the liver

A

increase in the following…

  • RNA and protein synthesis
  • gluconeogenesis
  • synthesis and secretion of IGFBPs and IGFs
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14
Q

effects of GH and IGFs on muscle

A

(-) glucose uptake

(+) amino acid uptake

(+) protein synthesis

(+) lean body mass

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15
Q

effects of GH on adipose tissue

A

(-) glucose uptake

(+) lipolysis

(-) adiposity

***IGFs do not effect adipose tissue like they do muscle

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16
Q

GH and IGF effects on extrahepatic tissues

A

increases in the following

protein, RNA, and DNA synthesis

cell and organ size

organ function

17
Q

GH and IGF effects on chondrocytes

A

increases in the following…

amino acid uptake
RNA/DNA/protein synthesis
collagen
chondroitin sulfate
cell size and number
linear growth
18
Q

fetal GH detection

A

detectable in the fetal serum

concentration increases rapidly and peaks at 100-150ug/L at about 20th week

19
Q

GH concentration in premature babies

A

higher than normal babies

levels decrease to about 30 and continue to fall during the early postnatal months

20
Q

somatostatin effect on the function of GHRH

A

blocks GHRH stimulation on the pituitary gland by a non competitive means

interacts with own membrane receptor to decrease cAMP and Ca2+

also lowers frequency and amplitude of GHRH release from hypothalamus

21
Q

sharp drop in glucose and fFAs –>

22
Q

obesity and GH

A

reduces GH responses to all stimuli

including GHRH

23
Q

nocturnal surge of GH

A

1-2 hours after onset of deep sleep (not REM)

REM lowers GH

24
Q

mechanism of GH action

A
  1. attaches to 2 docking sites on receptor
  2. receptor dimerizes
  3. intracellular domains then dock and activate JAK-STAT tyrosine kinase pathway
  4. these kinases phosphorylate STAT transcription factor proteins
  5. which activate GH-dependent gene transcription and expression –> modulation of IGFs, IGFBPs and other molecules expression
25
what organ makes most of the IGFs
liver
26
circulation of IGFs
bound to a number of large binding proteins that regulate their availability to tissues
27
GH deficient patients level of IGFs
lowered especially IGF-1
28
what stimulates IGF production during fetal growth
a GH variant present in the placenta the IGF-2 and its receptor are expressed very early in fetal development
29
the progression of pubertal growth correlates with the plasma increases in what
IGF-1
30
IGF and GH levels in fasting state
GH is elevated but IGFs are lowered therefore, must be other factors regulating IGF production... soooooo high GH levels probably result from a negative feedback mechanism caused by low IGFs
31
cortisol and estrogens on IGF production
lower it any hormones that antagonizes GH action will lower IGFs too
32
GH effect on chondrocytes
stimulates differentiation of prechondrocytes into chondrocytes which then secrete IGF-1 which stimulates clonal expansion and maturation of chondrocytes
33
insulin antagonistic effect of GH helpes prevent what
hypoglycemia
34
insulin and GH and IGF levels after fasting
insulin falls GH rises but IGF still fall
35
why is GH increase during fasting good?
contributes to enhanced lipolysis and decreases peripheral tissue glucose use
36
Prolactin struture compared to GH
very much homologous except for extra 3rd disulfide bonded loop
37
how is prolactin made
made as a preprohormone signal peptide is cleaved in ER membrane temporarily N-glycosylated in ER then taken off in Golgi
38
secretion of prolactin regulation
inhibited by prolactin inhibitory factors (PIFs) from hypothalamus --> primarily dopamine others include somatostatin and alternatively spliced GnRH Thyroid releasing hormone (TRH) is a major stimulator of prolactin