Hypothalamic Pituitary Axis, GH Flashcards

1
Q

Where is the pituitary found?

A

Beneath the hypothalamus in a socket of bone: sella turcica

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2
Q

Describe the structure of the pituitary gland

A

2 parts =

Anterior: primitive gut tissue (upward growth).

Posterior: primitive brain tissue (down growth from brain)

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3
Q

What is the name of the pituitary stalk?

A

Infundibulum

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4
Q

What is the neurocrine function of the posterior pituitary?

A

Oxytocin, ADH (vasopressin)

prod by supraoptic and paraventricular nuclei of hypothalamus –

Transported down nerve cell axons

stored and secreted by PP

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5
Q

What is the process of the anterior pituitary releasing hormones

A
Hormones synthesised in hypothalamus, 
transported down axons, 
stored in median eminence, 
released into hypophyseal portal system  (blood),
effecting release of hormones from AP
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6
Q

Name the hormones produced by the hypothalamus (7+2)

A

ANTERIOR
TRH Thyrotropin releasing hormone,
(PRH) Prolactin releasing hormone = TRH (minor +ve control on prolactin),
PIH Prolactin release-inhibiting hormone (Dopamine),
CRH Corticotropin releasing hormone,
GnRH Gonadotropin releasing hormone,
GHRH Growth hormone releasing hormone,
GHIH Growth hormone-inhibiting hormone (Somatostatin).

POSTERIOR
OT oxytocin,
ADH antidiuretic hormone

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7
Q

What is the diff between tropic and trophic?

A

Tropic = affects release of other hormones in target tissue.

Trophic = affects growth

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8
Q

Briefly describe the biological roles of hormones prod by the hypothalamus

A

6 tropic hormones effect release of anterior pituitary hormones.

2: OT/ADH prod to be released by posterior pit

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9
Q

Name the hormones produced by the anterior pituitary gland (6)

A
TSH Thyroid stimulating hormone, 
ACTH Adrenocorticotropic hormone, 
LH Luteinising hormone, 
FSH Follicle stimulating hormone, 
PRL Prolactin, 
GH Growth hormone
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10
Q

What is the role of TSH?

A

Secretion of thyroid hormone from thyroid gland

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11
Q

Outline the function of ACTH: adrenocorticotropic hormones

A

Secretion of hormones from adrenal cortex

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12
Q

What is the role of LH - luteinising hormone?

A

Ovulation and secretion of sex hormones

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13
Q

Describe the function of FSH: follicle stim hormone?

A

Devel of eggs and sperm

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14
Q

What is the function of PRL: prolactin?

A

Mammary gland devel and milk secretion

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15
Q

What is the function of GH?

A

Prod by anterior pit – stim liver/skeletal muscle to prod IGFs = stim bone/cartilage growth, stim long bone growth.

Adults – GH/IGFs = maintain muscle/bone mass, healing, tissue repair, modulates metabolism

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16
Q

What are the pathways of the hypothalamic and anterior pituitary regulated by?

A

-ve feedback loops

17
Q

What factors influence growth?

A

Genetics, nutrition, environment, hormones

18
Q

Describe the factors controlling GH secretion

A

CNS inputs into hypothalamus controlling levels:

GHRH = increase secretion.

Somatostatin = decreased secretion.

Increase = deep sleep, stress, exercise, low glucose/FA, fasting.

Decrease = REM sleep, high glucose/FA, obesity

19
Q

Describe the long and short loop –ve feedback that controls GH

A

Long loop: mediated by IGFs

Short loop: mediated by GH

20
Q

Describe how GH exerts its effects on cells directly?

A

Activate janus kinases = activation of signalling pathways = transcription factor activation and IGF prod

21
Q

How does GH exert its effect indirectly through Insulin like growth factors?

A

IGF1 (adult growth))/IGF2 (foetal growth) – binding proteins modulate their availability = paracrine/autocrine/endocrine.

Activation of IGF receptors modulate: hypertrophy, hyperplasia protein synthesis, lipolysis

22
Q

Which hormones are on -ve control?

A

GH, LH/FSH, TSH, ACTH

23
Q

Which hormones are on +ve control?

A

Prolactin

24
Q

What is +ve feedback vs -ve?

A

-ve feedback = rate of process decreases as conc of product increases.

+ve feedback = rate of a process increases as conc of product increases

25
Q

What are the nuclei of the hypothalmus?

A

Suprachiasmatic = biological clock

Arcuate = regulate appetite

Paraventricular = oxytocin

Supraoptic = ADH

26
Q

Which hormone inhibits the release of GH?

A

Somatostatin = GH inhibiting hormone