Somatostatin Flashcards
What are the characteristics of abnormal GH secretion?
GH deficiency, leading to abnormal growth
GH over-secretion (gigantism/acromegaly)
GH during aging
What causes GH deficiency?
GH gene defects
What are the causes of short stature?
GH deficiency and GHR or signaling defects
IGF-1/IGF-1 receptor defects
What is idiopathic short stature?
Short normal people
How is idiopathic short stature treated?
GH therapy, however results are not satisfactory
What causes gigantism?
Excess pituitary GH synthesis and secretion
Over-secretion of GHRH or mutations in the somatotrope GHRH receptor leading to a tumor
Which condition do these features describe?
Excess growth of soft tissues, greasy thick skin, coarse facial features in adults
Insulin resistance, diabetes
Acromegaly
Name one therapeutic approach for gigantism/acromegaly
Surgery - remove GHRH or GH tumor
Radiation - reduce or ablate tumor if it is close to the pituitary
Medication - suppress GH secretion and block GH receptor
What are the consequences of aging the somatopause?
Slow decline of GH levels in men and sharp decline in women with menopause
Decrease due to lower GHRH and pituitary responsiveness
Increased BMI
There is an increased incidence of colorectal polyps and cancer in _____________ patients
Acromegalic
High serum GH levels are associated with high risk of breast, prostate, gastric, ________ and lung cancer
Colon
High serum IGF-1 levels are associated with high risk of breast, prostate and _________ cancer
Colorectal
Which somatostatin receptor is predominant?
Sst2A
sst1 receptor is abundant in the ____________ and sst2 is abundant in the __________ pituitary gland
Hypothalamus; anterior
What is an example of sst2A and sst5 agonist that helps treat GH release?
Ocetreotide