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Autonomic Phys
The Pituitary
78
Biology
Not Applicable
07/25/2010

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Cards

Term
What are the two broad classes of vesicles for neurotransmitters?
Definition

large dense core vesicles - generally house peptide hormones

 

small synaptic vesicles - generally contain non-peptide transmitters

Term
Describe some characteristics of the postsynaptic actions of classical peptide transmitters.
Definition

slow transmission - tend to have longer range effects

 

act via G-protein --> indirectly modulate ion channels

 

generally have longer response

Term
What is the function of the hypothalamus?
Definition
Integrate sensory input and control body response through output.
Term
Compare the control of the central nervous system of autonomic functions between the ANS vs. pituitary.
Definition

ANS: direct nerve connections from the CNS to peripheral organs, classic neurotransmitters, immediate moment-to-moment control

 

Pit: relies on hormonal release into circulation to affect peripheral target organs, peptide transmitters, slower developing control and feedback

Term
What is another name for the pituitary gland?
Definition
Master gland
Term
Where is the pituitary located?
Definition
In a bony structure call the "sella turcica" at the base of the brain.
Term
How is the pituitary connected to the CNS?
Definition
pituiatry stalk - receives input from the hypothalamus
Term
What are the two sections of the pituitary and what is the tissue make-up of each?
Definition

Anterior pituitary (aka adenohypophysis): non-neural tissue, makes up 80% of pituitary

 

Posterior pituitary (aka neurohypophysis): neural tissue, makes up 20% of pituitary

Term
How is the anterior pituitary activated causing the release of hormones?
Definition
Activation of neurons in the hypothalamus result in increase of releasing hromones in portal circulation
Term
What causes the release of hormones in the anterior pituitary and where do they come from?
Definition
Binding of releasing hormones to cells in the anterior pituitary causes release of hormones from secretory granules into the general circulation.
Term
What makes up the hypothalamus-pituitary axis?
Definition
hypothalamus --> anterior pituitary --> peripheral endocrin gland --> effector cell
Term
Name the 5 hormone releasing cells in the anterior pituitary.
Definition

Corticotrophs

Somatotrophs

Thyrotrophs

Gonadotrophs

Lactotrophs

Term
What are the hormones involved in the hypothalamus-pituitary-adrenal axis?
Definition

CRH (corticotropin releasing hormone)

ACTH (adrenocorticotropin hormone aka corticotropin)

 

Term
What are the characteristics/properties of CRH?
Definition

Glycoprotein released from hypothalamic neurons (paraventricular neurons)

 

41 amino acid peptide

Term
What is the precursor to ACTH and where is it synthesized?
Definition

POMC (proopiomelanocortin)

 

Produced in basal ganglia, cortex, and pituitary

 

39 amino acid peptide

 

 

Term
What are the characteristics/properties of ACTH?
Definition
Peptide fragment cleaved from larger protein precursor, POMC
Term
What are three important proteins that POMC can be cleaved into?
Definition

ACTH: acts on adrenal cortex

 

alpha, beta-melanocortin: increases skin pigmentation

 

beta-lipotropin (LPH): stimulates release of fatty acids from adipose tissue

Term
What causes the release of ACTH?
Definition

CRH and vasopressin (AVP)

 

stress

 

hypoglycemia

Term
Where is CRH and AVP synthesized?
Definition
Hypothalamus
Term
Where is AVP released, and how does it reach the anterior pituitary?
Definition

AVP released by posterior pituitary

 

Reaches anterior pituitary via inferior hypophyseal artery

Term
Describe the ciracadian patter of ACTH release.
Definition

Highest levels in the morning but dependent on sleep-wake cycle (ie. jet-lag can alter pattern)

 

Opposes circadian patter of growth hormone secretion

Term
What is the target of ACTH? What are its effects?
Definition

Acts on adrenal cortex

 

Stimulates steroid hormone synthesis and growth of cortex (trophic action)

Term
Describe the effects of a lack of negative feedback system from cortisol.
Definition

Result in high ACTH levels and adrenal hormones --> inc. in size of cortex

 

Androgenital syndrome: masculization of femal fetus

Term
Describe the negative feedback loop in ACTH regulation.
Definition

ACTH negatively feedsback to the hypothalamus.

 

Cortisol negatively feedsback to both the hypothalamus and the anterior pituitary.

Term
Describe what happens to the negative feedback system during chronic stress.
Definition
Chronic stress overrides negative feedback of CRH and ACTH leading to hyperactivity of adrenals.
Term
Where are the adrenal glands located, and what are the two distinct regions?
Definition

Located on top of each kidney.

 

Medulla: inner region, neural tissue

Cortex: outer region, non-neural tissue

Term
What are the three zones of the adrenal cortex?
Definition

zona glomerulosa

zona fasiculata

zona reticularis

Term
What are steroid hormones derived from?
Definition
cholesterol
Term
What is the function of adrenocortical cells?
Definition
Synthesize and secrete steroid hormones.
Term
Where are the only places in the body where steroid hormone synthesis occurs?
Definition

Adrenal coretx

Ovaries

Testes

Term
What are the three classes of steroid hormones released by the adrenal cortex?
Definition

Glucocorticoids

Mineralocorticoids

Adrenal androgens (androgenic steroids)

Term
Name the three regions of the adrenal cortex and the class of steroid hormone secreted.
Definition

zona glomerulosa - mineralocorticoids

 

zona fasiculata - glucocorticoids, adrenal androgens

 

zona reticularis - glucocorticoids, adrenal androgens

Term
What are the two glucocorticoids secreted?
Definition

 Cortisol

Corticosterone

Term
Describe the effects of cortisol.
Definition

Stimulates breakdown of muscle and other organs - inceases release of amino acids


Stimulates lipolysis - breakdown of fat


Stimulates gluconeogenesis - production of glucose from amino acids and lipids


Conserves glucose for use by CNS - inhibits uptake into muscle and fat cells


Exerts stron anti-inflammatory effects - large doses decrease production of antibodies

Term
Describe the effects of corticosterone.
Definition
Works with cortisol to suppress immune function and inflammatory reactions.
Term
What is the mineralocorticoid released by the adrenal cortex?
Definition
Aldosterone
Term
What causes the release of aldosterone?
Definition

Increased serum potassium levels and lowered sodium levels

 

Decreased blood flow to kidneys

 

Weakly responsive to ACTH

Term
How does aldosterone maintain blood volume and blood pressure?
Definition

Increases potassium secretion

 

Promotes sodium reabsorption by kidneys

 

Increases water reabsorption through osmosis

Term
Where does aldosterone act in the kidneys, and what is a possible side effect?
Definition

Sodium reabsorption in the distal tubules of the kidney in increased water reabsorption

 

May results in hypertension (high blood pressure)

Term
Describe the release of androgens before and at puberty.
Definition

Expression is low before puberty.

 

Increased expression at puberty contributing to developmental changes in both genders

Term
What are some examples of weak androgen and strong androgens.
Definition
Androstenedione, dehydroepiandrosterone (DHEA) - weak but can be converted into strong such as testosterone
Term
Does ACTH stimulate all three classes of adrenal steroids?
Definition
ACTH stimulates zona reticularis and zona fasiculata - glucocorticoids and adrenal androgens only
Term
What is Addison's disease?
Definition

Patients lack cortisol from the zona fasiculata: patients lack negative feedback of ACTH, aldosterone levels can be low

 

Results in overproduction of ACTH and cause skin to darken due to increase release of MSH (a bioactive peptide from POMC)

Term
What is Cushing's Syndrome?
Definition

Prolonged exposure of the body's tissue to high levels of cortisol: aldosterone levels can also be high

 

Symptoms: obesity, weak muscles, fatigue

 

Most cases caused by pituitary tumors: benign tumors may secerte increased amounts of ACTH

Term
What is the relationship between ACTH and beta-endorphins?
Definition

Overproduction of ACTH may accompany increased beta-endorphin production

 

High stress --> high ACTH --> beta-endorphin --> blunt pain

Term
What are the receptors for beta-endorphins?
Definition
Beta-endorphins bind to opiate receptors to mediate pain relief
Term
Describe the pain-stress phenomenon.
Definition

Severely traumatized individual appear to be free from pain.

 

Due to simulatenous release of beta-endorphins along with corticotrophin in response to stressful stimulus of injury

Term
What stimulates GH release and what inhibits its release?
Definition

GH releasing hormone

 

Inhibited by somatostatin

Term
What kind of hormone is GH and in what specialized cell in the anterior pitutary is it synthesized?
Definition

Peptide hormone

 

Somatotroph

Term
What are the direct effects of GH?
Definition

Adipose tissue: causes breakdown of triglycerides and suppresses ability of fat cells to take up lipids form circulation

 

Metabolism: stimulates the formation of proteins form amino acids (anabolism), maintain blood glucose levels by inhibiting insulin activity

Term
What are the indirect effects of GH?
Definition

Stimulates release of IGF-1 (insulin-like growth factor) from the liver.

 

IGF-1: 70 amino acid peptide comprised of two chains connected by a disulfide bond

Term
What is the function of IGF-1?
Definition

Stimulates bone growth by increasing proliferation of chondrocytes

 

Stimulates muscle growth: proliferation and differentiation of myoblasts, uptake of amino acids and protein synthesis in muscle

Term
What are the the stimuli for GH release?
Definition

Exercise

Stress

Low blood glucose

Fasting

Sleeping

Term
Describe how levels of GH change with circadian rythm
Definition
Highest levels occur just after onset of sleep (more intese during puberty)
Term
Describe how IGF-1 levels change with age.
Definition

Rise progessively with age in children

 

Greater increase at onset of puberty then decreases to adult levels

Term
What is the result of GH deficiency, and what are possible treatments?
Definition

Deficiency: dwarfism - severity of growth retardation is linked to age of onset of disease

 

Human growth hormone (hGH) can be used to promote growth

Term
What is the result of elevated GH?
Definition

Before puberty: gigantism - normal body proportions


After puberty: Acromegaly - enlargement of distal body parts (hands, feet, skull, jaw, nose)


Pituitary tumors may increase GH levels

 

May cause diabetes: GH effects on metabolism atntagonize those of insulin

 

High blood pressure, heart disease, arthritis


Term
What are possible treatments to prevent the symptoms of elevated GH?
Definition
X-ray therapy, surgery, syntheti somatostatin agonists
Term
Describe the negative feedback system in GH regulation.
Definition

GH negatively feedsback to the hypothalamus.

 

IGF-1 negatively feedsback to the hypothalamus.

Term
Describe the characteristics/properties of TRH.
Definition

Tripeptide (3 AA)

 

Stimulates release of thrytoid stimulating hormone (TSH) and prolactin

Term
Describe the properties/characteristics of TSH.
Definition

Binds receptors on thyroid gland to induce T3 and T4 secretion


Stimulates thryoid cell growth


Increasess synthesis of thyroid hormones


Increases blood flwo to thyroid gland

Term
What are three actions that the thyroid hormones are responsible for?
Definition

Cellular differentiation

Growth

Metabolism

Term
How do thyroid hormones modulate gene transciption?
Definition
T3 and T4 bind to intracellular receptors (txn factors) which leads to protein expression
Term
Explain why thyroid hormones are important in increasing basal metabolic rate.
Definition

Increase lipolysis

 

Increase carbohydrate metabolism: inc. insulin-mediated stimulation of glucose uptake by cells, inc. gluconeogenesis and glycogenlysis (inc. blood glucose levels)

Term
Explain the role of thyroid hormones in normal development.
Definition

Thyroid hormones are critical for development of the mammalian CNS.

 

Thyroid hormones are required for normal growth in immature animals.

Term
Explain the importance of thyroid hormones cardiovascular, CNS, and reproductive functions.
Definition

Cardiovascular: inc. HR, cardiac contractility, and cardiac output, promote vasodilation

 

CNS: dec. thyroid hormones cause mental clouding, inc. causes anxiety

 

Repro: dec. thyroid hormones is associated with infertility

Term
What are the effects of decreased thyroid function?
Definition

Iodine deficiency: I required for T3 and T4 synthesis

 

Damage to thyroid gland

 

Hypothyroidism: lethargy, fatigue, intolerance of cold; can be treated with synthetic thyroid hormone

Term
What are the effects of increased thyroid function?
Definition

Pituitary tumors

 

Grave's disease: autoimmune disorder in which antibodies are expressed which bind to and activate TSH receptors

 

Hyperthyroidism: anxiety, insomnia, increased HR; treat with drugs blocking thyroid hormone synthesis

Term
Describe the feedback system in thyroid hormone regulation.
Definition
T3 and T4 negatively feedback to both the anterior pituitary and the hypothalamus.
Term
The posterior pituitary receives axonal projections from neurons with cell bodies located in what part of the hypothalamus?
Definition

Paraventricular nucleus (PVN)

 

Supraoptic nucleus (SON)

Term
Explain the path a peptide hormone travels when the hypothalamic neurons become activated.
Definition
Peptide hormones are synthesized in the cell body, packaged, and axonally transported from the hypothalamus to the posterior pituitary and released directly into general circulation
Term
What are the two hormones released from the posterior pituitary?
Definition

Oxytocin

 

Arginine vasopression (Anti-diuretic hormone)

Term
Describe the characteristics/properties of oxytocin.
Definition

9 amino acid peptide hormone

 

Synthesized by magnocellular cells of the PVN and SON

 

Stimulates uterine contractions during and after childbirth

 

Leads to milk letdown (lactation)

Term
Explain how oxytocin leads to milk letdown.
Definition

Milk is stored in alveoli of the mammary glands.

 

Alveoli are line by smooth muscle cells (myopeithelial cells)

 

Myoepithelial cells express oxytocin receptors -> binding causes contraction of myopeithelial cells -> milk ejection

Term
Explain how oxytocin leads to uterine contractions.
Definition

Smooth muscel cells of uterus increase expression of oxytocin receptors during gestation


Oxytocin is released during labor causing contraction of smooth muscle cells


Oxytocin analogs (ie. Pitocin) can be administered to induce labor

Term
Describe the characteristics/properties of vasopressin.
Definition

9 amino acid peptide

 

Synthesized by magnocellular cells of the PVN and SON

 

Stimulated water conservation

 

Causes vasoconstriction in response to severe hemorrhage

Term
What stimulates vasopressin release?
Definition

Dec. BP: baroreceptors of the carotid sinus simtulate neurons in SON and PVN -> hypothalamic neurons release vasopressin from posterior pituitary

 

Binds to receptors in kidney and promote reabsorption of water back into circulation

 

Inc. plasma osmolarity: inc [salt] in bloodstream

 

Cicrumventricular organs and vasopressin neurons are osmosensitive: neurons transmit signal to PVN and SON causing water retention

Term
Describe the relationship bewteen vasopressin and thirst.
Definition
Vasopressin secretion is increased before thirst is physiologically evident.
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