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Physiology Exam 5, Lecture 2
Hypothalamus and Pituitary
29
Physiology
Professional
11/28/2011

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Term
Where is the pituitary located?
Definition
Sella turcica in sphenoid bone, below the hypothalamus
Term
How is the posterior pituitary connected to the hypothalamus?
Definition
Via neuronal tissue
Term
How is the anterior pituitary connected to the hypothalamus?
Definition
Via the hypothalamo-pituitary portal system (connects two capillaries)
Term
What is the name of the stalk that connects the pituitary to the hypothalamus?
Definition
Infundibulum (hypophyseal stalk)
Term
Where does anterior pituitary tissue originate?
Definition
Rathke’s pouch in the pharynx
Term
What is the median eminence?
Definition
The base of the hypothalamus
Term
What are the two posterior pituitary hormones?
Definition
Oxytocin and vasopressin
Term
What is the function of oxytocin?
Definition
Stimulates milk ejection reflex and stimulates uterine contractions
Term
What is the function of vasopressin?
Definition
aka antiduretic hormone

Regulates water reabsorption in collecting ducts
Term
List the hypophysiotropic hormones
Definition
Gonadotrophin releasing hormone (GnRH)
Growth Hormone Releasing Hormone (GHRH)
Somatostatin (SS)
Thyrotropin releasing hormone (TRH)
Corticotropin releasing hormone (CRH)
Dopamine
Term
What chemical classification are the trophic hormones?
Definition
All of the trophic hormones are peptides except dopamine
Term
What are "troph" cells?
Definition
Cells in the anterior pituitary that are receptors for the hypophysiotropic hormones
Term
What are the actions of anterior pituitary hormones?
Definition
1. Can stimulate an endocrine gland
2. Can have an effect on target tissue directly
Term
What does Adrenocorticotropic hormone (ACTH) do?
Definition
CRH → ↑ ACTH release → adrenal cortex - ↑ cortisol release → target tissues
Term
What does Thyroid-stimulating hormone (TSH, also known as thyrotropin) do?
Definition
TRH → ↑ TSH release → thyroid gland - ↑ thyroid hormone release → target tissue (basal metabolic rate)
Term
What does Follicle-stimulating hormone (FSH) do?
Definition
GnRH → ↑ FSH release → gonads
Term
What does Luteinizing hormone (LH) do?
Definition
GnRH → ↑ LH release → gonads
Term
What does Prolactin do and how is it regulated?
Definition
Stimulates breast development and milk production

dopamine inhibits prolactin release
Term
What controls release of growth hormone?
Definition
GHRH→ ↑ GH release → liver - ↑ IGF-1 release → target tissues
somatostatin → ↓ GH release
Term
What is the effect of growth hormone?
Definition
a. GH stimulates release of IGF-1 from liver
b. GH directly stimulates protein synthesis and lipid and carbohydrate metabolism
Term
Define short-loop inhibition
Definition
Anterior pituitary hormone inhibits hypothalamus hormone secretion
Term
Define long-loop inhibition
Definition
The third endocrine hormone inhibits anterior pituitary and hypothalamus hormone
Term
Define primary hyposecretion and give an example
Definition
Abnormality at the gland

a. destruction of the gland (e.g. Type I diabetes)
b. defects in hormone biosynthesis
Term
Define secondary hyposecretion and give an example
Definition
Gland is normal but there is too little stimulus from pituitary or trophic hormone

(e.g. Kallman’s syndrome, no LH or FSH release due to GnRH hormones in hypothalamus)
Term
What is a common cause of primary hypersecretion?
Definition
Presence of a hormone-secreting cell tumor
Term
Define secondary hypersecretion and give an example
Definition
Gland is normal but there is too much stimulus from pituitary or trophic hormone.

(e.g. hormone secreting tumor in pituitary)
Term
Define the spillover effect and give an example
Definition
Excess concentrations of hormone can result in the hormone binding to and activating other classes of receptors.

e.g. Cushing's disease: excess cortisol can activate aldosterone receptors and cause hypertension.
Term
Define hyporesponsiveness
Definition
Hormone secretion is normal, but target cell does not respond to hormone

1. Lack of hormone receptors
2. Abnormal receptor-signal transduction
3. Abnormal metabolic activation
Term
Define hyperresponsiveness and give an example
Definition
Up-regulation of hormone receptors

e.g. hyperresponse to epinephrine with hyperthyroidism due to up regulation of β-adrenergic receptors
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