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Physiology - Test IV - Endocrinology
All endocrinology questions for the fourth test.
95
Physiology
Graduate
05/01/2011

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Term
What two hormones are released by the posterior pituitary, and what do they act on?

What type of hormones are they?
Definition
ADH (kidney) and oxytocin (breast and uterus)

neuropeptides
Term
Where are the cell bodies of ADH neurons contained?

Where are the cell bodies of oxytocin neurons contained?
Definition
-In the supraoptic nuclei of the hypothalamus.

-In the paraventricular nuclei of the hypothalamus
Term
What is the connection between the hypothalamus and the posterior pituitary?
Definition
Neural
Term
What is the connection between the hypothalamus and the anterior pituitary?
Definition
Endocrine and neural
Term
What are the only cells in the body to receive high concentrations of the hypothalamic hormones?

Why?
Definition
the cells of the anterior pituitary

because they are delivered by portal venous blood directly to the anterior pituitary from the hypothalamus
Term
What kind of hormones are secreted by the anterior pituitary?
Definition
peptides
Term
Which six hormones are secreted by the anterior pituitary?
Definition
thyroid-stimulating hormone (TSH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), growth hormone, prolactin, and adrenocorticotropic hormone (ACTH)
Term
All of the hormones released by the anterior pituitary are secreted by different cell types, except for which two hormones?

What is the name of the cell type that secretes them?
Definition
FSH and LH

gonadotrophs
Term
What cell type in the anterior pituitary secretes growth hormone?
Definition
somatotrophs
Term
What cell type in the anterior pituitary secretes TSH?
Definition
thyrotrophs
Term
What cell type in the anterior pituitary secretes ACTH?
Definition
corticotrophs
Term
What cell type in the anterior pituitary secretes prolactin?
Definition
lactotrophs
Term
Which anterior pituitary hormones are glycoproteins?
Definition
TSH, FSH, and LH
Term
Which subunits of TSH, FSH, and LH are identical?
Definition
alpha subunits
Term
Which placental hormone is is structurally related to the TSH-FSH-LH family?
Definition
HCG. It is a glycoprotein with the identical α chain and its own β chain.
Term
Which hormone is coupled through a Gs protein to both adenylyl cyclase and phospholipase C?
Definition
GHRH
Term
What are the seven classical endocrine glands?
Definition
Thyroid, parathyroid, pituitary, adrenal, pancreatic islets, gonads, placenta
Term
What are the two quantitative measures of degradation of hormones, which are also inversely related?
Definition
MRC and T1/2
Term
Which area of the hypothalamus acts as a biological clock?
Definition
SCN (suprachiasmatic nucleus)
Term
What does the SCN send projections to?
Definition
to the subparaventricular zone and dorsomedial nucleus of the hypothalamus
Term
What does the SCN send inhibitory fibers to?
Definition
to neurons of the paraventricular nucleus (PVN) that control sympathetic output to the pineal gland
Term
What does the SCN regulate the circadian production of?
Definition
of melatonin by the pineal gland
Term
What is the pineal gland innervated by?
Definition
noradrenergic fibers from the superior cervical ganglion
Term
How does NE regulate melatonin secretion?
Definition
NE activates melatonin secretion by a mechanism triggered by the activation of β1-adrenergic receptors.

Norepinephrine (NE) release is high at night and low during the day.
Term
How does the SCN control sympathetic output to the pineal gland?
Definition
Photosensitive retinal cells signals relay signals to the SCN. The SCN controls sympathetic output to the pineal gland via inhibitory fibers that project to neurons of the paraventricular nuclei (PVN). The paraventricular nuclei control the activity of the spinal preganglionic sympathetic neurons that innervate the superior cervical ganglion
Term
What makes prolactin unique among adrenal hormones?
Definition
It is under tonic inhibition
Term
What types of G proteins do the hypophysiotrophic hormones make use of?
Definition
Somatostatin and dopamine - Gi (inhibit cAMP, activate G-protein gated K+ channels)

GHRH and CRH - Gs (stimulate cAMP)

GnRH and TRH - Gq (DAG and IP3)
Term
Which 3 anterior pituitary hormones are in the glycoprotein family?
Definition
LH
FSH
TSH
Term
Which 2 anterior pituitary hormones are in the somammotropin family?
Definition
PRL
GH
Term
What are the three classes of endocrine hormones?

What are the precursors for each?
Definition
amine - tyrosine
peptide - amino acids
steroid - cholesterol
Term
What is DOC?
Definition
11-deoxycorticosterone
Term
What is PIF?
Definition
prolactin-inhibiting factor, also called dopamine
Term
What is SRIF?
Definition
Somatostatin or Somatotropin release inhibiting factor
Term
What does TRH stimulate the release of?

What kind of hormone is it?

What releases it?
Definition
TSH and Prolactin

peptide

hypothalamus
Term
What does CRH stimulate the release of?

What kind of hormone is it?

What releases it?
Definition
ACTH

peptide

hypothalamus
Term
What does GnRH stimulate the release of?

What kind of hormone is it?

What releases it?
Definition
FSH and LH

peptide

hypothalamus
Term
What is the action of somatostain/SRIF?

What kind of hormone is it?

What releases it?
Definition
to inhibit GH secretion

peptide

hypothalamus
Term
What is the action of dopamine/PIF?

What kind of hormone is it?

What releases it?
Definition
inhibit release of prolactin

amine

hypothalamus
Term
What does GHRH stimulate the release of?

What kind of hormone is it?

What releases it?
Definition
GH

peptide

hypothalamus
Term
What is the only amine hormone released by the hypothalamus?
Definition
dopamine/PIF
Term
What are the different stages of peptide hormone synthesis, and where does each take place?
Definition
DNA -> mRNA (nucleus)
mRNA -> preprohoromone (ribosomes)
preprohormone -> prohormone (ER)
prohormone -> hormone (golgi) ->
hormone (secretory vesicles)
Term
Where are steroid hormones secreted and synthesized?
Definition
adrenal cortex, the gonads, the corpus luteum, and the placenta
Term
What are the seven steroid hormones?
Definition
cortisol, aldosterone, estradiol and estriol, progesterone, testosterone, and 1,25-dihydroxycholecalciferol
Term
What are the amine hormones?
Definition
Catecholamines (epinephrine and norepinephrine) and thyroid hormones (thyroxine [T4] and triodothyronine [T3])
Term
What is the most common and important type of regulation of endocrine hormones: neural, positive feedback, or negative feedback?
Definition
negative feedback
Term
What is an ultrashort feedback loop?
Definition
When a hormone inhibits its own secretion
Term
When positive feedback does occur, what does it lead to?
Definition
an explosive event
Term
What are the two effects of LH and FSH on the ovaries?
Definition
ovulation and stimulation of estrogen secretion
Term
What are examples of hormones that exhibit positive feedback?
Definition
oxytocin
estrogen
FSH and LH
Term
What must a target tissue contain to be able to respond to a hormone response?
Definition
receptors for the hormone that are coupled to cellular mechanisms that produce the physiological response
Term
What is sensitivity in relation to hormones?
Definition
the hormone concentration that produces 50% of the maximal response
Term
What are the two ways in which the responsiveness or sensitivity of a target tissue can be changed?
Definition
1. by changing the number of receptors 2. by changing the affinity of the receptors for the hormone
Term
Can one hormone regulate the receptors of another hormone in a target tissue?
Definition
yes
Term
What is an example of a hormone that downregulates its own receptors and those of another hormone?
Definition
progesterone; down-regulates its own receptors and those of estrogen in the uterus
Term
What are some examples of hormones that upregulate their own receptors?
Definition
GH
prolactin
estrogen
Term
What is an example of a hormone that upregulates both its own receptors and those of other hormones?
Definition
estrogen increases its own receptors in the uterus and increases receptors for FSH and LH in the ovaries
Term
Which hormones use the tyrosine kinase action mechanism?
Definition
IGF-1
insulin
Term
Which hormones use the guanylate cyclase mechanism?
Definition
ANP
EDRF
NO
Term
Which hormones use the steroid hormone mechanism?
Definition
glucocorticoids
thyroid hormones
estrogen
progesterone
testosterone
aldosterone
1,25-dihydroxycholecalciferol
Term
Which hormones use a PLC (IP3/Ca2+) mechanism?
Definition
GnRH
GHRH
TRH
Angiotensin II
ADH (v1 receptor)
oxytocin
alpha 1 receptors
Term
Which hormones use the AC (cAMP) mechanism?
Definition
ACTH
LSH
FH
TSH
ADH (V2 receptor)
HCG
MSH
CRH
Calcitonin
PTH
Glucagon
B1 and B2 receptors
Term
How many subunits do G proteins have?
What is the catalytic subunit?
Definition
three- alpha, beta, and gamma
alpha
Term
How does the AC mechanism work?
Definition
GTP binds to Gsa subunit
Gsa subunit stimulates AC
AC converts ATP to cAMP
cAMP activates PKA
PKA phosphorylates proteins
Physiologic actions take place
Term
What can turn off the cAMP stiumulating PKA?
Definition
PDE
Term
How do Gq proteins work?
Definition
GTP binds to Gaq subunit
Gaq subunit binds to PLC
PLC turns PIP2 into IP3 and DAG
IP3 causes CA2+ release from ER or SR
Ca2+ release and DAG activate PKC
PKC phosphorylates proteins
Phosphorylated proteins cause the physiological actions
Term
How does the steroid hormone mechanism work (which also includes thyroid hormones)?
Definition
involves binding to cytosolic (or nuclear) receptors that initiate DNA transcription and synthesis of new proteins
Term
What are steroid hormone receptors?
Definition
monomeric phosphoproteins in the cytoplasm or nucleus
Term
What domain does the steroid hormone bind to on its receptor?
Definition
E domain
Term
What part of the steroid receptor binds DNA?
Definition
C domain
Term
After dimerizing, what part of the DNA does the steroid hormone-receptor complex bind to?
Definition
steroid-responsive elements (SREs) located in the 5' region of target genes
Term
Compare and contrast ADH (vasopressin) and aldosterone
Definition
ADH - posterior pituitary hormone; peptide hormone

aldosterone: released by adrenal cortex (zona glomerulosa); steroid hormone
Term
Where are the cell bodies of ADH neurons are contained primarily?
Definition
supraoptic nuclei of the hypothalamus
Term
Where are the cell bodies of oxytocin neurons are contained primarily?
Definition
paraventricular nuclei of the hypothalamus
Term
What type of blood carries posterior pituitary hormones to the systemic circulation?
Definition
Venous blood from the posterior pituitary
Term
How are the hypothalamus and anterior pituitary directly linked?
Definition
hypothalamic-hypophysial portal blood vessels
Term
How does the blood supply of the anterior pituitary differ from that of other organs?
Definition
it is supplied mostly by venous blood
Term
What are the only cells in the body to receive high concentrations of the hypothalamic hormones?
Definition
the cells of the anterior pituitary
Term
What are the glycoprotein hormones?
Definition
TSH
FSH
LH
HCG
Term
What precursor do all members of the ACTH family derive from?
Definition
POMC
Term
What are the members of the ACTH family?
Definition
ACTH
MSH
beta endorphin
beta and gamma lipotrophin
Term
Where in the cell is POMC cleaved into the different members of the ACTH family by endopeptidases?
Definition
in the ER
Term
What are the main ACTH family products in humans?
Definition
ACTH, γ-lipotropin, and β-endorphin
Term
Which products in the ACTH family contain MSH fragments that can cause skin pigmentation in humans if their blood levels are increased?
Definition
The "fragment" that is left over from hydrolysis of the ACTH intermediate
ACTH
γ-lipotropin
Term
What causes skin pigmentation in Addison's disease?
Definition
increased ACTH and POMC because of adrenal insufficiency, caused by a lack of negative feedback
Term
Which two pathways regulate GH release?
Definition
GHRH - positive on synthesis and secretion (induces somatotrophs in anterior pituitary to release GH) - Gs stimulates both AC and PKC)

Somatostatin - negative on secretion (keeps somatotrophs in anterior pituitary from releasing GH) - Gi acts on AC to inhibit
Term
What is one element of the GHRH-GH pathway that somatomedins postively instead of negatively feedback?
Definition
positive feedback on hypothalamus
Term
What are the main actions of growth hormone?
Definition
-Diabetogenic effect
-Increased protein synthesis and organ growth
-Increased linear growth
Term
What does lack of growth hormone cause in children?
Definition
failure to grow, short stature, mild obesity, and delayed puberty
Term
What are possible reasons for a deficiency in thyroid hormone?
Definition
*decreased secretion of GHRH due to hypothalamic dysfunction
*primary deficiencies of growth hormone secretion from the anterior pituitary
*failure to generate somatomedins in the liver
*deficiency of growth hormone or somatomedin receptors in target tissues (growth hormone resistance)
Term
How are conditions involving excess GH treated?
Definition
With somatostatins
Term
How does prolactin inhibit ovulation?
Definition
By inhibiting GnRH secretion and ovulation (secondarily)
Term
What can prolactin deficiency be caused by?
Definition
either by destruction of the entire anterior lobe of the pituitary or by selective destruction of the lactotrophs
Term
What can prolactin excess be caused by?
Definition
by destruction of the hypothalamus, interruption of the hypothalamic-hypophysial tract, or prolactinomas (prolactin-secreting tumors)
Term
What are the only three tissues in which thyroid hormone does not upregulate oxygen use?
Definition
brain, gonads, and spleen
Term
What is the first step in the pathway for all steroid hormones?
Definition
the conversion of cholesterol to pregnenolone, catalyzed by cholesterol desmolase (all layers of the adrenal cortex contain it)
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