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endocrineology lecture 5

Lecture 5:

Overview: hypothalamus->ant pituitary-> glands axes; hypothalamic hormones: GHRH somatostatin dopamine CRH TRH GnRH; anterior pituitary hormones; reflex and feed back regulation; primary secondary excess and deficiency

 

Hormones

·       Prolactin: secreted by the lacotroph cells in the anteterior pituitary gland.

o   Increase breast-> produce milk

o   Increases in secretion during pregnancy and higher concentration during lactation

o   Without prolactin breasts don’t produce milk

o   It can act as a contraception

§  It is produced and secreted in males and females….?

§  During pregnancy there is no milk secretion but prolactin is still being secreted along with estrogen and progesterone

§  (Morning sickness is due to elevated estrogen)

§  estrogen and progesterone inhibit milk production

§  if women produces a baby but doesn’t feed the baby then milk production will stop… suclking of the nipples stimulate milk production

ú  increase suckling->increase PRL secretion -> increase milk production

§  Prolactin receptors are cytokine group dimers, when it binds attack

ú  Increase TYR kinase-> Jacob kinase-> increase stat k

§  Prolactin inhibits the secretion of GnRH. Therefore it acts like a contraceptive

o   What is the role in men or in fetus or older women?? Still a mystery

§  Males can develop galactorreah

§  It can also decrease GnRH if they have overproduction of prolactin

o   Hypothalamus’ role in secreting prolactin: regulates lactotrophes by secreting dopamine-> decrease prolactin secretion

§  Suckling can inhibit the hypothalamus’ secretion of dopamine-> increase PRL

o   Pituitary tumor causes overproduction of hormones

§  Overproduction of prolactin will cause infertility effect. 

ú  To correct this one must increase levels of dopamine

·       Growth Hormone: stimulates growth aka somatotropin

o   Increases growth in long bones

o   Increase amino acid uptake in cells

o   Inhibit protein break down

o   Increase protein synthesis

o   Increase fat metabolism

o   Decreases carbohydrate utilization/metabolism and uptake

§  Causes insulin resistance

o   Gigantism is the opposite of dwarfism

§  Gigantism has increase of GH during the growth years

§  Dwarfism, if due to lack of GH, then administration of GH will grow the child to normal height

o   Acromegaly- condition that comes from excess of growth horone after growing years

§  Thickness of fingers, frontal bone enlarges, nose becomes thicker, cheek bones become more prominent and does the jaw bones, thick skin

ú  Jaws from 007 movies

o   Hypothalamus secretion of GH

§  Hypoglycemia stimulates and hypoglycemia inhibits

§  Stresses and cold inhibit

§  Amino acids will stimulate particulary arginine

§  Increase nutrients after meal stimulates

§  Exercise and sleep both stimulates

o   Hypothalamus has a double regulation on the somatotrophs

§  GHRH stimulates secretion and Somatostatin Inhibits secretion

§  Provides much more regulation

§  GH stimulates tissues and receptors in the liver

ú  In the liver they synthesis and secrete insulin like growth factor 1 and they act on the tissues to stimulate them to grow



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