Effects of Growth Hormone on Body Composition

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Questions and Answers

Which receptor family do growth hormone cell surface receptors belong to?

  • Receptor tyrosine kinases
  • Ligand-gated ion channels
  • G protein-coupled receptors
  • JAK/STAT cytokine receptor superfamily (correct)

What is the primary mediator of the growth-promoting effects of growth hormone?

  • Receptor-associated JAK tyrosine kinases
  • STATs
  • Insulin-like growth factor 1 (IGF-1) (correct)
  • Insulin-like growth factor 2 (IGF-2)

Where is much of the circulating IGF-1 produced?

  • Kidney
  • Muscle
  • Liver (correct)
  • Bone

What role does growth hormone play in longitudinal bone growth?

<p>Stimulates longitudinal bone growth until epiphyses close (B)</p>
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In which tissues does growth hormone stimulate the production of IGF-1?

<p>Cartilage and bone (D)</p>
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What effect does growth hormone have on insulin sensitivity?

<p>Reduces insulin sensitivity (C)</p>
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In patients unable to respond to endogenous GH due to mutated GH receptors, how does IGF-1 affect serum glucose and insulin?

<p>Lowers serum glucose and reduces circulating insulin (B)</p>
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What is a common presentation of GH deficiency in childhood?

<p>Short stature and adiposity (B)</p>
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What are the effects of GH on lipid and carbohydrate metabolism throughout postnatal life?

<p>Affects both lipid and carbohydrate metabolism (A)</p>
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Why are neonates with isolated GH deficiency of normal size at birth?

<p>Because fetal GH is not required for prenatal growth (A)</p>
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What is the primary mediator of the growth-promoting effects of growth hormone?

<p>IGF-1 (B)</p>
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How does growth hormone affect body composition?

<p>Promotes an increase in muscle mass (C)</p>
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Which receptor-associated proteins are involved in the signaling cascades of growth hormone?

<p>JAK tyrosine kinases and STATs (A)</p>
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When does longitudinal bone growth stop under the influence of growth hormone?

<p>Near the end of puberty (C)</p>
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Where is much of the circulating IGF-1 produced?

<p>Bone, cartilage, muscle, and kidney (B)</p>
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What effect does growth hormone have on insulin sensitivity?

<p>Reduces insulin sensitivity (D)</p>
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In patients who are unable to respond to endogenous GH due to mutated GH receptors, how does IGF-1 affect serum glucose and insulin?

<p>Lowers serum glucose and increases circulating insulin (B)</p>
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What can cause growth hormone deficiency in individuals?

<p>Hypothalamus damage by a tumor (D)</p>
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What is a key characteristic of GH deficiency in childhood?

<p>Short stature and adiposity (D)</p>
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How does IGF-1 primarily act in patients with mutated GH receptors?

<p>Both through its IGF-1 receptors and through insulin receptors (B)</p>
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