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Questions and Answers
How does Growth Hormone (GH) affect growth, and where is it synthesized?
How does Growth Hormone (GH) affect growth, and where is it synthesized?
GH affects growth by stimulating another endocrine gland. It is synthesized, stored, and secreted by somatotropic cells within the anterior pituitary gland.
Explain how both a deficiency and hypersecretion of insulin can affect growth.
Explain how both a deficiency and hypersecretion of insulin can affect growth.
A deficiency of insulin often blocks growth, while hyperinsulinism can spur excessive growth.
What roles do androgens play in growth, particularly during puberty?
What roles do androgens play in growth, particularly during puberty?
Androgens play a role in the pubertal growth spurt and stimulate protein synthesis in many organs.
How does the liver metabolize Growth Hormone (GH) and how does this affect its duration of action?
How does the liver metabolize Growth Hormone (GH) and how does this affect its duration of action?
How are the effects of androgens reliant on Growth Hormone?
How are the effects of androgens reliant on Growth Hormone?
How does growth hormone (GH) exert most of its effects on target tissues?
How does growth hormone (GH) exert most of its effects on target tissues?
What are the two main mechanisms by which growth hormone increases bone thickness?
What are the two main mechanisms by which growth hormone increases bone thickness?
How does growth hormone affect fat metabolism, and why is this significant?
How does growth hormone affect fat metabolism, and why is this significant?
In what way does growth hormone function as an 'anti-insulin' hormone?
In what way does growth hormone function as an 'anti-insulin' hormone?
How does the production of insulin-like growth factor 1 (IGF-1) relate to the skeletal effects of growth hormone?
How does the production of insulin-like growth factor 1 (IGF-1) relate to the skeletal effects of growth hormone?
Describe how growth hormone facilitates the availability of glucose during periods of growth, considering its effects on both fat and carbohydrate metabolism.
Describe how growth hormone facilitates the availability of glucose during periods of growth, considering its effects on both fat and carbohydrate metabolism.
Explain the role of hyperplasia in the context of growth hormone's stimulation of cell reproduction.
Explain the role of hyperplasia in the context of growth hormone's stimulation of cell reproduction.
Why is understanding the indirect effects of growth hormone, specifically through IGF-1, important in treating growth disorders?
Why is understanding the indirect effects of growth hormone, specifically through IGF-1, important in treating growth disorders?
Explain how growth hormone (GH) uses both direct and indirect actions to achieve its overall effect on the body.
Explain how growth hormone (GH) uses both direct and indirect actions to achieve its overall effect on the body.
Why is the regulation of Growth Hormone (GH) secretion more complex, involving both GHRH and GHIH, rather than just a single releasing hormone?
Why is the regulation of Growth Hormone (GH) secretion more complex, involving both GHRH and GHIH, rather than just a single releasing hormone?
How does the feedback mechanism involving GH affect the release of GHRH and Somatostatin (GHIH) from the Hypothalamus?
How does the feedback mechanism involving GH affect the release of GHRH and Somatostatin (GHIH) from the Hypothalamus?
Describe the difference between hypertrophy and hyperplasia, and indicate which of these processes is stimulated by Growth Hormone (GH).
Describe the difference between hypertrophy and hyperplasia, and indicate which of these processes is stimulated by Growth Hormone (GH).
Which cells secrete growth hormone?
Which cells secrete growth hormone?
If a person has a tumor in their anterior pituitary, causing it to secrete excess growth hormone, describe a possible effect of this pathology.
If a person has a tumor in their anterior pituitary, causing it to secrete excess growth hormone, describe a possible effect of this pathology.
A scientist is studying the effects of GH on muscle cells in vitro. Describe an experiment they could perform to assess the direct effects of GH on these cells.
A scientist is studying the effects of GH on muscle cells in vitro. Describe an experiment they could perform to assess the direct effects of GH on these cells.
How does growth differ in children with growth hormone deficiency, compared to the growth of healthy children?
How does growth differ in children with growth hormone deficiency, compared to the growth of healthy children?
How do the direct actions of growth hormone on adipocytes contribute to overall energy balance in the body?
How do the direct actions of growth hormone on adipocytes contribute to overall energy balance in the body?
Briefly describe a situation where administering a somatostatin analog may be therapeutically beneficial.
Briefly describe a situation where administering a somatostatin analog may be therapeutically beneficial.
Explain how elevated levels of IGF-1 contribute to the regulation of Growth Hormone (GH) secretion.
Explain how elevated levels of IGF-1 contribute to the regulation of Growth Hormone (GH) secretion.
Differentiate between primary and secondary hypersecretion of Growth Hormone (GH).
Differentiate between primary and secondary hypersecretion of Growth Hormone (GH).
How do the effects of Growth Hormone (GH) deficiency differ between childhood and adulthood?
How do the effects of Growth Hormone (GH) deficiency differ between childhood and adulthood?
Compare and contrast gigantism and acromegaly in terms of their causes and the populations they affect.
Compare and contrast gigantism and acromegaly in terms of their causes and the populations they affect.
Describe the role of tumors in the hypersecretion of Growth Hormone (GH).
Describe the role of tumors in the hypersecretion of Growth Hormone (GH).
How does Growth Hormone (GH) contribute to increased bone length, and through what specific mechanism does this occur in young individuals?
How does Growth Hormone (GH) contribute to increased bone length, and through what specific mechanism does this occur in young individuals?
Describe the dual roles of Growth Hormone (GH) in glucose metabolism, noting its acute and chronic effects on blood glucose levels.
Describe the dual roles of Growth Hormone (GH) in glucose metabolism, noting its acute and chronic effects on blood glucose levels.
Explain how Growth Hormone (GH) influences fat metabolism, and what condition can result from an excess quantity of this hormone?
Explain how Growth Hormone (GH) influences fat metabolism, and what condition can result from an excess quantity of this hormone?
What role does Insulin-like Growth Factor-1 (IGF-1) play in the growth-promoting actions of Growth Hormone(GH), and how does its duration of action compare action to that of GH?
What role does Insulin-like Growth Factor-1 (IGF-1) play in the growth-promoting actions of Growth Hormone(GH), and how does its duration of action compare action to that of GH?
Describe how Growth Hormone (GH) impacts protein synthesis, and why are insulin and carbohydrates necessary for this process to be effective?
Describe how Growth Hormone (GH) impacts protein synthesis, and why are insulin and carbohydrates necessary for this process to be effective?
How does Growth Hormone (GH) inhibit glucose uptake in muscles, and what enzyme does it affect to achieve this?
How does Growth Hormone (GH) inhibit glucose uptake in muscles, and what enzyme does it affect to achieve this?
What is the 'diabetogenic effect' of Growth Hormone (GH), and how does it manifest in terms of blood glucose and insulin levels?
What is the 'diabetogenic effect' of Growth Hormone (GH), and how does it manifest in terms of blood glucose and insulin levels?
Explain how Growth Hormone (GH) stimulates hepatic glucose output, and name the specific process involved in this stimulation.
Explain how Growth Hormone (GH) stimulates hepatic glucose output, and name the specific process involved in this stimulation.
Describe the process of chondrogenesis in the context of Growth Hormone (GH) action, and highlight its importance for skeletal growth.
Describe the process of chondrogenesis in the context of Growth Hormone (GH) action, and highlight its importance for skeletal growth.
How can the indirect actions of Growth Hormone (GH) be characterized, and what hormone primarily mediates these effects?
How can the indirect actions of Growth Hormone (GH) be characterized, and what hormone primarily mediates these effects?
How does growth hormone (GH) contribute to bone growth at the epiphyseal plate, and what is the consequence of GH's action on bone structure in adults after the epiphyseal plates have fused?
How does growth hormone (GH) contribute to bone growth at the epiphyseal plate, and what is the consequence of GH's action on bone structure in adults after the epiphyseal plates have fused?
Describe the role of placental hormones in fetal growth compared to the role of growth hormone (GH).
Describe the role of placental hormones in fetal growth compared to the role of growth hormone (GH).
How does sleep, particularly at night, affect growth hormone (GH) secretion, and what implications does this have for individuals with irregular sleep patterns?
How does sleep, particularly at night, affect growth hormone (GH) secretion, and what implications does this have for individuals with irregular sleep patterns?
Explain how a protein-rich diet and hypoglycemia stimulate growth hormone (GH) secretion.
Explain how a protein-rich diet and hypoglycemia stimulate growth hormone (GH) secretion.
Describe the negative feedback mechanism involving growth hormone (GH) and growth hormone-releasing hormone (GHRH).
Describe the negative feedback mechanism involving growth hormone (GH) and growth hormone-releasing hormone (GHRH).
How do differing levels of glucose in the bloodstream affect the secretion of GH, and what are the specific terms for these conditions?
How do differing levels of glucose in the bloodstream affect the secretion of GH, and what are the specific terms for these conditions?
What is the effect of increased free fatty acids and excess cortisol on growth hormone (GH) secretion?
What is the effect of increased free fatty acids and excess cortisol on growth hormone (GH) secretion?
Beyond its direct effects, how does ghrelin influence GH secretion, and what broader physiological role does this reflect?
Beyond its direct effects, how does ghrelin influence GH secretion, and what broader physiological role does this reflect?
How does the pattern of growth hormone (GH) secretion differ from that of other hormones, and what is the significance of this pattern?
How does the pattern of growth hormone (GH) secretion differ from that of other hormones, and what is the significance of this pattern?
Explain how age influences GH secretion and propose a reason for this change.
Explain how age influences GH secretion and propose a reason for this change.
Flashcards
What are somatic cells?
What are somatic cells?
Body cells, excluding sperm and egg cells, which can be affected by endocrine gland activity.
What is Growth Hormone (GH)?
What is Growth Hormone (GH)?
A hormone, made of amino acids in a single chain, that is synthesized, stored, and secreted by somatotropic cells in the anterior pituitary gland.
Insulin & IGF-1 role in growth?
Insulin & IGF-1 role in growth?
A deficiency of this hormone often blocks growth, while too much can cause excessive growth.
Androgens' role in growth?
Androgens' role in growth?
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Metabolism of Growth Hormone
Metabolism of Growth Hormone
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Amino Acid
Amino Acid
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Somatotropic
Somatotropic
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Somatotrophs
Somatotrophs
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Growth Hormone (GH)
Growth Hormone (GH)
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Hypothalamus
Hypothalamus
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Growth Hormone Targets
Growth Hormone Targets
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Hypertrophy
Hypertrophy
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Growth Hormone-Releasing Hormone (GHRH)
Growth Hormone-Releasing Hormone (GHRH)
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Somatostatin (GHIH)
Somatostatin (GHIH)
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Actions of Growth Hormone
Actions of Growth Hormone
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IGF-1's effect on GH?
IGF-1's effect on GH?
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What causes GH hypersecretion?
What causes GH hypersecretion?
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Primary GH hypersecretion
Primary GH hypersecretion
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Secondary GH hypersecretion
Secondary GH hypersecretion
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Gigantism
Gigantism
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Bone Thickness Increase
Bone Thickness Increase
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IGF-1 Role
IGF-1 Role
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Hyperplasia
Hyperplasia
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Fat Fuel
Fat Fuel
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Mitosis Rate
Mitosis Rate
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IGF-1
IGF-1
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Extraskeletal Effects
Extraskeletal Effects
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Carbohydrate Metabolism Effects
Carbohydrate Metabolism Effects
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GH and Protein Synthesis
GH and Protein Synthesis
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GH and Bone Growth
GH and Bone Growth
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GH in Adults (Bone)
GH in Adults (Bone)
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GH Secretion Pattern
GH Secretion Pattern
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GH Role in Fetal Growth
GH Role in Fetal Growth
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Postnatal Growth Spurt
Postnatal Growth Spurt
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Factors Stimulating GH
Factors Stimulating GH
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Factors Inhibiting GH
Factors Inhibiting GH
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GH Negative Feedback
GH Negative Feedback
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GH and mRNA
GH and mRNA
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GH direct lipolytic effect
GH direct lipolytic effect
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GH and Glucose
GH and Glucose
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Ketosis
Ketosis
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Indirect GH Action via IGF-1
Indirect GH Action via IGF-1
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IGF-1 Function
IGF-1 Function
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Chondrogenesis & GH
Chondrogenesis & GH
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Hexokinase Enzyme
Hexokinase Enzyme
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GH affect on glucose uptake
GH affect on glucose uptake
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Glycogenolysis
Glycogenolysis
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Insulin for GH effectiveness
Insulin for GH effectiveness
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Study Notes
- Growth hormone's function and its physiological actions should be understood
- Understanding the physiological changes as a result of excess and deficiencies in growth hormone levels is important.
Growth Hormone
- Directly affects almost all of the body's tissues, unlike other hormones
- Secreted from the anterior pituitary gland in the brain
Hormones Regulating Growth
- Growth Hormone is one of the hormones regulating growth
- Thyroid hormone, vital for those glands, and stunted growth can occur if there is deficiency, but hormone excess doesn't cause excessive growth
- Insulin and insulin-like growth factor 1 deficiencies often block growth; hyperinsulinism can trigger spurts of excessive growth
- Androgens: Facilitate pubertal growth spurt, stimulate protein synthesis, but effects are reliant on growth hormone levels
- Oestrogens: Affect growth that occurs before bone maturation
Endocrine Control of Growth
- Growth is dependent on growth hormone, but is influenced by other factors such as genetics, diet, disease, environment and other hormones
- Genetic factors determine an individuals capacity for growth
- Sufficient protein intake is necessary for growth
- Freedom from chronic disease and stressful environments are necessary for optimized growth, because cortisol inhibits growth
- Normal levels of growth-influencing hormones, including insulin, thyroid, and steroid hormones necessary for growth
Growth Hormone (GH)
- Also knowns as Somatotropin
- A tropic hormone that affects somatic cells
- Protein based (amino acid) that is secreted by somatotropic cells within the anterior pituitary gland
- Metabolized rapidly in the liver
- Short acting, typically around 20 minutes
GH Functions:
- Stimulates growth, increasing cell size (hypertrophy) and bone thickness
- Stimulates cellular reproduction through increased mitosis, increased cell number and proliferation rate
- Stimulates bone length and bone growth
Direct GH Actions (Metabolic)
- Increases mobilization and use of fatty acids for energy, but can result in ketosis if there is too much hormone
- Decreases utilization of carbohydrates for energy production
Indirect GH Actions (Growth Promotion)
- Promotes protein synthesis with adequate insulin and carbohydrates
- Increases amino acid transport into cells, DNA transcription to form mRNA, and RNA translation which increases protein synthesis
- Skeletal effects: Stimulates bone and cartilage formation
GH Function (Indirect Effect)
- Primarily facilitates via an indirect method
- Functions as a tropic hormone, promoting Insulin-like Growth Factor-1 (IGF-1) production in the liver (also known as somatomedin C)
- IGF-1 promotes growth activities in many tissues and cartilage which lasts for a prolonged duration (20 hours)
Chondrogenesis & Bone Growth
- In young people, GH stimulates chondrogenesis, in which cartilage epiphyseal plates widen
- GH stimulates osteoblasts, which increase bone matrix that increase length of long bones
- In adults, bone elongation stops, and bone density increases
Negative Feedback
- High hormone levels of Growth Hormone will inhibit Growth Hormone Releasing Hormone
- High levels of IGF-1 stimulate somatostatin which Decreases section of Growth hormone
- Many factors influence the release of hormones such as stress, exercise sleep and glucose levels.
Too Much or Too Little GH
- GH excess in childhood leads to gigantism
- GH excess in adulthood leads to acromegaly
- GH deficiency in childhood leads to dwarfism
- GH deficiency in adulthood can cause loss of muscle and bone strength, as well as cognitive and affective changes
Hypersecretion of GH
- A common cause is tumors ignoring normal regulatory input secreting excess GH constantly
- Primary hypersecretion is where hormones are being secreted from the pituitary gland with some abnormality
- Secondary is when the release comes from outside the pituitary gland, causing an oversecretion
Hyperpituitarism: Gigantism
- Excess GH in anterior pituitary before union of epiphysis in children
- Caused by a pituitary adenoma
- Clinical significance:
- Results in all body tissues growing rapidly, such as general overgrowth of skeleton
- High BMR (direct effect of GH on metabolic activity + effect of TSH)
- Hyperglycaemia & diabetes mellitus can result
- In low gonadotropin levels, hypogonadism can result
- Short life if they survive till adulthood
Hyperpituitarism: Acromegaly (Lateral Growth)
- Increased GH from acidophil after union of epiphysis occurs in adults
- Results in closed epiphyseal plate where no bone lengthening occurs
- Bone width increases which results in slow progression
Physical Effects of Acromegaly
- Bone thickening is common
- A protruding lower jaw and upper jaw can occur; supraorbital ridge & separation of teeth; coarsening of facial features (bone deformities) occurs
- Hands and feet become enlarged
- Bowing of spine, known as kyphosis can occur.
Hyposecretion of GH
- Primary: a low amount of GH being secreted due to abnormalities within the gland
- Caused by genetic factors, diet, chemicals, toxins, immune system abnormalities, and cancer
- Secondary: Results in GHRH deficiency
- Pituitary glands are normal, but too little GH is secreted due to a deficiency in tropic hormone
Hypopituitarism - dwarfism
- A decrease or stunting of growth hormone during childhood
- Features:
- Proportion dwarfism: Body proportions are retained during childhood, but rate of development is stunted
- Lack of thyroid deficiency
- Lack of adrenocortical deficiency
- Lack of mental retardation
Dwarfism
- Somatomedin C Deficiency:
- African pygmies and Lévi-Lorain dwarfs
- Rate of growth hormone secretion is normal or high, but there's an inability to form somatomedin C
- Somatomedin C is vital for growth-hormone-induced growth promotion
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Description
Explore GH's synthesis, its impact on growth, and the roles of insulin and androgens. Learn about GH metabolism, bone effects, and its influence on fat and glucose. Understand IGF-1's relation to skeletal effects and carbohydrate metabolism during growth.