Growth Hormone Overview
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Questions and Answers

What is the primary action of growth hormone on protein metabolism?

  • Increases the synthesis of proteins (correct)
  • Decreases amino acid transport through cell membrane
  • Increases the breakdown of ribonucleic acid
  • Increases the catabolism of proteins

Which of the following is NOT a physiological effect of growth hormone?

  • Conservation of glucose
  • Mobilization of fats from adipose tissue
  • Decreased protein anabolism (correct)
  • Increased amino acid transport

What is the molecular weight of growth hormone?

  • 30,000
  • 18,000
  • 15,200
  • 21,500 (correct)

How does growth hormone affect carbohydrate metabolism?

<p>Stimulates glycogen deposition in cells (B)</p> Signup and view all the answers

What is the normal basal concentration of growth hormone in adult humans?

<p>3 ng/mL (D)</p> Signup and view all the answers

Which hormone is released due to the action of growth hormone, contributing to its anabolic effect?

<p>Insulin (C)</p> Signup and view all the answers

What is the estimated half-life of circulating growth hormone?

<p>20 minutes (D)</p> Signup and view all the answers

What metabolic condition can occur as a result of excessive growth hormone levels?

<p>Ketosis (C)</p> Signup and view all the answers

What specific facial feature is characteristic of acromegaly, often described as a 'gorilla face'?

<p>Protrusion of supraorbital ridges (B)</p> Signup and view all the answers

What is the role of somatomedin in the action of growth hormone?

<p>It is a substance through which growth hormone acts. (D)</p> Signup and view all the answers

Which hormone negatively inhibits GHRH-mediated GH release from the anterior pituitary?

<p>Somatostatin (C)</p> Signup and view all the answers

What is the most common cause of hyposecretion of GH leading to dwarfism?

<p>Tumor of chromophobes (D)</p> Signup and view all the answers

Which of the following is NOT an effect of growth hormone on bones?

<p>Decreasing the thickness of membranous bones. (C)</p> Signup and view all the answers

What condition might accompany acromegaly due to excess GH secretion?

<p>Carpal tunnel syndrome (D)</p> Signup and view all the answers

After the epiphyseal fusion, what aspect of bone growth remains influenced by growth hormone?

<p>The thickness of the bones. (A)</p> Signup and view all the answers

How long does the action of somatomedin C last in the body?

<p>20 hours (D)</p> Signup and view all the answers

What is the primary role of somatomedin in relation to growth hormone?

<p>Mediates the actions of GH (D)</p> Signup and view all the answers

What is a common symptom of dwarfism associated with other anterior pituitary hormone deficiencies?

<p>Panhypopituitarism (C)</p> Signup and view all the answers

What is an expected adult height for someone with anterior pituitary dwarfism?

<p>Approximately 3 feet (A)</p> Signup and view all the answers

Which of the following correctly describes the effect of growth hormone on muscle mass?

<p>It stimulates muscle mass through hypertrophy of sarcomeres. (C)</p> Signup and view all the answers

Which factor does NOT stimulate the secretion of growth hormone?

<p>Hyperglycemia (C)</p> Signup and view all the answers

What treatment option is commonly used for GH-producing tumors in acromegaly?

<p>Surgical removal (C)</p> Signup and view all the answers

What hormone is responsible for decreasing growth hormone secretion?

<p>Growth hormone-inhibitory hormone (GHIH) (C)</p> Signup and view all the answers

What is one important role of insulin-like growth factor-II?

<p>Promoting growth during fetal development. (D)</p> Signup and view all the answers

Which of the following organs may enlarge as a result of acromegaly?

<p>Heart (B)</p> Signup and view all the answers

Which process is enhanced by growth hormone in relation to calcium?

<p>Increased calcium absorption through the intestine. (A)</p> Signup and view all the answers

During which stages of sleep does the majority of growth hormone secretion occur?

<p>Third and fourth NREM sleep stages (B)</p> Signup and view all the answers

Which of the following statements is true regarding the hypothalamus's role in GH secretion?

<p>It utilizes hypothalamo hypophyseal portal blood vessels for hormone transport (B)</p> Signup and view all the answers

What happens to blood glucose levels as a result of GH hypersecretion?

<p>They increase tremendously. (A)</p> Signup and view all the answers

Which physiological condition is likely caused by hypersecretion of growth hormone during childhood?

<p>Gigantism (B)</p> Signup and view all the answers

What is the main effect of elevated free fatty acids in the blood on growth hormone secretion?

<p>Inhibits GH secretion (A)</p> Signup and view all the answers

What does the growth hormone receptor primarily stimulate in relation to the liver?

<p>Induces somatomedin secretion (A)</p> Signup and view all the answers

What happens to the head in relation to the body in cases of growth hormone deficiency?

<p>The head becomes slightly larger in relation to the body. (C)</p> Signup and view all the answers

What is primarily affected by growth hormone (GH) deficiency?

<p>Overall body size and development. (D)</p> Signup and view all the answers

Which diagnostic test is typically the final step in diagnosing GH deficiency?

<p>GH stimulation tests. (A)</p> Signup and view all the answers

What endocrine dysfunction occurs with pituitary insufficiency?

<p>Atrophy of the adrenal cortex and sensitive stress response. (D)</p> Signup and view all the answers

Which of the following hormones is regulated by factors affecting growth hormone secretion?

<p>Prolactin. (A)</p> Signup and view all the answers

What is the mode of secretion for growth hormone?

<p>Episodic and influenced by hypothalamic factors. (D)</p> Signup and view all the answers

What is mainly affected by overproduction or underproduction of growth hormone?

<p>Height and muscle mass during puberty. (A)</p> Signup and view all the answers

Which part of the pituitary gland secretes primarily tropic hormones?

<p>Anterior lobe. (B)</p> Signup and view all the answers

Flashcards

What is Growth Hormone (GH)?

Growth hormone (GH) is a protein produced by the anterior pituitary gland, specifically by cells called somatotropes. It plays a crucial role in body growth and development by increasing cell size and promoting cell division.

How does GH affect protein metabolism?

GH influences protein metabolism by increasing amino acid transport into cells, promoting RNA translation and DNA transcription, and decreasing protein breakdown. It also indirectly promotes protein synthesis by stimulating insulin release from the pancreas.

How does GH affect fat metabolism?

GH mobilizes stored fats from adipose tissue, providing energy to cells and sparing proteins. When GH levels are abnormally high, excess acetoacetic acid is released from the liver, leading to ketosis.

How does GH affect carbohydrate metabolism?

GH primarily conserves glucose by decreasing its usage for energy production in cells. It also promotes glycogen storage and reduces glucose uptake by cells, leading to a diabetic-like effect.

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What are GH-binding proteins (GHBPs)?

GH-binding proteins (GHBPs) are transport molecules that carry GH in the bloodstream. These proteins are essential for transporting and delivering GH to its target cells.

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What is the half-life of GH?

The half-life of GH in the blood is approximately 20 minutes. This means that it takes about 20 minutes for the concentration of GH in the bloodstream to decrease by half.

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Where is GH produced?

The anterior pituitary gland, located at the base of the brain, is responsible for producing and releasing GH. It is part of the endocrine system, which regulates various bodily functions through hormones.

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What is the importance of GH in growth?

GH plays a crucial role in growth during childhood and adolescence. It influences bone growth, muscle development, and overall body size.

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What are somatomedins?

Growth hormone (GH) stimulates liver cells to produce somatomedins, which are hormones that mediate GH's growth-promoting effects. They are also known as insulin-like growth factors (IGFs).

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How does GH affect bone growth?

GH influences bone growth by promoting the formation and differentiation of bone cells (chondrocytes and osteogenic cells), leading to increased bone length and thickness.

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How does GH impact bone cell activity?

GH stimulates protein synthesis and cell division in chondrocytes and osteogenic cells, leading to the growth of bones.

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How does GH affect bone growth after puberty?

After puberty, the epiphyseal plates in bones fuse, preventing further elongation. However, GH continues to promote bone thickening throughout life.

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Where are somatomedins produced?

GH directly stimulates liver cells to synthesize and release somatomedins, which are crucial for GH's actions on bone growth and protein metabolism.

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What is the function of somatomedin C (IGF-I)?

Somatomedin C, also known as IGF-I, acts on bones and protein metabolism to promote growth. Its long-lasting action is due to its strong binding to plasma proteins.

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How does somatomedin C (IGF-I) work inside the cell?

Somatomedin C exerts its effects by activating a second messenger called cyclic AMP, which triggers various cellular responses leading to growth.

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What is the role of IGF-II?

IGF-II primarily contributes to fetal growth, playing a crucial role in development during pregnancy.

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What is human growth hormone?

Human growth hormone, also known as somatotropin, is a peptide hormone that stimulates growth, cell reproduction, and cell regeneration in humans and other animals. It is produced by the pituitary gland in the brain, and has a role in regulating the body's metabolism.

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What does GH stimulate growth of?

Growth hormone stimulates the growth of all internal organs except the brain.

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How does GH relate to homeostasis?

Maintaining a stable internal environment in the body is essential for health. Growth hormone plays a role in this process.

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What does GH do for the immune system?

The immune system defends the body against invaders. Growth hormone helps to strengthen this defense system.

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How does GH affect thyroid hormones?

Growth hormone promotes the conversion of the less active thyroid hormone T4 into the more active T3.

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How does GH affect IGF-1?

Growth hormone directly stimulates the release of insulin-like growth factor 1 (IGF-1), which plays a major role in growth and development.

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How is GH secretion regulated?

Growth hormone secretion is regulated by the hypothalamus, a region in the brain, via a complex feedback loop.

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What happens with excess GH in childhood?

The hypersecretion of growth hormone before the closure of the epiphyses can lead to gigantism.

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What is Acromegaly?

Acromegaly is a condition that occurs in adults when excess growth hormone (GH) is produced after the bones have stopped growing.

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What causes Acromegaly?

Acromegaly is caused by tumors in the anterior pituitary gland, specifically the acidophil cells, which overproduce GH.

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Anterior Pituitary function

The anterior lobe of the pituitary gland releases tropic hormones, which control other glands.

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What are the signs and symptoms of Acromegaly?

The characteristic features of Acromegaly include a large face with prominent brow ridges, enlarged hands and feet, and a protruding jaw.

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What is Dwarfism?

Dwarfism is a condition in children where the pituitary gland doesn't produce enough growth hormone, leading to stunted growth.

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Posterior Pituitary function

The posterior lobe of the pituitary gland stores and releases oxytocin and vasopressin, which are produced by the hypothalamus.

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Growth Hormone Production

Growth hormone (GH) is produced by somatotropes in the pituitary gland. GH secretion is episodic and regulated by hypothalamic factors and feedback inhibition.

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What is the major cause of Dwarfism?

The most common cause of Dwarfism is a tumor in the pituitary gland called a chromophobe tumor. This type of tumor compresses and damages the cells that produce GH.

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What is Panhypopituitarism?

Panhypopituitarism is a condition where all of the hormones of the anterior pituitary gland are deficient, including GH.

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GH's action on IGF-I

Growth hormone stimulates the production of Insulin-like Growth Factor 1 (IGF-I), which plays a crucial role in growth and development.

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Pituitary Insufficiency

Pituitary insufficiency is a condition where the pituitary gland doesn't produce enough hormones. This can lead to various symptoms including growth inhibition, hypoglycemia, and atrophy of adrenal cortex and gonads.

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What are the physical characteristics of Dwarfism?

The maximum height of a person with Dwarfism caused by pituitary deficiency is usually about 3 feet, but the proportions of their body are roughly normal.

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How is Acromegaly treated?

Surgical removal of the pituitary tumor is the primary treatment for Acromegaly.

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GH Deficiency

GH Deficiency is a specific type of pituitary insufficiency where the pituitary gland doesn't produce enough growth hormone.

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GH Stimulation Tests

GH stimulation tests are used to diagnose GH deficiency. They stimulate the pituitary gland to release GH and analyze the response.

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Pituitary Gland's Influence

The pituitary gland plays a vital role in regulating various functions, including growth, reproduction, and stress response. Its hormones control other glands and directly affect peripheral organs.

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Study Notes

Growth Hormone (GH)

  • Secreted by somatotropes (acidophilic cells) in the anterior pituitary
  • Protein in nature, single chain polypeptide with 191 amino acids and a molecular weight of 21,500
  • Basal level in adults is less than 3 ng/mL; in children/adolescents, about 6 ng/mL
  • Transported in blood by GH-binding proteins (GHBPs)
  • Half-life of circulating GH is approximately 20 minutes
  • Degraded in the liver and kidneys

Action of Growth Hormone

  • Promotes general body growth by increasing cell size (hypertrophy) and cell number (mitosis).
  • Influences differentiation of specific cell types (e.g., bone, muscle)

Physiological Effects of GH

Effect on Metabolism

  • Increases protein synthesis
  • Mobilizes lipids
  • Conserves carbohydrates
Protein Metabolism
  • Increases amino acid transport through cell membranes
  • Increases RNA translation
  • Increases DNA transcription to RNA
  • Decreases protein catabolism
  • Promotes protein anabolism indirectly (by increasing insulin release).
Fat Metabolism
  • Mobilizes fats from adipose tissue, providing fatty acids for energy production
  • Reduces protein use for energy
Carbohydrate Metabolism
  • Conserves glucose by decreasing its peripheral utilization.
  • Increases glycogen deposition in cells
  • Decreases glucose uptake into cells (diabetogenic effect)
  • High GH can stimulate insulin secretion.

Effect on Bone Growth

  • During embryonic development, responsible for bone differentiation and growth
  • Increases both bone length and thickness
  • Stimulates chondrocytes and osteogenic cells, promoting synthesis and deposition of proteins.
  • Promotes chondrocyte multiplication and conversion of chondrocytes into osteogenic cells. This results in new bone formation.

Somatomedins/Insulin-like Growth Factor (IGF)

  • Polypeptides secreted by the liver, acting as intermediaries for GH's effects.
  • Two Types:
    • IGF-I (somatomedin C): Acts on bones and protein metabolism, with slow release from plasma proteins and duration of action up to 20 hours.
    • IGF-II: Plays a role in fetal growth.

Effect on Electrolytes

  • GH decreases the elimination of electrolytes from the body, shifting these electrolytes to tissues for growth.

GH Secretion Regulation

  • Stimulated by:
    • Hypoglycemia
    • Fasting/Starvation
    • Exercise
    • Stress and Trauma
    • Initial stages of sleep
  • Inhibited by:
    • Hyperglycemia
    • Increased free fatty acids in blood
    • Later stages of sleep

Role of Hypothalamus in GH Secretion

  • Regulates GH secretion through three hormones:
    • GHRH (Growth Hormone-Releasing Hormone): Stimulates somatotropes in the anterior pituitary
    • GHRP (Growth Hormone-Releasing Polypeptide): Increases GHRH release from hypothalamus and GH release.
    • GHIH (Growth Hormone-Inhibitory Hormone) / Somatostatin: Inhibits GH secretion.

Gigantism

  • Hypersecretion of GH in childhood before epiphyseal closure results in excessive growth
  • Often due to a tumor in the anterior pituitary.

Acromegaly

  • Hypersecretion of GH in adulthood after epiphyseal closure. This results in enlargement and thickening of bones and soft tissues, especially in the face, hands, and feet
  • Often due to a tumor in the anterior pituitary

Dwarfism

  • Hypoactivity or hyposecretion of GH in childhood leads to stunted growth.
  • Possible causes: Tumors of chromophobes (non-functioning tumors of the pituitary gland), Panhypopituitarism (deficiency of all pituitary hormones).

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Growth Hormone (GH) PDF

Description

This quiz explores the functions and effects of Growth Hormone (GH), detailing its secreted nature, physiological actions, and impact on metabolism. Gain insights into how GH influences growth and development at both cellular and systemic levels.

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