29. Physiology - Growth Hormone
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Questions and Answers

What is the primary cellular origin of growth hormone (GH)?

  • Pancreatic islet cells
  • Liver hepatocytes
  • Somatotroph cells of the pituitary (correct)
  • Hypothalamic neurons
  • Which hypothalamic hormone directly stimulates the secretion of growth hormone (GH) from somatotrophs?

  • GHRH (growth hormone-releasing hormone) (correct)
  • Cortisol
  • Insulin
  • Thyroid hormone
  • What is the primary effect of somatostatin on growth hormone (GH) release?

  • It stimulates the synthesis of GH by somatotrophs.
  • It increases GHRH release from the hypothalamus.
  • It inhibits the release of GH from somatotrophs. (correct)
  • It directly enhances the release of GH from somatotrophs.
  • How many amino acids are present in the dominant form of growth hormone (GH)?

    <p>191 (A)</p> Signup and view all the answers

    Where is Growth Hormone Releasing Hormone (GHRH) primarily synthesized?

    <p>In small-bodied neurons of the arcuate nucleus of the hypothalamus. (A)</p> Signup and view all the answers

    From which part of the cell are mature growth hormone (GH) proteins secreted following stimulation?

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

    How does GHRH stimulate growth hormone release from somatotrophs?

    <p>By increasing intracellular cAMP and calcium concentrations. (C)</p> Signup and view all the answers

    What is the immediate precursor to the 22.5-kDa growth protein?

    <p>Pre 22.5-kDa growth hormone mRNA (C)</p> Signup and view all the answers

    What is the structure of somatostatin (SS) as described in the text?

    <p>A 14-amino acid neuropeptide. (B)</p> Signup and view all the answers

    What are the two primary hormones directly responsible for orchestrating linear body growth during childhood?

    <p>Growth hormone (GH) and insulin-like growth factor 1 (IGF-1) (B)</p> Signup and view all the answers

    The growth hormone gene is transcribed into how many distinct splice variant mRNAs?

    <p>2 (A)</p> Signup and view all the answers

    How is GHRH transported from the hypothalamus to the anterior pituitary?

    <p>Through the long portal veins. (B)</p> Signup and view all the answers

    What is the primary location for the synthesis of growth hormone (GH)?

    <p>Somatotrophic cells in the anterior pituitary (B)</p> Signup and view all the answers

    Which process is directly responsible for generating the two isoforms of growth hormone?

    <p>Alternative splicing of mRNA (C)</p> Signup and view all the answers

    How many exons are transcribed to form the messenger RNA (mRNA) for growth hormone?

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

    Which of these hormones is NOT part of the somatotropin/prolactin family, based on the information provided?

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

    A researcher is studying the 20-kDa isoform of growth hormone. Compared to the 22-kDa form, what is true?

    <p>It contains 191 amino acids. (A)</p> Signup and view all the answers

    On which chromosome is the gene for human growth hormone located?

    <p>Chromosome 17 (B)</p> Signup and view all the answers

    What is an alternative name for placental lactogens, according to the provided content?

    <p>Placental chorionic somatomammotropins (D)</p> Signup and view all the answers

    What cellular organelle is involved in the packaging of the 'pro-hormone' before secretion?

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

    During the creation of the 20-kDa variant of the growth hormone, which of the following processes occurs?

    <p>Removal of a specific segment of RNA (A)</p> Signup and view all the answers

    What is the primary role of somatostatin in the context of growth hormone (GH) regulation?

    <p>To inhibit GH release by binding to receptors on somatotroph cells. (A)</p> Signup and view all the answers

    Which of the following is the direct effect of GHRH binding to its receptor on somatotroph cells?

    <p>Activation of adenylate cyclase (AC) via a G-protein. (B)</p> Signup and view all the answers

    What is the role of cAMP in the growth hormone (GH) release pathway?

    <p>It activates protein kinase A (PKA), which promotes GH synthesis and release. (D)</p> Signup and view all the answers

    How does somatostatin exert its inhibitory control on growth hormone (GH) release at the cellular level?

    <p>By inhibiting the activity of adenylate cyclase (AC), which decreases cAMP levels. (C)</p> Signup and view all the answers

    Which signaling pathway component is directly activated by GHRH binding to its receptor?

    <p>Adenylate cyclase (AC). (A)</p> Signup and view all the answers

    What is the immediate consequence of PKA activation within somatotroph cells?

    <p>Stimulation of growth hormone (GH) synthesis and release. (B)</p> Signup and view all the answers

    What type of G-protein is associated with the somatostatin receptor on somatotroph cells?

    <p>An inhibitory G-protein that reduces cAMP levels. (B)</p> Signup and view all the answers

    In the signaling pathway described, which is the direct target of cAMP?

    <p>Protein kinase A (PKA). (B)</p> Signup and view all the answers

    If a drug were designed to block the action of adenylate cyclase (AC), what would be the likely effect on growth hormone (GH) release?

    <p>Decreased release of GH as cAMP production would be inhibited. (B)</p> Signup and view all the answers

    What is the primary effect of increased intracellular calcium ($Ca^{2+}$) in somatotrophs following GHRH stimulation?

    <p>Promotion of GH synthesis and release. (C)</p> Signup and view all the answers

    Where is growth hormone-releasing hormone (GHRH) synthesized?

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

    What is the primary function of somatostatin in the context of growth hormone regulation?

    <p>To inhibit GH secretion by reducing adenylate cyclase activity (B)</p> Signup and view all the answers

    Which of the following signaling pathways is directly activated by GHRH in somatotrophs?

    <p>cAMP/PKA signaling pathway (A)</p> Signup and view all the answers

    What type of molecule is somatostatin?

    <p>A potent inhibitor hormone (D)</p> Signup and view all the answers

    Via which route does GHRH reach the somatotrophs?

    <p>Through the hypophyseal portal blood supply (B)</p> Signup and view all the answers

    What is the role of an inhibitory G-protein in somatotrophs?

    <p>To decrease adenylate cyclase activity and, therefore, reduce GH secretion (A)</p> Signup and view all the answers

    How does somatostatin affect the cAMP/PKA pathway?

    <p>It inhibits the cAMP/PKA pathway. (C)</p> Signup and view all the answers

    Which of these statements most accurately describes the relationship between GHRH and somatostatin?

    <p>They have opposing effects on growth hormone secretion. (C)</p> Signup and view all the answers

    What is the direct effect of GHRH on the somatotrophs?

    <p>To promote the release and synthesis of growth hormone. (C)</p> Signup and view all the answers

    In the context of the information provided, what counteracts the effects of GHRH on GH secretion?

    <p>Somatostatin's inhibition of adenylate cyclase (C)</p> Signup and view all the answers

    Flashcards

    What is growth hormone?

    Growth hormone (GH) is a peptide hormone produced by the anterior pituitary gland, primarily by somatotroph cells.

    What are the different forms of growth hormone?

    Two splice variants of mRNA transcripts produce two forms of GH: 22.5-kDa (191 amino acids) and 20-kDa (176 amino acids). The 22.5-kDa version is the dominant form.

    Where and how is growth hormone synthesized?

    GH is synthesized by somatotroph cells in the pituitary gland. The gene is transcribed into mRNA, which is then translated into the protein.

    What is the role of GHRH?

    Growth hormone releasing hormone (GHRH) is a hypothalamic hormone that stimulates GH release from the pituitary gland.

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    How is growth hormone stored and released?

    GH is stored in granules within somatotroph cells until stimulated to release by GHRH. This ensures efficient secretion when needed.

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    What is involved in the regulation of GH secretion?

    The synthesis and secretion of GH is regulated by a complex feedback loop involving GHRH, somatostatin, and IGF-1. This maintains appropriate GH levels.

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    How does growth hormone promote growth?

    GH's effects on growth are primarily mediated by insulin-like growth factor 1 (IGF-1), which is produced in response to GH action.

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    Somatotropin/Prolactin family of hormones

    A family of biologically related proteins that include Growth Hormone (GH), placental lactogens, and prolactin.

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    Growth hormone (GH)

    Growth hormone (GH) is a member of the somatotropin/prolactin hormone family.

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    Placental lactogens

    These hormones are produced by the placenta during pregnancy.

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    Placental chorionic somatomammotropins

    Also known as placental chorionic somatomammotropins.

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    Prolactin

    A hormone that plays a role in breast development and milk production.

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    Alternative splicing

    The process of producing two different forms of a protein from the same gene.

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    Rough endoplasmic reticulum (Rough ER)

    A specialized form of the endoplasmic reticulum (ER) involved in protein synthesis.

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    Golgi apparatus

    A cellular organelle that processes and packages proteins.

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    Somatotrophic cells

    The site where growth hormone is synthesized and stored.

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    What is Growth Hormone Releasing Hormone (GHRH)?

    A hypothalamic hormone that stimulates the release of growth hormone (GH) from the anterior pituitary gland.

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    What is Somatostatin?

    A hypothalamic hormone that inhibits the release of growth hormone (GH) from the anterior pituitary gland.

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    What are Somatotrophs?

    Specialized cells in the anterior pituitary gland responsible for producing and releasing growth hormone (GH).

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    How does GHRH stimulate GH release?

    GHRH binds to its receptor on somatotrophs, activating a signaling pathway that ultimately increases intracellular cAMP levels.

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    How does Somatostatin inhibit GH release?

    Somatostatin binds to its receptor on somatotrophs, initiating a signaling pathway that reduces intracellular cAMP levels, thus inhibiting GH release.

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    How does GH promote growth?

    Growth hormone (GH) stimulates the production of insulin-like growth factor 1 (IGF-1), which plays a crucial role in promoting growth and development.

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    How is GH secretion regulated?

    GH synthesis and release are tightly regulated by a feedback loop involving GHRH, somatostatin, and IGF-1.

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    Where is IGF-1 produced?

    The anterior pituitary gland releases GH, which stimulates the liver to produce IGF-1.

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    What is the role of IGF-1 in regulating GH production?

    IGF-1 acts on various tissues, promoting growth and development, while also providing negative feedback to the hypothalamus and pituitary to regulate GH production.

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    When are GH levels highest?

    GH levels fluctuate throughout the day, with peaks occurring during sleep, particularly during the first few hours of deep sleep.

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    GH release pattern

    Growth hormone (GH) is released from the pituitary in bursts throughout the day, not continuously.

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    GH regulation

    GHRH, a hormone from the hypothalamus, stimulates the release of GH from the pituitary gland, while somatostatin inhibits it.

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    Somatotroph cells and GH storage

    Growth hormone (GH) is synthesized by somatotroph cells in the pituitary gland. These cells store GH in granules and release it when stimulated by GHRH.

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    GHRH mechanism

    GHRH stimulates the somatotrophs to release GH by increasing intracellular cAMP and calcium levels.

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    Somatostatin's role

    Somatostatin, another hormone from the hypothalamus, inhibits the release of GH.

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    What is GHRH?

    Growth hormone-releasing hormone (GHRH) is a 43-amino acid peptide produced by the hypothalamus that stimulates the release of growth hormone (GH) from the anterior pituitary gland.

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    How does GHRH reach its target cells?

    GHRH reaches the somatotroph cells in the anterior pituitary gland via the hypophyseal portal blood supply.

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    Where is somatostatin released from?

    Somatostatin is released by cells in the periventricular region of the hypothalamus into the hypophyseal portal blood supply.

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    What is the role of GHRH and somatostatin in GH regulation?

    The interaction between GHRH and somatostatin fine-tunes the release of growth hormone (GH), maintaining appropriate levels in the body.

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    What is the arcuate nucleus?

    The arcuate nucleus is a region in the hypothalamus that plays a role in regulating growth hormone (GH) release.

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    How do GHRH and somatostatin travel to the anterior pituitary?

    Both GHRH and somatostatin are released from specific regions within the hypothalamus, which then reach the anterior pituitary gland via the hypophyseal portal blood supply.

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    What is the overall regulation of GH release?

    The release of growth hormone (GH) is a complex process involving a delicate balance between stimulatory (GHRH) and inhibitory (somatostatin) signals.

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    Study Notes

    Growth Hormone

    • Session Learning Objectives:
      • Describe hypothalamic hormonal signals regulating GH secretion and the pituitary signaling pathways.
      • Describe the feedback loops governing GH secretion.
      • List physiological conditions modulating GH production (stimulating/suppressing).
      • Detail acute and long-term metabolic effects of GH.
      • Describe GH receptor and signaling pathways in target tissues.
      • Explain IGF1 receptor function, cellular signaling, and its relationship to insulin signaling.
      • Describe causes and outcomes of abnormal GH elevation/suppression.

    Session Outline

    • Growth hormone synthesis
    • Growth hormone action
    • Regulation of the growth hormone-IGF1 axis
    • Pathologies associated with GH action

    Growth Hormone Synthesis

    • Somatotroph cells in the pituitary synthesize and secrete GH.
    • GH gene produces two splice variants (22.5-kDa and 20-kDa proteins).
    • GH is stored in pituitary granules until hypothalamic GHRH stimulates its release.
    • The 22 kDa version is the dominant form.

    Growth Hormone Family

    • GH is part of a family of biologically related proteins (somatotropin/prolactin family).
    • Includes placental lactogens (placental chorionic somatomammotropins).
    • Prolactin.
    • Except for prolactin, these genes are located on chromosome 17.

    Hypothalamic Regulation of GH Secretion

    • Hypothalamic GHRH stimulates GH release.
    • Somatostatin inhibits GH release.
    • GHRH acts via a cAMP/PKA signaling pathway.
    • Somatostatin acts on a different GPCR, inhibiting adenylate cyclase and cAMP/PKA/signaling pathway.

    Factors Affecting GH Secretion

    • GH release is highly pulsatile, with diurnal peaks during sleep.
    • Factors affecting GH include sleep, sex steroids, certain amino acids, stress, age (pulses reduce).
    • Factors suppressing GH include IGF-1, hyperglycemia, cortisol, xenobiotics.

    Factors Stimulating GH Secretion

    • Factors stimulating GH include hypoglycemia, vigorous exercise, fasting, certain amino acids (arginine), and glucagon.
    • Deep sleep (later stages of non-REM sleep).

    GH Action

    • GH itself does not directly promote growth.
    • GH promotes the production of IGF-1.
    • GH binds to a Gp130 receptor (GHR).
    • This initiates intracellular JAK/STAT signaling and activates transcription factors.
    • These factors then induce transcription of target genes, including IGF1, in liver (primary target)

    Growth Promoting vs. Metabolic Effects of GH

    • GH has acute effects in many tissues, influencing energy, nutrient stores, and nutrient metabolism.
    • Acute effects shift metabolic balance into a diabetic-like state, potentially promoting diabetes if prolonged and elevated.

    The IGFs

    • IGF1 and IGF2 are similar peptide hormones; IGF2 has a less understood function, but vital to fetal and neonatal growth.
    • IGF1 and IGF2 have insulin-like properties, in part due to similarities in structure.
    • IGF-1 is produced by the liver in response to GH.
    • IGF-1 carries out the majority of GH's growth-promoting effects

    IGF1 Signaling

    • Most IGF actions are mediated by the IGF1 receptor (similar in structure to the insulin receptor).
    • IGFBPs, carrier proteins, mediate the half-life and biological effect of IGF1.

    Regulation of the GH-IGF1 Axis

    • GH and IGF1 employ negative feedback loops on somatotrophs.
    • IGF1 suppresses GHRH release and increases somatostatin secretion (both indirectly inhibit GH release).

    Pathologies Associated with GH Action

    • GH Excess (Gigantism/Acromegaly):

      • Usually due to benign pituitary adenomas.
      • Gigantism (children): excessive linear body growth.
      • Acromegaly (adults): facial coarsening, jaw protusion (prognathism), cartilage thickening, and diabetes.
    • GH Deficiency (Dwarfism):

      • Inappropriately low GH or downstream signaling defects.
      • Proportional short stature.

    GH-IGF-1 Axis Pathologies

    • Specific defects (like Laron dwarfism) are characterized by nonclassical or classical GH insensitivity syndromes due to mutations in the GH receptor or signaling pathway.

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    Growth Hormone Notes 2024 PDF

    Description

    Test your knowledge on growth hormone, its origins, and the regulatory mechanisms involved in its release. This quiz covers various aspects of the physiology of growth hormone, including its synthesis, structure, and effects on the body. Perfect for students studying endocrinology or human physiology.

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