Hypothalamus-Pituitary: Feedback Control
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Questions and Answers

Which of the following feedback mechanisms involves hormones from peripheral endocrine glands inhibiting the release of both hypothalamic and pituitary hormones?

  • Positive feedback
  • Short feedback loop
  • Long feedback loop (correct)
  • Ultrashort feedback loop

If the hypothalamus were damaged, impacting its regulatory function, which of the following scenarios would most likely occur?

  • Unregulated plasma concentration of nutrients, water, and electrolytes. (correct)
  • Localized hormone release within the brain, bypassing the systemic circulation.
  • Enhanced coordination of life-sustaining responses by other endocrine glands.
  • Increased secretion of hormones from exocrine glands due to compensatory mechanisms.

What is the primary role of vasopressin, which is mainly synthesized in the supraoptic nuclei of the hypothalamus?

  • To act as an antidiuretic hormone (ADH) and regulate water balance (correct)
  • To stimulate uterine contractions during childbirth
  • To control blood glucose levels by promoting insulin release
  • To regulate social bonding and maternal behavior

A researcher is investigating a novel hormone that appears to be secreted directly into the bloodstream and acts on distant target cells. Based on this information, which of the following conclusions is most accurate?

<p>The hormone is secreted by an endocrine gland. (D)</p> Signup and view all the answers

In the context of hypothalamic hormone regulation, which feedback mechanism describes hypothalamic hormones inhibiting their own secretion through autocrine effects?

<p>Ultrashort feedback loop (A)</p> Signup and view all the answers

A patient presents with a tumor affecting the hypothalamus. Considering the hypothalamus's role as an interface between the internal and external environments, which of the following symptoms would be least likely?

<p>Normal regulation of growth and development. (C)</p> Signup and view all the answers

Which hypothalamic area is the primary site of synthesis for Gonadotropin-Releasing Hormone (GnRH)?

<p>Pre-optic nucleus (A)</p> Signup and view all the answers

How does positive feedback influence hormone secretion, as exemplified in the female reproductive cycle?

<p>It enhances hormone production, leading to a surge in hormone levels. (B)</p> Signup and view all the answers

The hypothalamus is connected to both the limbic system and autonomic brainstem areas. What is the most likely functional consequence of these connections?

<p>Integration of emotional, sensory, and autonomic responses to maintain homeostasis. (B)</p> Signup and view all the answers

The hypothalamus and posterior pituitary form a neuroendocrine system. Where are the cell bodies of the neurosecretory neurons located within this system?

<p>In the supraoptic and paraventricular nuclei (D)</p> Signup and view all the answers

A researcher is investigating the effects of a specific drug on endocrine function. The drug selectively inhibits the secretion of hypothalamic hypophysiotropic hormones. Which of the following outcomes is most likely to be observed?

<p>Decreased secretion of anterior pituitary hormones due to reduced stimulation. (A)</p> Signup and view all the answers

Which feedback loop involves pituitary hormones inhibiting the release of hypothalamic hormones?

<p>Short feedback loop (A)</p> Signup and view all the answers

A novel synthetic hormone mimics the effects of a hypothalamic hormone that stimulates the anterior pituitary. However, continuous exposure to this synthetic hormone leads to a decreased response in the anterior pituitary over time. Which mechanism best explains this phenomenon?

<p>Downregulation of receptors on the anterior pituitary cells, leading to desensitization. (B)</p> Signup and view all the answers

Which set of hypothalamic hormones are synthesized in the arcuate and paraventricular nuclei (PVN)?

<p>TRH, CRH, GHRH, somatostatin, and PIF/PIH (C)</p> Signup and view all the answers

In a complex feedback loop involving the hypothalamus, pituitary gland, and a target endocrine gland, what would be the most likely effect of administering a high dose of the target gland hormone?

<p>Decreased secretion of both hypothalamic and pituitary hormones due to negative feedback. (C)</p> Signup and view all the answers

A researcher discovers a new endocrine cell type within the stomach lining. This cell secretes a hormone that stimulates gastric acid production in response to the presence of proteins in the stomach. Which classification best describes this novel endocrine function?

<p>Diffuse endocrine system function. (D)</p> Signup and view all the answers

Which scenario would most likely result from damage to the pituitary stalk, disrupting the connection between the hypothalamus and anterior pituitary?

<p>Decreased secretion of most anterior pituitary hormones, but increased prolactin secretion. (D)</p> Signup and view all the answers

A researcher discovers a novel hypothalamic hormone that, when administered, leads to a decrease in adrenocorticotropic hormone (ACTH) secretion and an increase in melanocyte-stimulating hormone (MSH) secretion. Based on this information, what is the most likely mechanism of action for this hormone?

<p>It binds to a common precursor molecule, competitively shunting it towards MSH production instead of ACTH. (D)</p> Signup and view all the answers

A scientist is studying the growth hormone (GH) secretion patterns in rats. They observe that blocking the action of growth hormone-releasing hormone (GHRH) completely abolishes GH secretion, while blocking growth hormone-inhibiting hormone (GHIH) leads to a significant, but not complete, increase in GH secretion. What can they conclude?

<p>GHRH is essential for initiating GH secretion, while GHIH modulates the magnitude and duration of GH release. (C)</p> Signup and view all the answers

A researcher aims to design a drug that selectively inhibits the secretion of thyroid-stimulating hormone (TSH) without affecting prolactin levels. Considering that thyrotropin-releasing hormone (TRH) stimulates the release of TSH, but prolactin-inhibiting hormone (PIH) is identical to dopamine, which approach would be most effective?

<p>Develop a selective TRH receptor antagonist that does not cross-react with dopamine receptors. (D)</p> Signup and view all the answers

A patient presents with symptoms suggesting a hormonal imbalance. Tests reveal elevated levels of an anterior pituitary hormone, but attempts to suppress its secretion by administering a synthetic analog of its corresponding hypothalamic hypophysiotropic hormone are unsuccessful. What is the most likely explanation for this?

<p>The elevated hormone levels are due to an autonomously secreting tumor in the anterior pituitary gland. (D)</p> Signup and view all the answers

Considering the intricate relationship between the hypothalamus and the pituitary gland, what is the MOST accurate depiction of the hypothalamus's role in endocrine regulation?

<p>Modulating the secretion of anterior pituitary hormones via the synthesis and release of regulatory hormones. (A)</p> Signup and view all the answers

If a patient presents with symptoms indicative of hypogonadism, which hypothalamic hormone would be of MOST interest in an initial diagnostic assessment?

<p>Gonadotropin-releasing hormone (GnRH). (A)</p> Signup and view all the answers

In a scenario where a patient is experiencing lactation unrelated to pregnancy, which hypothalamic hormone is MOST likely implicated in this condition?

<p>Prolactin-inhibiting hormone (PIH). (C)</p> Signup and view all the answers

Following a traumatic brain injury, a patient exhibits symptoms of diabetes insipidus. Which hormone deficiency is MOST likely the cause of these symptoms?

<p>Antidiuretic hormone (ADH). (C)</p> Signup and view all the answers

A researcher is investigating the effects of a novel drug on the hypothalamic-pituitary-thyroid axis. Which hormone would provide the MOST direct indication of the drug's effect on the hypothalamus?

<p>Thyrotropin-releasing hormone (TRH). (C)</p> Signup and view all the answers

In a patient diagnosed with acromegaly, which hypothalamic hormone is MOST likely to be affected, and how does this affect the disease progression?

<p>Decreased somatostatin, leading to increased growth hormone (GH) secretion. (B)</p> Signup and view all the answers

A woman experiencing difficulty with labor and delayed milk ejection post-partum may have an issue with the release of which hormone?

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

What is a key difference between the way the hypothalamus communicates with the anterior pituitary versus the posterior pituitary?

<p>The hypothalamus uses the bloodstream to impact the anterior pituitary, but it uses direct neural connections the posterior pituitary. (C)</p> Signup and view all the answers

A researcher is studying a novel compound that selectively inhibits the action of hypothalamic hypophysiotropic hormones on the anterior pituitary. Which of the following anterior pituitary cell types would be LEAST directly affected by this compound?

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

A patient presents with a pituitary tumor resulting in hypersecretion from somatotropes. Which of the following metabolic changes would MOST likely be observed in this patient?

<p>Increased blood glucose levels (A)</p> Signup and view all the answers

If a drug were developed to selectively enhance the sensitivity of target tissues to luteinizing hormone (LH), which of the following outcomes would be expected in a premenopausal female patient?

<p>Enhanced progesterone synthesis even in the absence of an LH surge (A)</p> Signup and view all the answers

A researcher is investigating the effects of a novel compound that selectively inhibits the transport of hypothalamic hypophysiotropic hormones from the hypothalamus to the anterior pituitary. Which cellular structure would be MOST directly affected by this compound?

<p>The axons of hypothalamic neurons (A)</p> Signup and view all the answers

A researcher discovers a mutation that impairs the ability of FSH to stimulate aromatase activity in ovarian granulosa cells. What effect would this mutation MOST likely have on a female patient?

<p>Decreased synthesis of estrogen (D)</p> Signup and view all the answers

A pharmaceutical company is developing a drug that selectively targets and inhibits the function of corticotrope cells in the anterior pituitary. Which of the following hormonal changes would be the MOST likely therapeutic outcome of this drug?

<p>Decreased circulating levels of cortisol (C)</p> Signup and view all the answers

A scientist is studying the feedback mechanisms that regulate anterior pituitary hormone secretion. If target gland hormones are suppressed, what compensatory change would MOST likely occur in the secretion of corresponding anterior pituitary tropic hormones?

<p>Increased secretion due to reduced negative feedback (D)</p> Signup and view all the answers

A dairy farmer administers a drug to his cows that selectively amplifies the effect of prolactin on the mammary glands. Which of the following molecular mechanisms would MOST likely be enhanced by this drug within the mammary gland cells?

<p>Enhanced synthesis of lactose and milk proteins (A)</p> Signup and view all the answers

Which of the following best describes the functional relationship between the hypothalamus and pituitary gland in maintaining homeostasis?

<p>The hypothalamus integrates sensory and cortical inputs to regulate pituitary hormone release, which in turn influences various endocrine systems to maintain internal balance. (B)</p> Signup and view all the answers

Considering the embryological origins of the anterior and posterior pituitary glands, what implications arise regarding their cellular composition and mode of communication with the hypothalamus?

<p>The anterior pituitary, derived from Rathke's pouch, exhibits epithelioid cells and communicates via a vascular link, while the posterior pituitary, originating from neural tissue, contains glial-type cells and connects through a neural pathway. (C)</p> Signup and view all the answers

If a patient presents with a lesion disrupting the vascular link between the hypothalamus and anterior pituitary, which of the following hormonal imbalances would most likely be observed?

<p>Decreased secretion of anterior pituitary hormones due to impaired delivery of hypothalamic releasing hormones. (B)</p> Signup and view all the answers

In a scenario involving a disruption of the neural pathway connecting the hypothalamus to the posterior pituitary, which physiological response would be most immediately compromised?

<p>Release of oxytocin during childbirth and lactation. (D)</p> Signup and view all the answers

Which statement accurately distinguishes between the roles of the anterior and posterior pituitary glands concerning hormonal regulation?

<p>The anterior pituitary synthesizes and secretes hormones, while the posterior pituitary only stores and releases hormones produced by the hypothalamus. (A)</p> Signup and view all the answers

Considering the inputs that the hypothalamus consolidates to regulate the endocrine system, which scenario best exemplifies its role as a coordinating center?

<p>The hypothalamus increasing thyroid-stimulating hormone (TSH) secretion in response to both decreased body temperature and feedback from circulating thyroid hormones. (C)</p> Signup and view all the answers

A researcher is investigating the effects of a novel drug on the hypothalamic-pituitary axis. If the drug is found to selectively inhibit the secretion of hormones from specific anterior pituitary cell types, what experimental approach would best identify the direct cellular target of the drug?

<p>Using single-cell RNA sequencing to identify gene expression changes in anterior pituitary cell types following drug exposure. (A)</p> Signup and view all the answers

If a patient exhibits symptoms suggestive of both autonomic dysfunction and hormonal imbalances, which area of the brain would be most crucial to investigate for potential lesions or abnormalities?

<p>The hypothalamus, due to its central role in coordinating autonomic and endocrine functions. (A)</p> Signup and view all the answers

Flashcards

Hypothalamus

A small brain region coordinating the endocrine system.

Pituitary Gland

Endocrine gland that secretes hormones controlling many bodily functions.

Anterior Pituitary Hormones

Hormones secreted by the anterior part of the pituitary gland, influencing growth and metabolism.

Posterior Pituitary Hormones

Hormones stored and released by the posterior pituitary, including oxytocin and vasopressin.

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Feedback Control

A system where target organ hormones regulate anterior pituitary hormone secretion.

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Endocrine System

A major regulatory system of hormone-producing glands affecting various body functions.

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Hypophysiotropic Hormones

Hormones from the hypothalamus that regulate the secretion of anterior pituitary hormones.

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Diffuse Endocrine System

Isolated endocrine cells located in various tissues producing hormones like gastrin from G cells.

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Hypothalamic Hypophysiotropic Hormones

Hormones from the hypothalamus that regulate the pituitary gland.

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Negative Feedback

A control mechanism where hormone effects inhibit their own production.

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Ultrashort Feedback Loop

Hypothalamic hormones inhibit their own secretion via autocrine effects.

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Short Feedback Loop

Pituitary hormones inhibit the release of hypothalamic hormones.

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Long Feedback Loop

Peripheral endocrine glands inhibit the release of hypothalamic and pituitary hormones.

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Positive Feedback

A mechanism where hormone secretion enhances its own production.

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Vasopressin (AVP)

A hormone formed primarily in the supraoptic nuclei, also known as Antidiuretic Hormone (ADH).

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Neuroendocrine System

Combination of the nervous and endocrine systems for hormone regulation.

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Somatotrope

A cell type in the anterior pituitary that produces Growth Hormone (GH).

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Thyrotrope

A cell type in the anterior pituitary that produces Thyrotropin (TSH).

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Lactotrope

A cell type in the anterior pituitary that produces Prolactin (PRL).

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Gonadotrope

A cell type in the anterior pituitary that produces LH and FSH.

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Corticotrope

A cell type in the anterior pituitary that produces Adrenocorticotropin (ACTH).

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Tropic hormones

Hormones that regulate the secretion of other hormones.

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Feedback regulation

Influence of target gland hormones on anterior pituitary secretion.

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Hypothalamic-hypophyseal portal system

A vascular system transporting hypothalamic hormones to the anterior pituitary.

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Thyrotropin Releasing Hormone (TRH)

A hormone that stimulates the release of Thyroid Stimulating Hormone (TSH).

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Prolactin Inhibitory Hormone (PIH)

Hormone that inhibits prolactin release; identical to dopamine.

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Effect of pituitary stalk damage

Pituitary hormones decrease except prolactin, which increases due to loss of inhibition.

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Somatostatin (GHIH)

A hormone from the hypothalamus that inhibits growth hormone (GH) and thyroid-stimulating hormone (TSH) secretion.

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Prolactin-Inhibiting Hormone (PIH)

Also known as dopamine, it inhibits prolactin secretion from the anterior pituitary.

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Oxytocin

A hormone from the posterior pituitary that stimulates uterine contractions and milk ejection.

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Antidiuretic Hormone (ADH)

A hormone released from the posterior pituitary that promotes water reabsorption in the kidneys.

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Hypothalamus Function

Orchestrates the release of pituitary hormones by producing and releasing regulatory hormones.

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Corticotropin-releasing Hormone (CRH)

A hormone released by the hypothalamus that stimulates the pituitary to release ACTH.

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Anterior Pituitary

Secretes hormones like GH, TSH, and PRL, regulated by hypothalamic hormones.

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Internal Receptors

Sensory receptors that monitor body conditions such as temperature and glucose concentration.

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External Responses

Behaviors like feeding, drinking, and aggression required for survival and reproduction.

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Homeostasis

The process of maintaining a stable internal environment despite external changes.

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Posterior Pituitary

The back part of the pituitary that stores and releases hormones produced by the hypothalamus.

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Hypothalamic-Pituitary Axis

A critical link between the hypothalamus and pituitary gland, involved in hormone regulation.

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Rathke’s Pouch

An embryonic structure that contributes to the formation of the anterior pituitary.

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Study Notes

Hypothalamus - Pituitary Target Organ Axes: Feedback Control 1

  • Year 2 Endocrine and Breast Module
  • Presented by Dr Brona Murphy/Dr Ebrahim Rajab
  • January 2025

Learning Outcomes

  • Outline the role of the hypothalamus and pituitary gland within the endocrine system
  • Describe the basic function of the anterior pituitary hormones in the body
  • Describe the basic function of the posterior pituitary hormones in the body
  • Differentiate between the vascular and neural connections of the hypothalamus to the pituitary gland
  • Outline how the hypothalamic hypophysiotropic hormones regulate anterior pituitary hormone secretion
  • Describe the role of feedback by target gland hormones in the regulation of anterior pituitary hormone secretion

Endocrine System and Hormones

  • A major regulatory system that co-ordinates life-sustaining responses
  • Made up of several hormone-producing "endocrine glands" (e.g., pituitary and thyroid glands)
  • Ductless, releasing hormones directly into the bloodstream
  • Found in various locations within the body
  • In addition, there are various isolated endocrine cells found in other tissues of the body, (e.g., G cells of stomach, which secrete gastrin) referred to as the 'diffuse endocrine system'.

Endocrine System and Hormones (continued)

  • Hormones act on their target cells to regulate plasma concentration of nutrient molecules, water, salt, and other electrolytes
  • Hormones also play a role in regulating metabolism, controlling growth and development, reproduction, and stress adaptation .

Hypothalamus

  • The coordinating center of the endocrine system
  • Less than 1% of brain mass, about the size of a peanut
  • Located below the thalamus and above the pituitary on either side of the 3rd ventricle
  • Connected with many areas of the brain and spinal cord, particularly limbic system and autonomic brainstem areas

Hypothalamus (continued)

  • Acts as an interface between internal and external environment
  • External (sensory) sensory pathways conveying information on external environments (e.g., light, temperature, nociception)
  • Internal (sensory) receptors of body temperature, osmolarity, pressure, volume, glucose concentration, hormone concentration
  • External responses behaviors required for survival and reproduction: intense feeding, drinking, aggressive, and sexual behaviors, appetite, emotional, instinctual
  • Internal homeostatic responses produced through ANS & endocrine system with endocrine link through the hypothalamic-pituitary axis

Pituitary Gland/Hypophysis

  • Small gland (1 cm in diameter & 0.5-1 g in weight)
  • Lies in the sella turcica (Turkish saddle) — a bony cavity in the base of the brain.
  • Physiologically divided into two distinct portions
  • Anterior pituitary/adenohypophysis
  • Posterior pituitary/neurohypophysis
  • Embryologically these two portions originate from different sources

Pituitary Gland/Hypophysis – Embryology (Anterior)

  • Arises from an upward and outward pouching from the epithelium of the pharynx (Rathke's pouch)
  • Explains the epithelia nature of its cells

Pituitary Gland/Hypophysis – Embryology (Posterior)

  • Arises from a neural tissue outgrowth from the hypothalamus
  • Large number of glial-type cells

Hypothalamus & Pituitary

  • Hypothalamus is the central hub of the endocrine system
  • Consolidates signals from brain's upper areas (cortical inputs), autonomic functions, environmental cues (like light and temperature), and from peripheral endocrine systems (feedback from other hormones)
  • Delivers signals to the pituitary gland
  • Pituitary gland then releases hormones affecting various endocrine systems throughout the body

Hypothalamus and Pituitary gland

  • Release of hormones from both the posterior and anterior pituitary is controlled by either nervous or hormonal signals from the hypothalamus
  • Anterior pituitary connects by a unique vascular link
  • Posterior pituitary connects to the hypothalamus by a neural pathway

Anterior Pituitary Cell Types & Hormones

  • Composed of several different cell types that synthesize and secrete hormones
  • Somatotrope (30-40% of anterior pituitary cells): Growth Hormone (GH)
  • Thyrotrope: Thyrotropin/Thyroid Stimulating Hormone (TSH)
  • Lactotrope: Prolactin (PRL)
  • Gonadotrope: Luteinizing Hormone (LH) & Follicle Stimulating Hormone (FSH)
  • Corticotrope (20% of anterior pituitary cells): Adrenocorticotropin (ACTH)

Anterior Pituitary Hormones Functions

  • GH: Stimulates secretion of insulin-like growth factor 1 (IGF-1), from liver and other organs
  • TSH: Stimulates synthesis and secretion of thyroid hormones and regulates thyroid cell proliferation and survival
  • ACTH: Simulates synthesis and secretion of adrenal cortex steroids (e.g., cortisol) and proliferation and survival of adrenal cortex cells
  • PRL: Stimulates milk production
  • LH (Females): induces ovulation and progesterone synthesis; (Males): stimulates testes to produce testosterone
  • FSH (Females): Stimulates estrogen synthesis, promotes follicular growth; (Males): promotes spermatogenesis

Regulation of Anterior Pituitary Hormone Secretion

  • Two important factors regulate anterior pituitary hormone secretion:
    1. Hypothalamic hypophysiotropic hormones
    2. Feedback by target gland hormones and physiological effects/responses

Hypothalamic Hypophysiotropic Hormones

  • Hypothalamic releasing & inhibiting hormones (factors)
  • Synthesized and packaged into vesicles
  • Transported down the axons of hypothalamic hypophysiotropic neurons within the hypothalamus
  • Sorted and released from nerve terminals
  • Transported to anterior pituitary in high concentrations by the hypothalamic-hypophyseal portal system.
  • Bind to receptors on glandular cells in anterior pituitary to modify secretion of hormones

Hypothalamic Hypophysiotropic Hormones (continued)

  • Hypothalamic hypophysiotropic neurons secrete in a pulsatile manner and are entrained to daily and seasonal rhythms through CNS inputs.
  • They also receive input from higher and lower levels of the brain (e.g., stress, infection, puberty).

Feedback by Target Gland Hormones and Physiological Effects/Responses

  • Physiological response-driven negative feedback
  • Circulating component (e.g., blood glucose)
  • Hypothalamic neuroendocrine neurons releasing hormones
  • Pituitary gland tropic hormone
  • Peripheral endocrine gland hormone
  • Target organs with physiological effects

Feedback Control Mechanisms

  • Negative feedback (ultrashort, short, and long feedback loops)
  • Positive feedback (e.g., prior to ovulation in the female reproductive cycle)

Hypothalamus & Posterior Pituitary

  • Form a neuroendocrine system of neurosecretory neurons
  • Cell bodies lie in two well-defined clusters in the hypothalamus: supraoptic and paraventricular nuclei
  • Neurons synthesize vasopressin and oxytocin
  • Hormones transported along axons to nerve endings in the posterior pituitary
  • Transported along axons to the nerve endings in the posterior pituitary gland. Requires several days. (In combination with "carrier proteins"- Neurophysins)

Vasopressin & Oxytocin

  • Synthesized as prohormones
  • Transported along axon to nerve endings in the posterior pituitary gland (requires several days)
  • In combination with "carrier proteins"– Neurophysins
  • Upon nerve impulse stimulation, hormone is released (from the axon endings) by exocytosis. Both neurophysin & hormone are secreted

Multiple Choice Questions (sample)

  • Which of the following best describes the primary function of the hypothalamus in endocrine regulation?

    • Orchestrating the release of pituitary hormones by producing and releasing regulatory hormones
  • Which hormone is released by the hypothalamus to stimulate the pituitary gland to release adrenocorticotropic hormone (ACTH)?

    • Corticotropin-releasing hormone (CRH)
  • Which of the following hormones is secreted by the posterior pituitary gland?

    • Antidiuretic hormone

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Description

Explore the endocrine system's hypothalamus and pituitary roles. Learn anterior and posterior pituitary hormone functions. Understand vascular versus neural connections and hypothalamic regulation of anterior pituitary hormone secretion. Explore the feedback role of target gland hormones.

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