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Molecular Signaling Pathways
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Molecular Signaling Pathways

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Questions and Answers

What is an antagonist in the context of hormones?

  • A hormone that is broken down rapidly
  • An agent that binds to the receptor like the desired hormone, but does not stimulate the receptor (correct)
  • A hormone that stimulates the receptor
  • A hormone that is released by the pituitary gland
  • What is the main control point for hormone synthesis and release?

  • Hypothalamus
  • Pituitary gland
  • Endocrine tissues
  • Central nervous system (correct)
  • What is the function of tropic hormones?

  • To control the secretion of releasing factors
  • To produce regulatory hormones in response to CNS messages
  • To regulate the activity of other tissues or glands (correct)
  • To stimulate the receptor
  • What is the function of JAKs in signal transduction?

    <p>To phosphorylate and activate STAT proteins</p> Signup and view all the answers

    What is the purpose of feedback control in hormone regulation?

    <p>To control hormone production by changing secretion of releasing factors</p> Signup and view all the answers

    What is the term for the periodic occurrence of a biological event?

    <p>Biological rhythm</p> Signup and view all the answers

    Which type of receptors are involved in the transmission of messages from arterial natriuretic factor (ANF)?

    <p>Guanylyl cyclase receptors</p> Signup and view all the answers

    What is the term for the rhythm that occurs during 24 hours?

    <p>Circadian rhythm</p> Signup and view all the answers

    How do thyroid, steroid, and retinoic acid hormone receptors enter the cell?

    <p>Through simple diffusion</p> Signup and view all the answers

    What controls the secretion of pituitary hormones?

    <p>Hypothalamic factors</p> Signup and view all the answers

    What is the result of desensitization of receptors?

    <p>Decreased responsiveness to hormones</p> Signup and view all the answers

    What is the effect of upregulation of receptors?

    <p>Increased sensitivity of target cells</p> Signup and view all the answers

    What type of control can feedback control be?

    <p>Both negative and positive</p> Signup and view all the answers

    What is the function of an agonist in pharmacological interventions?

    <p>To mimic the action of a hormone</p> Signup and view all the answers

    Which of the following hormones is an example of a hormone that acts through intracellular receptors?

    <p>Thyroid hormone</p> Signup and view all the answers

    Where is oxytocin release triggered in response to suckling?

    <p>Hypothalamus</p> Signup and view all the answers

    What is the result of covalent modification of receptors by phosphorylation?

    <p>Decreased transmission of the message into the cell</p> Signup and view all the answers

    What can bypass the neurogenic pathway to trigger oxytocin secretion?

    <p>Psychological stimuli</p> Signup and view all the answers

    What can inhibit oxytocin secretion?

    <p>Stressful situations</p> Signup and view all the answers

    What is the half-life of oxytocin?

    <p>3 to 5 minutes</p> Signup and view all the answers

    Where is AVP (ADH) synthesized?

    <p>Paraventricular and supraoptic nuclei of the hypothalamus</p> Signup and view all the answers

    What stimulates the V2 receptors on principal epithelial cells in the kidney?

    <p>ADH</p> Signup and view all the answers

    What is the primary function of ADH?

    <p>Maintaining osmotic homeostasis</p> Signup and view all the answers

    At what serum osmolality is ADH secretion maximally stimulated?

    <p>295 mOsm/kg</p> Signup and view all the answers

    What is characterized by a euvolemic hypoosmolar hyponatremia associated with hyperosmolar urine?

    <p>Syndrome of Inappropriate Secretion of ADH (SIADH)</p> Signup and view all the answers

    What is the function of dopamine produced by the hypothalamus?

    <p>Inhibits prolactin secretion</p> Signup and view all the answers

    What is the normal reference value for serum prolactin in women?

    <p>1-25 ng/mL</p> Signup and view all the answers

    What is the typical manifestation of hyperprolactinemia in women?

    <p>Luteal phase abnormalities, oligomenorrhea, or frank amenorrhea</p> Signup and view all the answers

    What is a common cause of hyperprolactinemia?

    <p>Pituitary adenomas</p> Signup and view all the answers

    What is the effect of hyperprolactinemia on GnRH secretion?

    <p>Inhibition</p> Signup and view all the answers

    What is the typical manifestation of hyperprolactinemia in men?

    <p>Hypoandrogenemia, decreased libido, and impotence</p> Signup and view all the answers

    What can lead to disinhibition of prolactin secretion?

    <p>Any sellar or parasellar process that compresses the pituitary stalk</p> Signup and view all the answers

    What is the correlation between the height of elevation of serum PRL levels and the presence of a pituitary tumor?

    <p>Direct correlation</p> Signup and view all the answers

    What is another important cause of hyperprolactinemia?

    <p>Hypothyroidism</p> Signup and view all the answers

    What stimulates PRL secretion in addition to TSH secretion?

    <p>TRH</p> Signup and view all the answers

    What is usually done to return PRL levels to normal in patients with hyperprolactinemia due to hypothyroidism?

    <p>Thyroid hormone replacement therapy</p> Signup and view all the answers

    What is measured in addition to PRL in patients with acromegaly?

    <p>IGF-1</p> Signup and view all the answers

    What is the consequence of complete PRL deficiency in women?

    <p>Menstrual disorders and infertility</p> Signup and view all the answers

    What hormone is secreted by the somatotrophs of the pituitary gland?

    <p>GH</p> Signup and view all the answers

    What inhibits GH synthesis and release?

    <p>Somatostatin</p> Signup and view all the answers

    Study Notes

    Receptors and Hormone Signaling

    • JAKs (Janus kinases) and STAT (signal transducer and activator of transcription) are involved in hormone signaling, with examples including growth hormone and prolactin.
    • Guanylyl cyclase receptors transmit messages, with an example being arterial natriuretic factor (ANF).

    Intracellular Receptors

    • Thyroid, steroid, and retinoic acid hormone receptors exist in soluble form inside cells, with hormones passing through the cell membrane by simple diffusion.
    • The receptor-hormone complex is transported into the nucleus, binding to specific hormone response elements and stimulating gene transcription.

    Regulation of Receptor Activity

    • Desensitization occurs through decreased responsiveness to increased hormone amounts, reduced receptor numbers or affinity, downregulation, and covalent modification by phosphorylation.
    • Upregulation increases target cell sensitivity, with examples including prolactin and angiotensine II.

    Hormone Regulation

    • Hormone amounts in blood circulation are controlled by synthesis, release, breakdown, and removal processes.
    • The hypothalamic-pituitary regulatory system integrates messages from internal and external sensory receptors to control hormone production.
    • Feedback control involves hormones released from target glands regulating production by changing hypothalamic and pituitary hormone secretion.

    Biological Rhythms

    • Biological rhythms refer to periodic biological events, with examples including circadian rhythms in pituitary hormone secretion.
    • Oxytocin has a circadian rhythm and is released in response to suckling, neurogenic stimuli, and psychological stimuli, with inhibition by stressful situations.

    Oxytocin

    • Oxytocin has a half-life of 3-5 minutes and is rapidly degraded by oxytocinase.
    • Pathologic conditions associated with oxytocin excess or deficiency are rare.

    Arginine Vasopressin/Antidiuretic Hormone (ADH)

    • ADH is synthesized in the paraventricular and supraoptic nuclei of the hypothalamus.
    • ADH regulates water balance and osmotic homeostasis by stimulating V2 receptors in the kidney, increasing water permeability and reabsorption.
    • ADH secretion is modulated by changes in serum osmolality and intravascular volume, with detection by osmoreceptors in the anterior hypothalamus.

    Syndrome of Inappropriate Secretion of ADH (SIADH)

    • SIADH is characterized by euvolemic hypoosmolar hyponatremia with hyperosmolar urine.

    Hypothalamus and Pituitary Gland

    • The hypothalamus communicates with the anterior pituitary gland by secreting trophic hormones specific for each cell population.
    • Prolactin (PRL) is produced by the lactotrophs of the pituitary gland, responsible for lactation initiation and maintenance.

    Prolactin

    • PRL secretion is normally kept low by dopamine produced by the hypothalamus.
    • PRL is secreted in a circadian fashion, with highest levels during sleep and a nadir between 10 am and noon.
    • Reference values for serum PRL are 1-25 ng/mL for women and 1-20 ng/mL for men.
    • PRL levels are increased by physiologic and pathologic factors, as well as by medications.

    Hyperprolactinemia

    • Hyperprolactinemia leads to inhibition of GnRH secretion, manifesting as sexual dysfunction and infertility in both men and women.
    • Pituitary adenomas are an important cause of hyperprolactinemia, with elevation of serum PRL levels correlating with the likelihood of a pituitary tumor.
    • Hypothyroidism is another important cause of hyperprolactinemia, with thyroid hormone replacement therapy usually returning PRL levels to normal.

    Hypoprolactinemia

    • PRL deficiency can be seen with pituitary necrosis or infarction, and in some cases of pseudohypoparathyroidism.
    • In women with complete PRL deficiency, menstrual disorders and infertility have been found.

    Growth Hormone (GH)

    • GH is a single-chain polypeptide synthesized, stored, and secreted by the somatotrophs of the pituitary gland in response to GHRH secretion by the hypothalamus.
    • Somatostatin, also produced by the hypothalamus, inhibits GH synthesis and release.

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    Description

    This quiz covers different molecular signaling pathways, including JAK-STAT, guanylyl cyclase receptors, and intracellular receptors. Examples of signaling molecules include growth hormone, prolactin, and thyroid hormone.

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