Outline Neuroendocrine

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    Neuroendocrine

    - Adenoyhypophysis: fenestrated capillarieso Pars distalis

    Chromatophils Acidophils

    o Somatotrophs (40-50%) Growth hormone; inhibited by IGF-1 fromliver and high glucose levels; hypoplasia

    somatotrophslow GHdwarfism in

    children; hyperplasiagigantism;

    hyperplasiapituitary adenoma

    acromegaly (adults)

    o Mammotrophs (15-20%) Prolactin: secretion inhibited by

    dopamine (dominant negative

    regulation); stimulus is suckling

    Basophils:o Thryrotrophs (5%)

    Thyroid stimulating hormone activatesthyrotrophsTSHthyroidT3/T4

    productionT3 negative feedback loop

    Hypothyroidism (low thyroid activity =low T3/T4))

    Pituitary defect: produces lowTSH, therefore low T3/T4

    Thyroid defect: high TSH, butT3/T4 still low because of thyroid

    Hyperthyroidism (high thyroid activity) Pituitary defect: produces high

    TSH, therefore high T3/T4

    Thyroid defect: low TSH, but highT3/T4 because of thyroid

    o Gonadotrophs (10%) FSH

    Females: promote development offollicles in the ovaries, promote

    granulosa cells to proliferate in

    order to form mature follicleo Follicle produces estradiol,

    activin, and inhibin

    (inhibitor of gonadotroph

    Males: act on the Sertoli cells in theseminiferous tubules

    o Sertoli cells responsible formaking androgen-binding

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    protein, responsible for

    concentrating testosterone

    LH Females: acts on corpus luteum,

    transiently formed in the second

    half of the menstrual cycleo Corpus luteum makes

    progesterone; considered a

    transient endocrine gland

    o LH levels remain highduring pregnancy

    Males: acts on the Leydig cells inthe seminiferous tubules

    o Responsible for makingtestosterone

    *Low levels of FSH and LH will result in

    infertility in both sexeso Corticotrophs (20%)

    Corticotrophin-releasing hormonecorticotrophsACTHadrenal glands

    (zona fasciculate of the cortex) cortisol

    ACTH stimulates growth andfight/flight response toget moving

    Aldosterone responsible forresorbing water through collecting

    tubules of the kidneys

    o Metabolized in liver, buthigh levels causehypertension b/c of

    increased blood volume

    o High levels cortisolnegative feedback shut off

    corticotrophs and pituitary

    glands

    High levels of stress stimulate ACTH Adenomamany corticotrophs

    patient always ready to go, nervousness,

    hypertension

    Cushings diseasehypoplasia ofcorticotrophslow ACTH/cortisol

    unable to control weight, low energy;

    looks like chronic condition but its not

    (prescribed ACTH)

    Chromatophobes

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    o Pars tuberalis Wraps up the infundibular process and forms the pituitary

    stalk

    Most cells are gonadotrophs secreting low levels of FSH/LHnot physiologically significant

    o Pars intermedia Leftover from Rathkes pouch inner layer

    - Neurohypophysiso Pars nervosa: composed of capillaries, sinusoids, unmyelinated axons

    and pituicytes

    Unmyelinated b/c speed doesnt matter but they need thepituicytes to perform

    Lipofuscin deposit increases with ageo Infundibulum

    Infundibular process Unmyelinated axons, which make up the

    hypothalamoneurohypophyseal tract, originating from

    2 nuclei within the hypothalamusthe hormones

    produced in the hypothalamus migrate down the axons

    and are stored in the pars nervosa until released by the

    portal system

    o Paraventricular nucleus: oxytocin Oxytocin acts on uterus to promote

    contraction of myometrium during

    labor/induce labor; also involved in

    lactation and stimulates myoepithelium

    around the glands to contract to forcemilk out of the ducts

    Also a mood regulator and works byrepresing the amygdala: treatment of

    PTSD, autism and mood disorders

    o Suproptic nucleus: vasopressin (ADH) Acts on the kidney collecting tubules to

    reabsorb water and increase blood

    pressure

    Low vasopressin neurogenic diabetesinsipidus (hypothalamic diabetes

    insipidus, HDI); differ from nephrogenicdiabetes insipidus (NDI) by ADH levels

    HDI: low production of ADH NDI: mutation in ADH receptor

    Median eminence- Pineal Gland