Medicine Notes Organisation of the Body Notes
1st year Oxford notes and tutorial essays in the module Organisation of the body. ...
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Pituitary Gland –MASTER GLAND!!!!
Organisation of the pituitary gland
-pituitary gland sits below the hypothalamus of the brain in a midline fossa, pituitary fossa of the sphenoid bone
-it is connected to the median eminence of hypothalamus by a pituitary stalk- ifundibulum
-it is surrounded by skull so the if the gland enlargens there is no extra space so there are severe headaches.
-functionally, the gland is divided into two lobes- anterior lobe is 2/3 volume of the gland and posterior lobe is one third- both have different embryological orgins and control mechanisms
Development of the pituitary gland
- the anterior lobe (adenohypophysis) develops from an upward invagination, Rathke’s pouch, of the oropharyngeal ectoderm (roof of the mouth)- the rathke’s pouch constricts and is pinched off from the ectoderm.
-the posterior lobe (neurohypophysis) develops from the ifundibulum which is a downward extension of the neural ectoderm in the forebrain region.
-the portion of the rathke’s pouch in contact with the posterior pituitary forms the intermediate lobe. In humans the intermediate lobe becomes interspersed with those of the anterior pituitary.
anterior lobe (adenohypophysis)-
-collection of endocrine cells- types of endocrine cells can be identified through electron microscopy and by immunocytochemistry which classes cells depending on the specific protein they secrete
50% of secretory cells in the anterior lobe are somatotrophs- synthesise somatotrophin/GH
-Electron microscopy: the somatotrophs are packed with granules of moderate size
25% are lactotrophs- prolactin
10% are corticotrophs- ACTH
-sparse secretory granules located at the extreme periphery of a cell
15% are gonadotrophs- LH and FSH
-large cells with granules of various size
5% are thyrotrophs-TSH
-smaller granules
-surrounding the endocrine cells are gilial like cells- folliculostellate cells- support the cells and they secrete proteins which control the release of hormones-paracrine activity
-the anterior pituitary is regulated by chemical control...
-neurohormones- released from the nerve terminals of the hypothalamus into the capillary plexus of the internal carotid artery which enters the anterior pituitary through the hypothalamo-hypophyseal portal veins (travels down the pituitary stalk). The neurohormones diffuse from the veins and act on the local endocrine cells -Overall hypothalamic control is stimulatory for all anterior pituitary hormones except prolactin where it is inhibitory. The pulsatile release of hypothalamic releasing factors stimulate pulses of anterior pituitary hormones into the jugular vein.
The evidence that showed the hypothalamic control of the pituary was shown rabbits where injected with Indian ink and the result showed there was abundance in the pituary stalk showing there was a vascular connection between the hypothalamus and the pituitary gland. If the pituitary stalk was surgically removed all the target endocrine glands that the anterior pituitary gland control undergo atrophy but they regrow to orginal size when the stalk is reconnected.
Cells have a rich capillary network- endothelial lining of capillaries are fenestrated
Systemic hormones: hormones released by the target tissues of the anterior pituitary lobe exert a mostly negative feedback control
Paracrine interactions: in the anterior pituitary
Hormones released by the anterior pituitary
1) Thryotroph cells (Hypothalmic-pituitary-thyroid axis)
-Thyroid stimulating hormone/ thyrotrophin secreted by thryotroph cells
Chemical nature TSH-glycoprotein hormone made up of alpha and beta subunits.
Receptors: G protein coupled to cAMP on thyroid gland follicular cells
Actions: TSH acts in the thyroid and stimulates thyroid hormone production. It also increases iodine uptake by thyroid which is required for thyroid hormone production and stimulates thyroid growth
Control: TSH release is stimulated by thryotrophin releasing hormone from the hypothalamus whose secretion is also stimulated by cold and by stress via the CNS. TSH is secreted in pulses with a diurnal rhythm.
-there is also a systemic control and TSH release is inhibited by T3 and T4 by negative feedback.
Dysfunction: TSH disorders are very rare
2) Corticotroph cells
-secrete Adreno cortico Trophic Hormone (ACTH) /corticotrophin
Chemical nature: polypeptide hormone cleaved from the prohormone ProOpioMelanoCortin
Receptors: G protein coupled to cyclic AMP in adrenal cortex- binds to MCR2 receptors on fasiculate and reticularis layers of adrenal cortex
Actions
-stimulates production and secretion of cortisol-glucocorticoid steroid hormone from the cortex of adrenal gland- responsible for regulation of glucose metabolism
-ACTH- increased cyclic AMP- protein kinase A- phosphorylation of cholesterol side chain cleavage enzyme- increased conversion of cholesterol into pregnenolone (this is the rate limiting step of cholesterol synthesis)
-Over long period of times- ACTH- increased synthesis of various enzymes- induction- P-450 enzymes- needed in the synthesis of cortisol, LDL receptors, HMG-CoA
-minor effect on aldosterone- binds to glomerulsoa cells of the adrenal cortex- triggers synthesis of deoxycorticosterone- precursor of aldosterone- aldosterone- mineralocorticoid- increase reabsorption of ions and water- increase blood pressure
-increase in the adrenal sex steroids
-stimulates growth of adrenal cortex-when one adrenal gland is removed the adrenal gland on the opposite side grows to double the size. This is because less cortisol is produced which results in an increase in ACTH. This stimulates the growth to compensate for the surgical loss.
-melanocyte stimulating hormone is also cleaved from the proopiomelanocortin and is released by corticotrophs. MSH stimulates skin pigmentation
Control
-release of ACTH is stimulated by corticotrophin releasing hormone (CRH) from the hypothalamus-stress/hypoglycaemia- binds to GPCR on corticotroph cell membranes- alpha subunit of Gs...
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1st year Oxford notes and tutorial essays in the module Organisation of the body. ...
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