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Pituitary gland alternate name
Hypophysis
What parts are make up the pituitary gland and what are they?
Adenohypophysis, a glandular tissue that receives blood from the hypophyseal portal system
Neurohypophysis, more of a storage tissue that releases when neurons in the hypothalamus fires
What are the steps of the HPG axis?
Hypothalamus secretes GnRH
Anterior pituitary releases LH and FSH
LH and FSH act on gonads
What is the result of the HPG axis?
The production of sex hormones and gametes, along with maintaining secondary sex characteristics
What are the steps of the HPA axis?
Hypothalamus releases CRH
Anterior pituitary releases ACTH
ACTH acts on the adrenal glands to produce cortisol
What is the result of the HPA axis?
Cortisol raises blood sugar, suppresses the immune system
What are the steps of the HPT axis?
Hypothalamus releases TRH(Thyrotropin releasing hormone)
Anterior pituitary receives TRH and releases TSH(Thyroid stimulating hormone)
TSH stimulates the thyroid gland to make T4 and T3
What is the final result of the HPT axis?
Metabolic rate, brain/bone development
What are the steps of the HPP axis?
Hypothalamus releases dopamine which suppresses prolactin release
Once the hypothalamus is suppressed and dopamine isn’t released, prolactin travels to breast tissue and stimualtes milk production
What is the final result of the HPP axis?
Lactation
What are the steps of the HPS axis?
Hypothalamus releases GHRH which travels to the anterior pituitary
Anterior pituitary releases GH
GH acts on the liver to cause IGF-1 production
What is the final result of the HPS axis?
Growth of tissue, bone, and muscle
What suppresses GH release?
Somatostatin
Why do we not measure hypophysiotropic hormones in blood?
They are released in very small amounts in the closed off hypophyseal portal system
When do we use a stimulation and suppression test?
Stimulation: If we suspect a hormone deficiency
Suppression: If we suspect a hormone excess
Define subclinical
Measured abnormality but no overt clinical symptoms
High LH and FSH but low estrogen signals…
Menopause