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What releases growth hormone from the anterior pituitary?
GHRH from hypothalamus
What inhibits secretion of GH?
GHIH: somatostatin
What is a direct effect of GH?
lipid metabolism in adipocytes
What is an indirect effect of GH?
causes liver and skeletal muscles to produce somatomedins: IGFs
What variables regulate GHRH secretion?
low blood glucose
stress
exercise
What horomones control GH?
GHRH and GHIH
Is GH a neurohormone?
yes
How does GH affect the adipose tissue?
lipolysis
How does GH affect the liver directly?
gluconeogenesis
How does GH indirectly affect the liver?
creates IGFs which go to bone and muscle
What does IGF do in bone and muscle?
bone: growth in bone length
muscle: growth in protein synthesis
Is the control of GH negative or positive feedback?
negative
Who experiences the highest amounts of GH?
children and adolescents
When are peak GH levels in the day?
24th hour of day into sleep
Is there a circadian rhythm to GH?
yes
Why do children need lots of sleep?
GH secretion tends to be highest when sleeping
What are the symptoms of pituitary dwarfism?
short stature
normal bones and intelligence
What happens when you make too much GH as an adult?
acromegaly: enlarged feet and face bones
What happens when you make too much GH as a child?
gigantism
Why does hyperglycemia occur in patients with acromegaly?
GH leads to glucose sparing: excess glucose is retained