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Functional anatomy of pituitary
gland
&
physiology of growth hormone
By: SHANKAR YADAV
MSc. Medical Physiology
Prachand Man Singh Rajbhandari
MSc. Medical Biochemistry
Vikram Shrestha
MSc. Medical Biochemistry
JAWAHARLAL NEHRU MEDICAL COLLEGE
Contents
• Introduction
• History
• Gross anatomy & development
• Histology
• Pituitary hormone
• Growth hormone
• Recent advances
Introduction
• Hypothalamic pituitary unit forms unique component
of endocrine gland
• Controls many aspects of human physiology
• From delivery & feeding of baby to growth &
development to adulthood
• Then to make individual capable of producing
progeny
• Controls various metabolism, water homeostasis,
thyroid & gonad functions
History
• In 150 AD, Galen –first to describe pituitary
• In early 18th century, De Haen described amenorrhea
in pituitary tumor patient
• In 1742 Joseph Lieutaud, demonstrated
hypothalamohypophyseal axis
• In 1772 Saucerotte first to describe Acromegaly
• In 1794 Frank, distinguished diabetes insipidus from
diabetes mellitus
• In 1838 Rathke described formation of gland
Contd….
• In 1887 Minkowiski, linked pituitary gland to number
of symptoms
• In 1892 Vassle Sacchi, showed that removal of pituitary
affect water & mineral metabolism
• In 1907 Schloffer, operate pituitary via nasal route
• In 1909 Aschner, demonstrated hypophysectomy in
growing animal cause Dwarfism
• In 1910 Cushing & team, linked between pituitary &
reproduction
Pituitary gland
Histology
Pituitary Hormones
Growth Hormone
Structure
Synthesis
• GH part of hypophyseal-pituitary axis.
• Synthesized in somatotroph cells
• Response to binding of GHRH to its receptor
• Activating gene transcription by cyclic adenosine
monophosphate-dependent mechanisms
Factors affecting synthesis
Factors influence secretion:
• peptide hormones GHRH Ghrelin
• sex hormone
• Choline and L-DOPA by stimulating GHRH
• Hypoglycemia, arginin by inhibiting somatostatin
release
• Deep sleep
• Niacin as nicotinic acid (Vitamin B3)
• Vigorous exercise
Factors inhibiting
• GHIH – paraventricular nucleus
• Circulating concentrations of GH & IGF
negative feedback mechanism
• Hyperglycemia
• Glucocorticoids
• Dihydrotesterone
Release
• Central and peripheral mechanisms.
• Centrally, its synthesis and release are promoted by
GHRH and inhibited by somatostatin
• Stress, exercise, malnutrition, and anorexia also
stimulate its secretion during the day.
• The release is counter-regulated by three negative-
feedback loops.
Circulation, half life & metabolism
Plasma level :
2-4 ng/mL
Half life :
0-20 minutes
Metabolic clearance rate:
350 L/day
Somatomedin
IGF-I (somatomedin -c) IGF-II (MSA)
secretion Independent of GH before birth
GH stimulates after birth
Independent of GH
Secretions are constant throughout
postnatal growth
Plasma level 10-170 ng/mL 300-800 ng/mL
Receptor Similar to insulin receptor Mannose-6-phosphate receptor
functions Growth stimulating activity
Control skeletal & cartilage growth
Growth during fetal development
Regulation of secretion
Mechanism of action
Actions
types
Direct IGFs mediated
Effect on growth IGF-I
Effect on metabolism IGF-II
Actions
Action contd…
On bone:
• GH promotes linear growth by acting on bone
cartilage & connective tissue
• GH stimulates osteoblast & osteoblast
• GH on growth mediated by somatomedins
Action contd…
Effects on mineral metabolism:
• Promotes bone mineralization on growing children
• Mediated by IGF-1, cause +ve nitrogen balance
• Ca2+ , Po4 , Na+
• Promotes retention of Na+, Cl- & K+
Applied aspects
Hyper secretion of GH
• Tumors of acidophilic cell – somatotrophs
• Depending upon age
1. Gigantism
2. Acromegaly
3. Mixed (acromegalic gigantism)
Gigantism
• Abnormal stature
• Large hand & feet
• Thick lips
• Bilateral
gynaecomastia
• Loss of libido
• Hyperglycemia
Acromegaly
Applied aspects cntd…
Hyposecretion
• Dwarfism:
1. Hypothalamic
2. Pituitary
3. Thyroid
4. ↓sed. liver IGF
Recent advances
• A recent study confirms unliganded GHR are in
dimerised state
• Cultured human fibroblast can produce IGF-I
• GH acts on some target to induce Somatomedin-c,
production which in turn acts locally at the site of
production
References
• Text book of medical physiology
Indu Khurana, section -8 chapter 2, page no. 688-703
• Text book of medical physiology, 2nd edition
by G.K. & Pravati Pal,. Section-VI chapter 44 page
no. 323-339
• Text book of physiology, 5th edition by A.K. Jain
Volume -II, unit- IX page no. 683
Functional anatomy of pituitary gland

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Functional anatomy of pituitary gland

  • 1. Functional anatomy of pituitary gland & physiology of growth hormone By: SHANKAR YADAV MSc. Medical Physiology Prachand Man Singh Rajbhandari MSc. Medical Biochemistry Vikram Shrestha MSc. Medical Biochemistry JAWAHARLAL NEHRU MEDICAL COLLEGE
  • 2. Contents • Introduction • History • Gross anatomy & development • Histology • Pituitary hormone • Growth hormone • Recent advances
  • 3. Introduction • Hypothalamic pituitary unit forms unique component of endocrine gland • Controls many aspects of human physiology • From delivery & feeding of baby to growth & development to adulthood • Then to make individual capable of producing progeny • Controls various metabolism, water homeostasis, thyroid & gonad functions
  • 4. History • In 150 AD, Galen –first to describe pituitary • In early 18th century, De Haen described amenorrhea in pituitary tumor patient • In 1742 Joseph Lieutaud, demonstrated hypothalamohypophyseal axis • In 1772 Saucerotte first to describe Acromegaly • In 1794 Frank, distinguished diabetes insipidus from diabetes mellitus • In 1838 Rathke described formation of gland
  • 5. Contd…. • In 1887 Minkowiski, linked pituitary gland to number of symptoms • In 1892 Vassle Sacchi, showed that removal of pituitary affect water & mineral metabolism • In 1907 Schloffer, operate pituitary via nasal route • In 1909 Aschner, demonstrated hypophysectomy in growing animal cause Dwarfism • In 1910 Cushing & team, linked between pituitary & reproduction
  • 7.
  • 11. Synthesis • GH part of hypophyseal-pituitary axis. • Synthesized in somatotroph cells • Response to binding of GHRH to its receptor • Activating gene transcription by cyclic adenosine monophosphate-dependent mechanisms
  • 12. Factors affecting synthesis Factors influence secretion: • peptide hormones GHRH Ghrelin • sex hormone • Choline and L-DOPA by stimulating GHRH • Hypoglycemia, arginin by inhibiting somatostatin release • Deep sleep • Niacin as nicotinic acid (Vitamin B3) • Vigorous exercise
  • 13. Factors inhibiting • GHIH – paraventricular nucleus • Circulating concentrations of GH & IGF negative feedback mechanism • Hyperglycemia • Glucocorticoids • Dihydrotesterone
  • 14. Release • Central and peripheral mechanisms. • Centrally, its synthesis and release are promoted by GHRH and inhibited by somatostatin • Stress, exercise, malnutrition, and anorexia also stimulate its secretion during the day. • The release is counter-regulated by three negative- feedback loops.
  • 15. Circulation, half life & metabolism Plasma level : 2-4 ng/mL Half life : 0-20 minutes Metabolic clearance rate: 350 L/day
  • 16. Somatomedin IGF-I (somatomedin -c) IGF-II (MSA) secretion Independent of GH before birth GH stimulates after birth Independent of GH Secretions are constant throughout postnatal growth Plasma level 10-170 ng/mL 300-800 ng/mL Receptor Similar to insulin receptor Mannose-6-phosphate receptor functions Growth stimulating activity Control skeletal & cartilage growth Growth during fetal development
  • 18.
  • 20. Actions types Direct IGFs mediated Effect on growth IGF-I Effect on metabolism IGF-II
  • 22. Action contd… On bone: • GH promotes linear growth by acting on bone cartilage & connective tissue • GH stimulates osteoblast & osteoblast • GH on growth mediated by somatomedins
  • 23. Action contd… Effects on mineral metabolism: • Promotes bone mineralization on growing children • Mediated by IGF-1, cause +ve nitrogen balance • Ca2+ , Po4 , Na+ • Promotes retention of Na+, Cl- & K+
  • 24. Applied aspects Hyper secretion of GH • Tumors of acidophilic cell – somatotrophs • Depending upon age 1. Gigantism 2. Acromegaly 3. Mixed (acromegalic gigantism)
  • 25. Gigantism • Abnormal stature • Large hand & feet • Thick lips • Bilateral gynaecomastia • Loss of libido • Hyperglycemia
  • 27. Applied aspects cntd… Hyposecretion • Dwarfism: 1. Hypothalamic 2. Pituitary 3. Thyroid 4. ↓sed. liver IGF
  • 28. Recent advances • A recent study confirms unliganded GHR are in dimerised state • Cultured human fibroblast can produce IGF-I • GH acts on some target to induce Somatomedin-c, production which in turn acts locally at the site of production
  • 29. References • Text book of medical physiology Indu Khurana, section -8 chapter 2, page no. 688-703 • Text book of medical physiology, 2nd edition by G.K. & Pravati Pal,. Section-VI chapter 44 page no. 323-339 • Text book of physiology, 5th edition by A.K. Jain Volume -II, unit- IX page no. 683