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Growth Hormone is released by: |
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- amino acids - protein meal - starvation- ghrelin - hypglycemia - exercise - sleep |
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exercise and sleep is when growth hormone is tested to see if anterior pituitary is working |
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Effects of growth hormone: |
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- increased anabolism: amino acid transport, protein synthesis, RNA synthesis - Slows catabolism - increases activity of hormone sensitive lipase - decreases CHO utilization |
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Growth hormone has an anti-___ effect in that it spares ___ for the brain. So individuals with high growth hormone levels become ___ resistant and can develop Diabetes. |
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- anti-insulin effect - spares CHO - insulin resistant |
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Hormone sensitive lipase is upregulated by __ ___. This causes the release of ___ ___ during hypoglycemia (alternate fuel to spare glucose for the brain). |
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- growth hormone - fatty acids |
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By what two methods does growth hormone spare blood glucose: |
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- hormone senstive lipase - decreasing utilization of CHO |
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IGF-1, aka ___, aka ___ ___. |
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- Somatomedin - Sulfation factor |
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Both Insulin and IGF-1 are ___. |
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Insulin like growth factors do what? |
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- mediate action of growth hormone on structural growth |
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hypothalamus> SRIH (somatostatin release inhibitory hormone) and GHRH (growth hormone releasing hormone)> anterior pituitary releases GH and IGF-1> IGF-1 has negative feedback on GH release from pituitary and negative feedback on release of GHRH on hypothalamus, IGF-1 also stimulates SRIH |
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- negative feedback on release of GH - negative feedback on release of GHRH - stimulates SRIH release from hypothalamus |
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IGF-1 is made in the ___. |
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hypothalamus> GHRH> anterior pituitary> GH> liver> IGF-1> inhibits GH release and GHRH release and stimulates release of SRIH> stops release of GH |
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- pan (all) - selective (partial vs. complete) - Dwarfism (age of onset, androgens) |
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- bad receptors - no IGF - Bad IGF |
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- excess growth hormone during childhood |
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- excess GH after epiphyseal plates have closed, so hands feet and and skull continue to grow - hyperglycemic - some of this can be managed with analogs of somatostatin |
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Excess growth hormone associated with : |
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Excess growth hormone can be treated how: |
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Corticotropes produce ___ from _____. |
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- ACTH - ProOpioMelanoCortin |
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Melanocyte stimulating hormone: |
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MSH POMC ACTH Relationship to stress and cortisol |
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Peptide Families Endorphins (POMC) Enkephalins (Proenkephalin) Dynorphins (Prodynorphin) Endomorphins Receptors MOR, DOR, KOR Drug Targets |
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Analgesic Euphoria Intestinal Tone (anti-diarrhea strategy) |
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- tolerance - physical dependence |
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