diencephalon : thalamus + hypothalamus · 2020-02-18 · – hypoglycemia, exercise, fasting •...

32
1 Hypothalamo-hypophysial tract Diencephalon : Thalamus + hypothalamus

Upload: others

Post on 12-May-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

1

Hypothalamo-hypophysial tract

Diencephalon : Thalamus + hypothalamus

Page 2: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

2

Function of

Hypothalamus• Autonomic (Sy. Parasy.)

– Cardiovascular, GI, urinary tract

• Regulation of adenohypophysis

• Secretion of hormones of neurohypophysis

• Regulation of nutrition/energy

– Hunger, satiety, body mass

– Metabolic rate

• Regulation of water balance/blood volume

– Input: thirst =>fluid intake

– Output: urine volume

• Instinctual behaviors

– Defense behavior

– Offensive/aggressive

behavior

– Sexual behavior

• Circadian rhythms

• Sleep/wake

• Thermoregulation

• Respiration

Afferentation:

• Periphery, cereberal cortex, own receptors

Efferentation:

• Neural: somatic, autonomic

• Hormonal

Role of Hypothalamus• Thermoregulation:

– Afferents: thermoreceptors: skin, deep tissue, spinal cord, hypothalamus

– Integrating areas: • Anterior hypothalamus: cooling

• Posterior hypothalamus: heating

• Appetitive behavior:

• Thirst– Afferents: Osmoreceptors, angiotensin II, etc.

– Integrating areas: Lateral superior hypothalamus

• Hunger– Afferents: Glucostat cells, leptin receptors, etc.

– Integrating areas: Ventromedial, arcuate, paraventricular nuclei, lateral hypothalamus

• Sexual behavior– Afferents: estrogen and androgen sensitive cells, etc.

– Integrating areas: anterior ventral hypothalamus

Page 3: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

3

Role of Hypothalamus

• Defensive reactions (fear, rage)

– Afferents: Sensory organs, neocortex

– Integrating areas: Diffuse in the hypothalamus, limbic

system

• Body rhythms

– Afferents: Retina => retinohypothalamic pathway

– Integrating area: Suprachiasmatic nucl.

• Neuroendocrine control– Catecholamines Afferents: Limbic areas

• Integrating areas: Dorsal and posterior hypothalamus

– Vazopresszin: Afferents: osmo- volumen-, baroreceptorok

• Integrating areas: Supraoptic, paraventricular nuclei

– Oxytocin: Afferents: Touch receptors in breast, uterus genitalia

• Integrating areas: Supraoptic, paraventricular nuclei

– Releasing factors:– TRH/TSH (prolactin) : Afferents: Thermoreceptors

• Integrating areas: Paraventricular nuclei

– CRH/ACTH: Afferents: limbic areas, reticular formation; cortisol; suprachiasmatic nucl.

• Integrating areas: Paraventrikular nuclei

– GnRH/FSH, LH Afferents: estrogen, sensory (skin, genitalia), visual stimuli

• Integrating areas: Preoptic area

– PRH/Prolactin Touch receptors in breast

• Integrating areas: Arcuate nucl.

– GRH/GH Afferents: ??

• Integrating areas: Arcuate and periventricular nucl.

– Inhibiting factors• Somatostatin (TSH, GH, prolactin)

• Dopamine (TSH, FSH, LH, prolactin)

Role of Hypothalamus

Page 4: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

4

Anatomy of hypophysis

– anterior lobe,

– pars intermedia,

– posterior lobe

Page 5: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

5

Portal hypophysial vessels

Hormones of adenohypophysis:

� ACTH (adrenocorticotropic hormone), peptid,

cAMP ↑

� TSH (thyroid-stimulating hormone),

glycoprotein, cAMP ↑

� FSH (follicle-stimulating hormone),

glycoprotein, cAMP ↑

� LH (luteinizing hormone), glycoprotein, cAMP

� Prolactin, protein, TRK

� GH (growth hormone), protein, TRK

Page 6: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

6

Regulation of adenohypophysis

• by hypothalamus

– Hypophysiotropic hormones:

• Releasing:

– CRH (corticotropin-releasing hormone),

– GHRH (growth hormone-releasing hormone),

– GnRH (gonadotropin-releasing hormone),

– TRH (thyreotropin-releasing hormone)

– [PRH (prolactin releasing hormone)]

• Inhibiting:

– dopamine (PRL, FSH, LH, TSH),

– somatostatin (TSH, GH, prolactin)

• (Paraventricular nucl.(somatostatin, CRH, TRH), preoptic area

(GnRH), arcuate nucl. (GHRH, dopamine), dorsomedial

nucl.(PRH))

– The role of hypothalamus: rythmicity, pulsating release

Regulation of adenohypophysis

• By negative feedback– T3, T4,

– cortisol,

– IGF1: insulin-like growth factor

– Estrogen, progesteron, inhibin, follistatin, androgens

• By positive feedback– Activin, estrogen

Page 7: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

7

Hormone of pars intermedia

Melanocite-stimulating hormone (α-MSH)

• Peptide (13 AA)

• Origin: POMC (proopiomelanocortin)

• Rudimentary in humans (NO hormone?)

• Action mechanism

– Melanocortin receptor 1 (GPR: cAMP↑)

– (ACTH also activates this receptor in high doses)

• Effect:

– Melanocyte (melanin synthesis ↑)

Page 8: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

8

Secretion of hormones of neurohypophysis by

hypothalamus

• Supraoptic and

paraventricular nuclei

– Antidiuretic hormone

(ADH) (vasopressin)

– Oxytocin

1. ACTH

• Peptide (39 AA)

• Origin from proopiomelanocortin (POMC)

Page 9: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

9

• Action mechanism:

– GPR => cAMP ↑

• Regulation:

– Stress ↑

• CRH ↑

• ADH ↑

– Cortisol ↓

– ACTH ↓

Daily rhytm – (highest level at morning)

Effects:

– Activation of adrenal cortex => secretion of cortisol,

androgens and aldosterone

Page 10: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

10

Glycoprotein (210 AA)

Action mechanism:

GPR (cAMP↑)

Regulation:

TRH (cold?) ↑

somatostatin ↓

dopamine ↓

T3, T4 ↓

Effects:

– Activation of the thyroid gland => T3, T4 ↑

2. TSH

Page 11: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

11

3. FSH 4. LHGlycoprotein (FSH:210; LH:213 AA)

– Actionmechanism: GPR (cAMP ↑)

– Regulation:

• GnRH ↑; dopamine ↓

• estrogen, ↓ ↑; progesterone ↓; inhibin, ↓; follistatin ↓, androgens ↓,

• Activin ↑

– Functions:

• FSH: development of collicle => estrogen secretion ↑

• male: spermiogenesis

• LH: ovulation, corp. Luteum => progesterone, estrogensecretion ↑

• Male: testosterone synthesis ↑

Page 12: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

12

5. Prolactin

• Protein (199 AA)

• Action mechanism:

– Enzyme-linked receptor

• Regulation:

– inhibition by

• Dopamine, somatostatin

– Facilitation by

• estrogen,

• TRH,

• PRH

• Pregnancy

• Nursing

• Breast stimulation

• sleeping

Page 13: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

13

Effects of prolactin

• Milk secretion (production),

• GnRH inhibition

• Establishment of maternal behavior

• Sleep regulation,

Daily rythm (max: night, min: at noon),

Pulsation

Page 14: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

14

6. Growth hormone (GH)

• Protein

• metabolism: liver

• Action mechanism:

– Activation of GH receptors (enzyme-linked and GPR)

• Through IGF-I (insulin-like growth factor)

Page 15: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

15

GH-receptor

• Cytokine receptor

• Transzmembrane

glycoprotein

• 2 binding sites of GH for

receptor dimerization

• Activation of cytoplasmic

Janus kinases

• Modulation of gene

expression

Effects:• Basal metabolism ↑ (15%)

• Chondrogenesis in cartilaginous epiphysial plates =>

epiphysial growth =>increased length (stature)

• IGF secretion from liver ↑

• Increase of viscera and muscle

• ACTH-like effects: adrenal cortex

• Androgen-like effects: increase of genitalia

• Se. phosphate level ↑

• Se urea, aminoacid levels ↓

• Increased red blood cell production

• Increased Calcium intestinal absorption

• Descresed Na+, K+ excretion in the urine (Na+ retention)

Page 16: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

16

• Protein metabolism:

– Anabolism ↑

– Nitrogen balance: +

• Carbohyrate metabolism: blood glucose level ↑(diabetogenic)

– hepatic glucose output ↑

– It exerts anti-insulin effect in muscle

– Number and sensitivity of insulin receptors ↑

– Sensitivity of pancreas to glucose ↑ => insulin secr. ↑

• Fat metabolism: lipolysis ↑ => Se. FFA ↑ level => ketogenic effect

Effects: Intermedier metabolism

Page 17: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

17

Regulation of GH secretion

• Hypothalamus: GHRH (↑), somatostatin (↓)– Stimuli that increase secretion:

• Deficiency of energy substrate:

– Hypoglycemia, exercise, fasting

• High level of certain amino acids

– Protein meal, infusion of arginine and some other amino acids

• Glucagon

• Stressful stimuli

– Pyrogen, ADH, various psychologic stresses (cerebral cortex)

• Going to sleep

• Estrogens and androgens

– Stimuli that decrease secretion:• REM sleep

• Glucose

• Cortisol

• FFA

• GH/IGF

Page 18: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

18

Physiology of growth

• GH/IGF-1

• T3,T4

• glucocorticoids

• estrogens

• androgens

• insulin

• genetic factors

• Nutrition: proteins, vitamins, minerals, calories

Page 19: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

19

Growth periods

• Rat continue growth

• Human

– During fetal life: there is no need for GH

– After birth

• Two periods

– Infancy: T3, T4, GH,

– Late puberty: GH, androgens, estrogens

– The cause of cessation of growth: closure of

epiphyses by gonadal hormones

– Sexual differences in growth

The role of the hormones

• GH:

– Deficiency:

• In young people:

– dwarf (proportion characteristic), no sexual maturation

• In adults:

– decreased metabolism

– Overproduction.

• In young people:

– gigantism

• In adults:

– acromegaly

Page 20: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

20

Page 21: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

21

• T3,T4: permissive effect

– Ossification of cartilage

– Growth of teeth

– Contours of face

– Proportion of the body

– Deficiency: cretin

• Inzulin: permissive effect

• Sexual hormones:

– Importance at puberty

– Ossification of epiphysial cartilage

• Glucocorticoids: permissive effect

Page 22: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

22

Neurohypophysis• Hormones: only storage in hypophysis

– ADH (vasopressin)

– Oxytocin

• Hormone production: hypothalamus Supraoptic, Paraventricular nuclei

Page 23: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

23

ADHADH•Antidiuretic hormone (vasopressin)

Action mechanism

GPR

V1: IP3/DAG ↑

V2: cAMP ↑

Effects:

• Kidney:• V2 receptor: Aquaporin2/urea transzporter integration into the membrane ↑

=> permeability to water/urea ↑=> water/urea reabsorption ↑ => osmolarity of renal medullary insterstitial fluid ↑ (1200 mOsm/L)

– Blood vessels:

• V1 receptor: vasoconstriction (filtration ↓ )

Deficiency: Diabetes insipidus

Page 24: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

24

Changes in osmolarity of the tubular fluid as it passes through the different

tubular segments in the presence of high levels of antidiuretic hormone (ADH) and

in the absence of ADH.

Action

mechanism of

ADH

Page 25: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

25

Increase Inhibit

Increased plasma osmolarity

Decreased blood volume

Decreased blood pressure

Angiotensin II

Nausea

Hypoxia

Pain

Exercise

Regulation of ADH secretion

Decreased plasma osmolarity

Increased blood volume

Increased blood pressure

Alcohol

Page 26: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

26

Hormonal control

of osmolarity by

ADH

Page 27: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

27

Oxytocin (9 AA)• Action mechanism

Metabotropic receptor => IP3/DAG => IC calcium level ↑

Page 28: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

28

Effects• Milk ejaculation reflex (myoephithel cell contraction)

• Uterus contraction (enhanced by estrogen, inhibited byprogesterone)

• Luteolysis

• Increased time of ejaculation (contraction of vas deferens)

• Establishment of maternal behavior

• Learning, pain, memory

Regulation of secretion:

• Neuroendocrin reflex mechanism: mechanical

stimuli (breast, genitalia) emotional stimuli in

lactating women

– In late pregnancy the number of oxytocin

receptors, and the secretion of oxytocin

increase

• Stressful stimuli => increase

• Alcohol => decrease

Page 29: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

29

Page 30: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

30

Pineal gland

– Atrophy in adult

• Hormone:

– melatonin (tryptophane

derivative)

• Metabolism: liver

Page 31: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

31

• Action mechanism: (metabotropic receptors)– MT1 (cAMP ↓) és MT2 (PLC ↑) receptor

• Effects:

– (it lightens the skin of tadpole)

– It determines the circadian and sesonal rhythms

– It regulates sleep/wake rhythms

– It determines sexual development and activity

• Inhibition of the LH release

– Free radical scavenger

– antidepressant

Regulation of melatonin secretion

• Light stimuli (eye) ) => Hypothalamus (nucl. Suprachiasmatic) => Sympathetic fiber inhibition (Superior cervical ganglion); (beta1-receptor) => daily rhythms (highest level during night)

• (Blind people with free-running circadian rhythm)

Page 32: Diencephalon : Thalamus + hypothalamus · 2020-02-18 · – Hypoglycemia, exercise, fasting • High level of certain amino acids – Protein meal, infusion of arginine and some

32