Hormone, pituitary thyroid

Types of autoimmune diseases vary widely, from organ-specific diseases such as thyroiditis where there may be stimulation (thyrotoxicosis) by antibody against the receptor for pituitary thyroid-stimulating hormone (TSH) or inhibition (myxoedema) by cell destruction probably mediated by NK cells and autoantibody, through to non-... 

FIGURE 41-1. Hypothalamic-pituitary-thyroid axis. Thyrotropinreleasing hormone (TRH) is synthesized in the neurons within the paraventricular nucleus of the hypothalamus. TRH is released into the hypothalamic-pituitary portal circulation and carried to the pituitary, where it activates the pituitary to synthesize and release thyrotropin (TSH). TSH activates the thyroid to stimulate the synthesis and secretion of thyroxine (T4) and triiodothyronine (T3). T4 and T3 inhibit TRH and TSH secretion, closing the feedback loop. 

Cannabimimetics are also shown to affect reproductive and metabolic functions indirectly by hormonal modulation through the hypothalamic and pituitary regulatory centers. They are found to reduce serum levels of the luteinizing hormone, prolactin, growth hormone, and thyroid-stimulating hormone, and to increase corticotropin (Murphy, 1998). 

In permissiveness, one hormone enhances the responsiveness of the target tissue to a second hormone in other words, the first hormone increases the activity of the second. For example, the normal maturation of the reproductive system requires reproductive hormones from the hypothalamus, pituitary, and gonads as well as the presence of thyroid hormone. Although thyroid hormone by itself has no effect on the reproductive system, if it is absent the development of this system is delayed. Therefore, thyroid hormone is considered to have a permissive effect on the reproductive hormones, facilitating their actions causing sexual maturation. 

FIGURE 52-1 Schematic representation of possible and known reciprocal interactions among hypothalamic, pituitary, thyroid, adrenal and gonadal hormones. 

There are several ways by which TSH secretion can be increased. An increased hepatic enzyme activity may cause an increased metabolism of thyroid hormones, leading to lower semm hormone levels, which in mm leads to increased secretion of TRH, and subsequently increased TSH secretion. Regarding human relevance, the pathways for regulation of the hypothalamo-pituitary-thyroid axis of rats and humans are similar and the mechanism is relevant for humans, but the human system is far more resistant to perturbation. 

Nemeroff CB, Bissette G, Martin JB, et al Effect of chronic treatment with thyrotropin-releasing hormone (TRH) or an analog of TRH (hnear-beta-alanine TRH) on the hypothalamic-pituitary-thyroid axis. Neuroendocrinology 30 193-199, 1980... 

Anterior Stimulates secretion of thyroid hormones pituitary... 

The hypothalamic-pituitary-thyroid axis. Acute psychosis or prolonged exposure to cold may activate the axis. Hypothalamic thyroidreleasing hormone (TRH) stimulates pituitary thyroid-stimulating hormone (TSH) release, while somatostatin and dopamine inhibit it. TSH stimulates T4 and T3 synthesis and release from the thyroid, and they in turn inhibit both TRH and TSH synthesis and release. 

The many effects of lithium on thyroid physiology and on the hypothalamic-pituitary axis and their clinical impact (goiter, hypothyroidism, and hyperthyroidism) have been reviewed (620). Lithium has a variety of effects on the hypothalamic-pituitary-thyroid axis, but it predominantly inhibits the release of thyroid hormone. It can also block the action of thyroid stimulating hormone (TSH) and enhance the peripheral degradation of thyroxine (620). Most patients have enough thyroid reserve to remain euthyroid during treatment, although some initially have modest rises in serum TSH that normalize over time. 

Anterior Lobe. The anterior pituitary, or adenohypophysis, secretes six important peptide hormones. The anterior pituitary releases growth hormone (GH), luteinizing hormone (LH), follicle-stimulating hormone (FSH), thyroid-stimulating hormone (TSH), adrenocorticotropic hormone (ACTH), and prolactin (Pr). The physiologic effects of these hormones are listed in Table 28-1. 

Nikrodhanond AA, Ortiga-Carvalho TM, Shibusawa N, et al. Dominant role of thyrotropin-releasing hormone in the hypothalamic-pituitary-thyroid axis. J Biol Chem. 2006 281 5000-5007. 

Fig. 6. Hormones of the hypothalamic-pituitary axis and the glands and target organs they regulate (ACTH = adrenocorticotropic hormone LH = luteinizing hormone FSH = follicle stimulating hormone TSH = thyroid stimulating hormone PRL = prolactin GH = growth hormone).

The hypothalamus-pituitary, thyroid, parathyroid, pancreas, adrenals, ovary, and testes are considered to be the principal endocrine glands producing hormones. A more complete list of the major endocrine hormones and their primary gland of origin is shown in Table 9.1. 

Thyroid disorders may be divided into over- and underproduction of the thyroid hormones. These may be caused by thyroid gland disorders or disorders of the pituitary gland (TSH production) or hypothalamus (thyrotropin-releasing hormone release). Thyroid hormone deficiency in infancy may cause mental retardation if it is not corrected immediately after birth. For this reason, many states require thyroid function tests in all newborns. In adults, thyroid deficiency may be caused by Hashimoto s thyroiditis, an immune disorder, or dietary iodine deficiency, in which case it is called simple goiter. The term "myxedema" has been used to refer to hypothyroidism of whatever cause. Myxedemas may... 

Fail PA, Anderson S A, Friedman MA (1999) Response of the pituitary and thyroid to tropic hormones in Sprague-Dawley versus Fischer 344 male rats. Toxicol Sci 52 107-121 Kyung OY, Narayanan L, Mattie DR, Godfrey RJ, Todd PN, Sterner TR, Mahle DA, Lumpkin MH, Fisher JW (2002) The Pharmacokinetics of Perchlorate and Its Effect on the Hypothalamus-Pituitary-Thyroid Axis in the Male Rat. Toxicol Applied Pharmacol 182 148-159... 

Small doses of levothyroxine in normal subjects merely depress pituitary thyroid stimulating hormone (TSH) production and consequently reduce the output of thyroid hormone by an equivalent amount. 

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