Hypophysitis

A further totally separate DA pathway arises from A12 in the arcuate nucleus and forms the tuberoinfundibular tract in the median eminence to the pituitary gland for controlling prolactin release. This is partly achieved by DA being released into capillaries of the hypothalamic-hypophyseal portal system and then inhibiting the prolactin releasing cells (lactotrophs) of the anterior pituitary. 

Palkovits, M. Brownstein, M.J. and Zamir, N. Immunoreactive dynorphin and a 1pha-neo-endorphin in rat hypothalamo-neuro-hypophyseal system. Brain Res 278 258, 1983. 

As discussed previously, the neurohypophysis has a direct anatomical connection to the hypothalamus. Therefore, the hypothalamus regulates the release of hormones from the neurohypophysis by way of neuronal signals. Action potentials generated by the neurosecretory cells originating in the hypothalamus are transmitted down the neuronal axons to the nerve terminals in the neurohypophysis and stimulate the release of the hormones into the blood. The tracts formed by these axons are referred to as hypothalamic-hypophyseal tracts (see Figure 10.2). The action potentials are initiated by various forms of sensory input to the hypothalamus. Specific forms of sensory input that regulate the release of ADH and oxytocin are described in subsequent sections in this chapter. 

The adenohypophysis does not have a direct anatomical connection with the hypothalamus therefore, regulation of hormone secretion by way of neuronal signals is not possible. Instead, these two structures are associated by a specialized circulatory system and the secretion of hormones from the adenohypophysis is regulated by hormonal signals from the hypothalamus (see Figure 10.2). Systemic arterial blood is directed first to the hypothalamus. The exchange of materials between the blood and the interstitial fluid of the hypothalamus takes place at the primary capillary plexus. The blood then flows to the adenohypophysis through the hypothalamic-hypophyseal portal veins. Portal veins are blood vessels that connect two capillary beds. The second capillary bed in this system is the secondary capillary plexus located in the adenohypophysis. 

Located in close proximity to the primary capillary plexus in the hypothalamus are specialized neurosecretory cells. In fact, the axons of these cells terminate on the capillaries. The neurosecretory cells synthesize two types of hormones releasing hormones and inhibiting hormones (see Table 10.2). Each of these hormones helps to regulate the release of a particular hormone from the adenohypophysis. For example, thyrotropin-releasing hormone produced by the neurosecretory cells of the hypothalamus stimulates secretion of thyrotropin from the thyrotrope cells of the adenohypophysis. The hypo-thalamic-releasing hormone is picked up by the primary capillary plexus travels through the hypothalamic-hypophyseal portal veins to the anterior pituitary leaves the blood by way of the secondary capillary plexus and exerts its effect on the appropriate cells of the adenohypophysis. The hypophyseal hormone, in this case, thyrotropin, is then picked up by the secondary capillary plexus, removed from the pituitary by the venous blood, and delivered to its target tissue. 

The hypothalamic releasing hormones are peptides. They reach their target cells in the AH lobe by way of a portal vascular route consisting of two serially connected capillary beds. The first of these lies in the hypophyseal stalk, the second corresponds to the capillary bed of the AH lobe. Here, the hypothalamic hormones diffuse from the blood to their target cells, whose activity they control. Hormones released from the AH cells enter the blood, in which they are distributed to peripheral organs (1),... 

Thyroid hormones accelerate metabolism. Their release (A) is regulated by the hypophyseal glycoprotein TSH, whose release, in turn, is controlled by the hypothalamic tripeptide TRH. Secretion of TSH declines as the blood level of thyroid hormones rises by means of this negative feedback mechanism, hormone production is automatically adjusted to demand. 

I. Replacement therapy. The adrenal cortex (AC) produces the glucocorticoid cortisol (hydrocortisone) and the mine-ralocorticoid aldosterone. Both steroid hormones are vitally important in adaptation responses to stress situations, such as disease, trauma, or surgery. Cortisol secretion is stimulated by hypophyseal ACTH, aldosterone secretion by angiotensin 11 in particular (p. 124). In AC failure (primary AC insuffiency ... 

Effect of glucocorticoid administration on adrenocortical cortisol production (A). Release of cortisol depends on stimulation by hypophyseal ACTH, which in turn is controlled by hypothalamic corticotropin-releasing hormone (CRH). In both the hypophysis and hypothalamus there are cortisol receptors through which cortisol can exert a feedback inhibition of ACTH or CRH release. 

Mechanism of Action An antipsychotic that blocks postsynaptic dopamine receptor sites in brain. Has alpha-adrenergic blocking effects, and depresses the release of hypothalamic and hypophyseal hormones. Therapeutic Effect Suppresses psychotic behavior. 

It acts on the hypothalamic-hypophyseal-adrenal axis, antagonizing the existing downregulation [Carta and Calvani 1991]. 

The pituitary gland is situated in sella turcica or hypophyseal fossa of the sphenoid bone attached to the brain by a stalk which is continuous with the part of brain i.e. hypothalamus and there is a communication between the hypothalamus and the pituitary gland by means of nerve fibres and a complex of blood vessels. Pituitary gland consists of three parts - anterior lobe or adenohypophysis, posterior lobe or neurohypophysis and middle lobe or pars intermedia. 

The pituitary gland is composed of anterior and posterior lobes that are attached to the hypothalamus via the infundibulum or hypophyseal stalk, which includes the portal vessels. Processes from GnRH cells in the hypothalamus terminate on or in the vicinity of the portal vessels that convey blood to the anterior lobe of the pituitary. The... 

Somatotropin (STH) (Growth hormone, GH somatotrophic hormone hypophyseal growth hormone) Structure Known and synthesized coiled, unbranched Promotes general growth of organism Promotes skeletal growth, protein anabolism, fat metabolism, carbohydrate metabolism, water, and salt meiabolism Relates with all vitamins in connection with growth actions... 

For complete functional evaluation of the hypothalamic-hypophyseal-adrenal axis one can use synthetic corticorelin (corticotropin-releasing hormone), which is available in both human (hCRH) and ovine (oCRH) forms (1). 

---