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Endocrine
Posterior Pituitary
HORMONE | STIMULATED BY (physiologic) | INHIBITED BY | PHYSIOLOGIC EFFECTS |
---|---|---|---|
Vasopressin (ADH)-Posterior Pituitary | Hyperosmolality Hypovolemia Volume depletion | Hypoosmolality Hypervolemia | Acts on Renal collecting ducts to prevent diuresis (proper fluid balance and acts on the renal collecting ducts to conserve water) Vasoconstriction |
Oxytocin- Posterior Pituitary | Parturition Suckling | Uterine contraction (smooth muscles) during parturition Milk ejection (lactation) | |
Growth Hormone (GH) (physiologic) | GH-releasing hormone (GHRH) Ghrelin ADH GABA Norepinephrine Dopamine Serotonin Estrogen Sleep Stress Exercise | Somatostatin Elevated insulin-like growth factor-1 (IGF-1) Growth Hormone Progesterone Glucocorticoids Postprandial hyperglycemia Elevated free fatty acids | stimulates IGF-I production IGF-I and GH promote growth in all body tissues |
Growth Hormone (GH) (Pharmacologic) | a-adrenergic agonist b-adrenergic ANTAgonists Dopamine agonists GABA agonists | a-adrenergic antagonists b-adrenergic agonists Dopamine antagonist Serotonin antagonist | stimulates IGF-I production IGF-I and GH promote growth in all body tissues |
Prolactin- Physiologic | Thyrotropin- releasing hormone (TRH) Vasoactive intestinal peptide (VIP) Estrogen Serotonin Histamine Endogenous opioids Pregnancy and nursing | Dopamine (hypothalamic release of dopamine) (prolactin inhibitory hormone) inhibits the secretion of prolactin GABA | Lactation |
Prolactin- Pharmacologic | Dopamine antagonists Opiates Estrogen H2-antagonists Monoamine Oxidase (MAO) inhibitors | Dopamine agonists | |
Adrenocorticotropic Hormone (ACTH) physiologic/ pharmalogic | Corticotropin-releasing hormone (CRH) | Elevated cortisol Dopamine agonists (pharmacologic) Somatostatin analogs (pharmacologic) | Glucocorticoid effects Mineralocorticoid effects Androgen (testosterone and estradiol) effects |
Thyroid-stimulating Hormone (TSH) | Thyrotropin- releasing hormone (TRH) Estrogens Norepinephrine Serotonin | Thyroxine (T4) Triiodothyronine (T3) Somatostatin Glucocorticoids Dopamine | Iodine uptake and thyroid hormone synthesis |
Luteinizing Hormone (LH) | Gonadotropin-releasing hormone (GnRH) (pulsatile) Clomiphene (pharmacologic) | Fasting Estrogen Inhibin Testosterone GnRH (tonic, leuprolide) | Ovulation Maintains corpus luteum Stimulates testosterone production |
Follicle-Stimulating Hormone (FSH) | GnRH (pulsatile) Menopause Ovarian disorders Clomiphene | Fasting Estradiol Inhibin GnRH (tonic, leuprolide) | Ovarian follicle development Stimulates estradiol and progesterone Spermatogenesis |