Human Physiology, 14th edition (2016)

(Tina Sui) #1
Endocrine Glands 335

The anterior pituitary secretion of growth hormone is under
the control of two polypeptide hormones from the hypothala-
mus. The secretion of growth hormone–releasing hormone
(GHRH) by the hypothalamus stimulates the anterior pituitary
to secrete growth hormone, whereas somatostatin from the
hypothalamus inhibits growth hormone secretion. A prolactin-
inhibiting hormone, identified as the neuro-transmitter dopa-
mine, inhibits the secretion of prolactin from the anterior pituitary.
This is the most physiologically important regulator of prolactin
secretion, although several factors (including oxytocin and TRH)
have been shown to promote prolactin secretion when dopamine
release declines.

Feedback Control of the Anterior Pituitary

In view of its secretion of releasing and inhibiting hormones,
the hypothalamus might be considered the “master gland.” The
chain of command, however, is not linear; the hypothalamus
and anterior pituitary are controlled by the effects of their own
actions. In the endocrine system, to use an analogy, the general
takes orders from the private. The hypothalamus and anterior
pituitary are not master glands because their secretions are
controlled by the target glands they regulate.
Anterior pituitary secretion of ACTH, TSH, and the gonad-
otropins (FSH and LH) is controlled by negative feedback
inhibition from the target gland hormones. Secretion of ACTH
is inhibited by a rise in corticosteroid secretion, for example,
and TSH is inhibited by a rise in the secretion of thyroxine from
the thyroid. These negative feedback relationships are easily
demonstrated by removal of the target glands. Castration (surgi-
cal removal of the gonads), for example, produces a rise in the
secretion of FSH and LH. In a similar manner, removal of the
adrenals or the thyroid results in an abnormal increase in ACTH
or TSH secretion from the anterior pituitary.
The effects of removal of the target glands demonstrate
that, under normal conditions, these glands exert an inhibi-
tory effect on the anterior pituitary. This inhibitory effect
can occur at two levels: (1) the target gland hormones can
act on the hypothalamus to inhibit the secretion of releasing

Figure 11.15 Hypothalamic control of the anterior
pituitary. Neurons in the hypothalamus secrete releasing
hormones (shown as green spheres) into the blood vessels of
the hypothalamo-hypophyseal portal system. These releasing
hormones stimulate the anterior pituitary to secrete its hormones
(pink spheres) into the general circulation.


Axons to primary
capillaries

Primary
capillaries

Portal venules

Cell body

Median
eminence

Pituitary stalk

Anterior
pituitary

Releasing
hormones

Secondary
capillaries

Posterior pituitary

Anterior
pituitary
hormones

the liver; chapter 18, section 18.5.) The vascular link between
the hypothalamus and the anterior pituitary is thus called the
hypothalamo-hypophyseal portal system.
Regulatory hormones are secreted into the hypothalamo-
hypophyseal portal system by neurons of the hypothalamus. These
hormones regulate the secretions of the anterior pituitary ( fig. 11.15
and table  11.7 ). Thyrotropin-releasing hormone (TRH) stimu-
lates the secretion of TSH, and corticotropin-releasing hormone
(CRH) stimulates the secretion of ACTH from the anterior pitu-
itary. A single releasing hormone, gonadotropin-releasing
hormone, or GnRH, stimulates the secretion of both gonadotropic
hormones (FSH and LH) from the anterior pituitary.


Hypothalamic Hormone Structure Effect on Anterior Pituitary
Corticotropin-releasing hormone (CRH) 41 amino acids Stimulates secretion of adrenocorticotropic hormone (ACTH)
Gonadotropin-releasing hormone (GnRH) 10 amino acids Stimulates secretion of follicle-stimulating hormone (FHS)
and luteinizing hormone (LH)
Prolactin-inhibiting hormone (PIH): dopamine Catecholamine Inhibits prolactin secretion
Somatostatin 14 amino acids Inhibits secretion of growth hormone

Thyrotropin-releasing hormone ( TRH) 3 amino acids Stimulates secretion of thyroid-stimulating hormone (TSH)
Growth hormone-releasing hormone (GHRH) 44 amino acids Stimulates growth hormone secretion

Table 11.7 | Hypothalamic Hormones Involved in the Control of the Anterior Pituitary

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