UPSC MainsMEDICAL-SCIENCE-PAPER-I201515 Marks
Q16.

Enumerate the hormones of posterior pituitary gland and describe their actions in the body.

How to Approach

This question requires a detailed understanding of the neuroendocrine system, specifically the posterior pituitary gland. The answer should begin by establishing the relationship between the hypothalamus and the posterior pituitary. Then, enumerate the hormones produced (not synthesized, but *stored* and released) by the posterior pituitary, and for each hormone, describe its synthesis location, mechanism of action, physiological effects, and clinical relevance. A structured approach, listing each hormone separately with its details, is recommended.

Model Answer

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Introduction

The pituitary gland, often termed the ‘master gland’, plays a crucial role in regulating various physiological processes. It’s divided into anterior and posterior pituitary. The posterior pituitary, also known as neurohypophysis, doesn’t synthesize hormones but stores and releases hormones produced by the hypothalamus. These hormones are vital for maintaining homeostasis, regulating fluid balance, social bonding, and reproductive functions. Understanding the actions of these hormones is fundamental to comprehending numerous physiological and pathological conditions. This answer will enumerate the hormones of the posterior pituitary gland and describe their actions in the body.

Hormones of the Posterior Pituitary Gland and Their Actions

The posterior pituitary gland stores and releases three primary hormones: Vasopressin (Antidiuretic Hormone - ADH), Oxytocin, and a small amount of Corticotropin-Releasing Hormone (CRH).

1. Vasopressin (Antidiuretic Hormone - ADH)

  • Synthesis Location: Hypothalamic neurons (Supraoptic and Paraventricular nuclei).
  • Mechanism of Action: ADH acts on the kidneys, specifically the collecting ducts, increasing water reabsorption. It does this by inserting aquaporin-2 water channels into the apical membrane of collecting duct cells, enhancing permeability to water.
  • Physiological Effects:
    • Water Balance: Reduces urine production, concentrating urine and conserving water.
    • Blood Pressure Regulation: At high concentrations, ADH causes vasoconstriction, increasing blood pressure.
    • Osmoregulation: Maintains plasma osmolarity within a narrow range.
  • Clinical Relevance:
    • Diabetes Insipidus: Deficiency of ADH leads to excessive urination and thirst (central diabetes insipidus).
    • Syndrome of Inappropriate ADH Secretion (SIADH): Excessive ADH secretion causes water retention, hyponatremia, and decreased plasma osmolarity.

2. Oxytocin

  • Synthesis Location: Hypothalamic neurons (Paraventricular and Supraoptic nuclei).
  • Mechanism of Action: Oxytocin acts on smooth muscle cells in the uterus and mammary glands. It binds to oxytocin receptors, triggering intracellular signaling cascades.
  • Physiological Effects:
    • Uterine Contractions: Stimulates strong uterine contractions during labor and delivery.
    • Milk Ejection (Let-Down Reflex): Causes contraction of myoepithelial cells in the mammary glands, releasing milk.
    • Social Bonding & Trust: Plays a role in social recognition, bonding, and trust, often referred to as the "cuddle hormone."
    • Pair Bonding: Important in the formation of pair bonds in animals and potentially humans.
  • Clinical Relevance:
    • Labor Induction: Synthetic oxytocin (Pitocin) is used to induce or augment labor.
    • Postpartum Hemorrhage: Oxytocin helps contract the uterus after delivery, reducing the risk of postpartum hemorrhage.
    • Social Deficits: Research suggests a link between oxytocin levels and social deficits in conditions like autism spectrum disorder.

3. Corticotropin-Releasing Hormone (CRH)

  • Synthesis Location: Hypothalamus
  • Mechanism of Action: CRH is released into the hypophyseal portal system and stimulates the anterior pituitary to release adrenocorticotropic hormone (ACTH). While primarily acting on the anterior pituitary, some CRH is also released into the systemic circulation from the posterior pituitary.
  • Physiological Effects:
    • Stress Response: Activates the hypothalamic-pituitary-adrenal (HPA) axis, leading to cortisol release and the body’s stress response.
    • Anxiety and Fear: Plays a role in the physiological responses to anxiety and fear.
  • Clinical Relevance:
    • Cushing’s Disease: Elevated CRH levels can contribute to Cushing’s disease.
    • Depression and Anxiety Disorders: Dysregulation of the HPA axis and CRH levels are implicated in depression and anxiety disorders.

The release of these hormones is tightly regulated by feedback mechanisms, ensuring appropriate physiological responses to changing conditions. The hypothalamus integrates signals from various parts of the brain and body to modulate hormone secretion.

Conclusion

The posterior pituitary gland, though not a hormone producer itself, is critical for releasing hormones synthesized in the hypothalamus. ADH regulates water balance and blood pressure, while oxytocin governs social bonding, reproduction, and lactation. CRH, though primarily acting on the anterior pituitary, contributes to the stress response. Understanding the intricate actions of these hormones is essential for diagnosing and managing a wide range of endocrine and physiological disorders. Further research into the role of oxytocin in social behavior and the complexities of the HPA axis continues to expand our knowledge in these areas.

Answer Length

This is a comprehensive model answer for learning purposes and may exceed the word limit. In the exam, always adhere to the prescribed word count.

Additional Resources

Key Definitions

Neurohypophysis
The posterior pituitary gland; it is composed of neural tissue and stores and releases hormones produced by the hypothalamus.
Aquaporins
Channel proteins that facilitate the rapid transport of water across cell membranes. Aquaporin-2 is specifically found in the collecting ducts of the kidneys and is regulated by ADH.

Key Statistics

Approximately 99% of individuals with central diabetes insipidus experience a significant improvement in symptoms with desmopressin (synthetic ADH) treatment.

Source: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) - Knowledge cutoff 2023

Studies suggest that approximately 5-10% of postpartum women experience postpartum hemorrhage, and oxytocin administration is a key intervention in reducing this risk.

Source: American College of Obstetricians and Gynecologists (ACOG) - Knowledge cutoff 2023

Examples

Pitocin Use in Labor

Pitocin, a synthetic form of oxytocin, is routinely used in hospitals to induce labor, augment weak labor contractions, or prevent postpartum hemorrhage. It allows for controlled stimulation of uterine contractions, improving the efficiency of the birthing process.

Frequently Asked Questions

What is the difference between central and nephrogenic diabetes insipidus?

Central diabetes insipidus results from insufficient ADH production or release, while nephrogenic diabetes insipidus occurs when the kidneys are unable to respond to ADH, despite adequate levels being present.

Topics Covered

EndocrinologyPhysiologyPituitary GlandHormonesEndocrine System