Anterior pituitary
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| Anterior pituitary | |
|---|---|
 | |
| Pituitary gland. (Most of the orange region is "pars distalis", but the part at the top is "pars tuberalis".) | |
 | |
| Median sagittal through the hypophysis of an adult monkey. Semidiagrammatic. | |
| Latin | lobus anterior hypophyseos |
| Gray's | subject #275 1275 |
| Precursor | oral mucosa (Rathke's pouch) |
| MeSH | Anterior+Pituitary+Gland |
| Dorlands/Elsevier | a_14/12111161 |
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The anterior pituitary (also called the adenohypophysis, from Greek adeno, "gland"; hypo, "under"; physis, "growth"; hence, glandular undergrowth) comprises the anterior lobe of the pituitary gland and is part of the endocrine system. Unlike the posterior lobe, the anterior lobe is genuinely glandular, hence the root adeno in its name.
Under the influence of the hypothalamus, the anterior pituitary produces and secretes several peptide hormones that regulate many physiological processes including stress, growth, and reproduction.
Regions
The term "pars distalis" is sometimes used as a synonym for the the anterior pituitary, but this is not quite correct. The anterior pituitary is usually divided into three regions:
- pars distalis ("distal part") - the majority of the anterior pituitary
- pars tuberalis ("tubular part") - a sheath extending up from the pars distalis and wrapping around the pituitary stalk
- pars intermedia ("intermediate part") - sits between the bulk of the anterior pituitary and the posterior pituitary and is often very small in humans
The function of the tuberalis is not well characterized, and most of the rest of this article refers primarily to the distalis.
Embryology
Unlike the posterior pituitary (pars nervosa), which originates from neural ectoderm, the anterior pituitary arises from an invagination of the oral mucosa called Rathke's pouch (which is itself ectoderm derived).
This differentiation is exhibited by the fact that while the posterior pituitary merely secretes those hormones produced in the hypothalamus (ADH and oxytocin), the anterior pituitary actually produces its hormones, while being under control of the hypothalamus as to when they should be secreted.
Major hormones secreted
| Hormone | Other names | Symbol(s) | Secretory cells (staining type) | Target | Effect |
|---|---|---|---|---|---|
| Adrenocorticotropic hormone | Corticotropin | ACTH | Corticotrophs (basophil) | Adrenal gland | Secretion of glucocorticoids |
| Endorphins | - | - | - | - | Inhibit perception of pain |
| Follicle-stimulating hormone | - | FSH | Gonadotrophs (basophil) | Ovaries, Testes | Growth of reproductive system |
| Growth hormone | Somatotropin | GH, STH | Somatotrophs (acidophil) | Liver, adipose tissue | Promotes growth; lipid & carbohydrate metabolism |
| Luteinizing hormone (females), Interstitial Cell Stimulating Hormone (males) | Lutropin | LH, ICSH | Gonadotrophs (basophil) | Ovaries, Testes | Sex hormone production |
| Prolactin | - | PRL | Lactotrophs, also known as Mammotrophs (acidophil) | Ovaries, mammary glands | Secretion of estrogens/progesterone; milk production |
| Thyroid-stimulating hormone | Thyrotropin | TSH | Thyrotrophs (basophil) | Thyroid gland | Secretion of thyroid hormones |
A useful acronym for the hormones secreted by the anterior pituitary is 'FLAT PEG' (FSH, LH, ACTH, TSH, Prolactin, Endorphins, GH).
Hypothalamic releasing and release-inhibiting factors
Hormone secretion from the anterior pituitary gland is regulated by hormones secreted by the hypothalamus. Neuroendocrine neurons in the hypothalamus project axons to the median eminence, at the base of the brain. At this site, these neurons can release substances into small blood vessels that travel directly to the anterior pituitary gland (the hypothalamo-hypophysial portal vessels).
| Name | Other Names | Abbreviations | Location | Function |
|---|---|---|---|---|
| Corticotropin-releasing hormone | Corticotropin-releasing factor, Corticoliberin | CRH, CRF | parvocellular neuroendocrine neurons in the paraventricular nucleus | with vasopressin, stimulates secretion of ACTH |
| Dopamine | Prolactin-inhibiting hormone | DA, PIH | neuroendocrine neurons of the arcuate nucleus | inhibits secretion of prolactin |
| Gonadotropin-releasing hormone | Luteinising-hormone releasing hormone | GnRH, LHRH | neuroendocrine neurons in the medial preoptic and arcuate nuclei | stimulates secretion of LH and FSH |
| Growth hormone-releasing hormone | Growth-hormone-releasing factor, somatocrinin | GHRH, GHRF, GRF | arcuate nucleus neuroendocrine neurons | stimulates secretion of growth hormone |
| Somatostatin | Growth hormone-inhibiting hormone, Somatotropin release-inhibiting factor | SS, GHIH, SRIF | neuroendocrine neurons of the periventricular nucleus | inhibits secretion of growth hormone |
| Thyrotropin-releasing hormone | Thyrotropin-releasing factor, Thyroliberin, Protirelin | TRH, TRF | parvocellular neuroendocrine neurons in the paraventricular and anterior hypothalamic nuclei | stimulates secretion of TSH |
| Vasopressin | Arginine vasopressin, Antidiuretic hormone, Argipressin | AVP, ADH | parvocellular neuroendocrine neurons in the paraventricular nucleus | with Corticotropin-releasing hormone, stimulates secretion of ACTH |
Additional images
 The anterior pituitary is the anterior, glandular lobe of the pituitary gland. |
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See also
External links
Pituitary and hypothalamic hormones and analogues (H01) | |
|---|---|
| Anterior pituitary | Adrenocorticotropic hormone (Corticotropin, Tetracosactide) - Thyrotropin - Somatropin/agonists (Somatrem, Mecasermin, Sermorelin) - other (Pegvisomant) |
| Posterior pituitary | Vasopressin (Desmopressin, Lypressin, Terlipressin, Ornipressin, Argipressin) - Oxytocin (Demoxytocin, Carbetocin) |
| Hypothalamic | gonadotropin-releasing hormones (Gonadorelin, Nafarelin, Histrelin) - antigrowth hormone (Somatostatin, Octreotide, Lanreotide) - anti-gonadotropin-releasing hormones (Ganirelix, Cetrorelix) |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
