Hypothalamus

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Brain: Hypothalamus
Location of the human hypothalamus
Dienchephalon
Latin	hypothalamus
Gray's	subject #189 812
NeuroNames	hier-358
MeSH	Hypothalamus

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The hypothalamus links the nervous system to the endocrine system via the pituitary gland (hypophysis). The hypothalamus, (from Greek ὑποθαλαμος = under the thalamus) is located below the thalamus, just above the brain stem. This gland occupies the major portion of the ventral region of the diencephalon. It is found in all mammalian brains. In humans, it is roughly the size of an almond.

The hypothalamus regulates certain metabolic processes and other activities of the Autonomic Nervous System activities. It synthesizes and secretes neurohormones, often called hypothalamic-releasing hormones, and these in turn stimulate or inhibit the secretion of pituitary hormones.

The hypothalamus controls body temperature, hunger, thirst,^[1] and circadian cycles.

Inputs

The hypothalamus is a very complex region, and even small nuclei within the hypothalamus are involved in many different functions. The paraventricular nucleus for instance contains oxytocin and vasopressin neurons which project to the posterior pituitary, but also contains neurons that regulate ACTH and TSH secretion (which project to the anterior pituitary), gastric reflexes, maternal behavior, blood pressure, feeding, immune responses, and temperature.

The hypothalamus co-ordinates many seasonal and circadian rhythms, complex patterns of neuroendocrine outputs, complex homeostatic mechanisms,^[2] and many important stereotyped behaviours. The hypothalamus must therefore respond to many different signals, some of which are generated externally and some internally. It is thus richly connected with many parts of the CNS, including the brainstem reticular formation and autonomic zones, the limbic forebrain (particularly the amygdala, septum, diagonal band of Broca, and the olfactory bulbs, and the cerebral cortex).

The hypothalamus is responsive to:

• Light: daylength and photoperiod for generating circadian and seasonal rhythms
• Olfactory stimuli, including pheromones
• Steroids, including gonadal steroids and corticosteroids
• Neurally transmitted information arising in particular from the heart, the stomach, and the reproductive tract
• Autonomic inputs
• Blood-borne stimuli, including leptin, ghrelin, angiotensin, insulin, pituitary hormones, cytokines, plasma concentrations of glucose and osmolarity etc
• Stress
• Invading microorganisms by increasing body temperature, resetting the body's thermostat upward.

Olfactory stimuli

Olfactory stimuli are important for reproduction and neuroendocrine function in many species. For instance if a pregnant mouse is exposed to the urine of a 'strange' male during a critical period after coitus then the pregnancy fails (the Bruce effect). Thus during coitus, a female mouse forms a precise 'olfactory memory' of her partner which persists for several days. Pheromonal cues aid synchronisation of oestrus in many species; in women, synchronised menstruation may also arise from pheromonal cues, although the role of pheromones in humans is doubted by some.

Blood-borne stimuli

Peptide hormones have important influences upon the hypothalamus, and to do so they must evade the blood-brain barrier. The hypothalamus is bounded in part by specialized brain regions that lack an effective blood-brain barrier; the capillary endothelium at these sites is fenestrated to allow free passage of even large proteins and other molecules. Some of these sites are the sites of neurosecretion - the neurohypophysis and the median eminence. However others are sites at which the brain samples the composition of the blood. Two of these sites, the subfornical organ and the OVLT (organum vasculosum of the lamina terminalis) are so-called circumventricular organs, where neurons are in intimate contact with both blood and CSF. These structures are densely vascularized, and contain osmoreceptive and sodium-receptive neurons which control drinking, vasopressin release, sodium excretion, and sodium appetite. They also contain neurons with receptors for angiotensin, atrial natriuretic factor, endothelin and relaxin, each of which is important in the regulation of fluid and electrolyte balance. Neurons in the OVLT and SFO project to the supraoptic nucleus and paraventricular nucleus, and also to preoptic hypothalamic areas. The circumventricular organs may also be the site of action of interleukins to elicit both fever and ACTH secretion, via effects on paraventricular neurons.

It is not clear how all peptides that influence hypothalamic activity gain the necessary access. In the case of prolactin and leptin, there is evidence of active uptake at the choroid plexus from blood into CSF. Some pituitary hormones have a negative feedback influence upon hypothalamic secretion; for example, growth hormone feeds back on the hypothalamus, but how it enters the brain is not clear. There is also evidence for central actions of prolactin and TSH.

Steroids

The hypothalamus contains neurons that are sensitive to gonadal steroids and glucocorticoids – (the steroid hormones of the adrenal gland, released in response to ACTH). It also contains specialised glucose-sensitive neurons (in the arcuate nucleus and ventromedial hypothalamus), which are important for appetite. The preoptic area contains thermosensitive neurons; these are important for TRH secretion.

Neural inputs

The hypothalamus receives many inputs from the brainstem; notably from the nucleus of the solitary tract, the locus coeruleus, and the ventrolateral medulla. Oxytocin secretion in response to suckling or vagino-cervical stimulation is mediated by some of these pathways; vasopressin secretion in response to cardiovascular stimuli arising from chemoreceptors in the carotid sinus and aortic arch, and from low-pressure atrial volume receptors, is mediated by others. In the rat, stimulation of the vagina also causes prolactin secretion, and this results in pseudo-pregnancy following an infertile mating. In the rabbit, coitus elicits reflex ovulation. In the sheep, cervical stimulation in the presence of high levels of estrogen can induce maternal behavior in a virgin ewe. These effects are all mediated by the hypothalamus, and the information is carried mainly by spinal pathways that relay in the brainstem. Stimulation of the nipples stimulates release of oxytocin and prolactin and suppresses the release of LH and FSH.

Cardiovascular stimuli are carried by the vagus nerve, but the vagus also conveys a variety of visceral information, including for instance signals arising from gastric distension to suppress feeding. Again this information reaches the hypothalamus via relays in the brainstem.

Nuclei

The hypothalamic nuclei include the following:^[3][4][5]

Region	Medial Area	Lateral Area
Anterior	Medial preoptic nucleus Supraoptic nucleus Paraventricular nucleus Anterior hypothalamic nucleus Suprachiasmatic nucleus	Lateral preoptic nucleus Lateral nucleus Part of supraoptic nucleus
Tuberal	Dorsomedial hypothalamic nucleus Ventromedial nucleus Arcuate nucleus	Lateral nucleus Lateral tuberal nuclei
Posterior	Mammillary nuclei (part of mammillary bodies) Posterior nucleus	Lateral nucleus

See also: ventrolateral preoptic nucleus

Outputs

The outputs balsphemy of the hypothalamus can be divided into two categories: neural projections, and endocrine hormones.^[6]

Neural projections

Most fiber systems of the hypothalamus run in two ways (bidirectional).

• Projections to areas caudal to the hypothalamus go through the medial forebrain bundle, the mammillotegmental tract and the dorsal longitudinal fasciculus.
• Projections to areas rostral to the hypothalamus are carried by the mammillothalamic tract, the fornix and terminal stria.

Endocrine hormones

Most of the hypothalamic hormones generated are distributed to the pituitary via the hypophyseal portal system.^[7]

The primary hypothalamic hormones are:

See also: Hypocretin

Control of food intake

The extreme lateral part of the ventromedial nucleus of the hypothalamus is responsible for the control of food intake. Stimulation of this area causes increased food intake. Bilateral lesion of this area causes complete cessation of food intake. Medial parts of the nucleus have a controlling effect on the lateral part. Bilateral lesion of the medial part of the ventromedial nucleus causes hyperphagia and obesity of the animal. Further lesion of the lateral part of the ventromedial nucleus in the same animal produces complete cessation of food intake.

There are different hypotheses related to this regulation:^[8]

1. Lipostatic hypothesis - this hypothesis holds that adipose tissue produces a humoral signal that is proportionate to the amount of fat and acts on the hypothalamus to decrease food intake and increase energy output. It has been evident that a hormone leptin acts on the hypothalamus to decrease food intake and increase energy output.
2. Gutpeptide hypothesis - gastrointestinal hormones like Grp, glucagons, CCK and others claimed to inhibit food intake. The food entering the gastrointestinal tract triggers the release of these hormones which acts on the brain to produce satiety. The brain contains both CCK-A and CCK-B receptors.
3. Glucostatic hypothesis - the activity of the satiety center in the ventromedial nuclei is probably governed by the glucose utilization in the neurons. It has been postulated that when their glucose utilization is low and consequently when the arteriovenous blood glucose difference across them is low, the activity across the neurons decrease. Under these conditions, the activity of the feeding center is unchecked and the individual feels hungry. Food intake is rapidly increased by intraventricular administration of 2-deoxyglucose therefore decreasing glucose utilization in cells.
4. Thermostatic hypothesis - according to this hypothesis, a decrease in body temperature below a given set point stimulates appetite, while an increase above the set point inhibits appetite.

Sexual dimorphism

Several hypothalamic nuclei are sexually dimorphic, i.e. there are clear differences in both structure and function between males and females.

Some differences are apparent even in gross neuroanatomy: most notable is the sexually dimorphic nucleus within the preoptic area, which is present only in males. However most of the differences are subtle changes in the connectivity and chemical sensitivity of particular sets of neurons.

The importance of these changes can be recognised by functional differences between males and females. For instance, the pattern of secretion of growth hormone is sexually dimorphic, and this is one reason why in many species, adult males are much larger than females.

Responses to ovarian steroids

Other striking functional dimorphisms are in the behavioral responses to ovarian steroids of the adult. Males and females respond differently to ovarian steroids, partly because the expression of estrogen-sensitive neurons in the hypothalamus is sexually dimorphic, i.e. estrogen receptors are expressed in different sets of neurons.

Estrogen and progesterone act by influencing gene expression in particular neurons. To influence gene expression, estrogen binds to an intracellular receptor, and this complex is translocated to the cell nucleus where it interacts with regions of the DNA known as estrogen regulatory elements (EREs). Increased protein synthesis may follow as soon as 30 min later. Thus, for estrogen to influence the expression of a particular gene in a particular cell, the following must occur:

• the cell must be exposed to estrogen
• the cell must express estrogen receptors
• the gene must be one that is regulated by an ERE.

Male and female brains differ in the distribution of estrogen receptors, and this difference is an irreversible consequence of neonatal steroid exposure. Estrogen receptors (and progesterone receptors) are found mainly in neurons in the anterior and mediobasal hypothalamus, notably:

• the preoptic area (where LHRH neurons are located)
• the periventricular nucleus (where somatostatin neurons are located)
• the ventromedial hypothalamus (which is important for sexual behavior).

Gonadal steroids in neonatal life of rats

In neonatal life, gonadal steroids influence the development of the neuroendocrine hypothalamus. For instance, they determine the ability of females to exhibit a normal reproductive cycle, and of males and females to display appropriate reproductive behaviors in adult life.

• If a female rat is injected once with testosterone in the first few days of postnatal life (during the "critical period" of sex-steroid influence), the hypothalamus is irreversibly masculinized; the adult rat will be incapable of generating an LH surge in response to estrogen (a characteristic of females), but will be capable of exhibiting male sexual behaviors (mounting a sexually receptive female).
• By contrast, a male rat castrated just after birth will be feminized, and the adult will show female sexual behavior in response to estrogen (sexual receptivity, lordosis}.

Androgens in primates

In primates, the developmental influence of androgens is less clear, and the consequences are less complete. 'Tomboyism' in girls might reflect the effects of androgens on the fetal brain, but the sex of rearing during the first 2-3 years is believed by many to be the most important determinant of gender identity, because during this phase either estrogen or testosterone will have permanent effects on either a female or male brain, influencing both heterosexuality and homosexuality.^[9]

The paradox is that the masculinizing effects of testosterone are mediated by estrogen. Within the brain, testosterone is aromatized to (estradiol), which is the principal active hormone for developmental influences. The human testis secretes high levels of testosterone from about week 8 of fetal life until 5-6 months after birth (a similar perinatal surge in testosterone is observed in many species), a process that appears to underlie the male phenotype. Estrogen from the maternal circulation is relatively ineffective, partly because of the high circulating levels of steroid-binding proteins in pregnancy.

Other influences upon hypothalamic development

Sex steroids are not the only important influences upon hypothalamic development; in particular, pre-pubertal stress in early life determines the capacity of the adult hypothalamus to respond to an acute stressor.^[10] Unlike gonadal steroid receptors, glucocorticoid receptors are very widespread throughout the brain; in the paraventricular nucleus, they mediate negative feedback control of CRF synthesis and secretion, but elsewhere their role is not well understood.

Effects of aging on the hypothalamus

Studies in female mice have shown that both Supraoptic nucleus (SON) and Paraventricular nucleus (PVN) lose approximately one-third of IGF-1R immunoreactive cells with normal aging. Also, Old caloricly restricted (CR) mice lost higher numbers of IGF-1R non-immunoreactive cells while maintaining similar counts of IGF-1R immunoreactive cells in comparison to Old-Al mice. Consequently, Old-CR mice show a higher percentage of IGF-1R immunoreactive cells reflecting increased hypothalamic sensitivity to IGF-1 in comparison to normally aging mice. ^{[11] [12] [13]}

See also

• HPA axis
• Neuroendocrinology

Additional images

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 anterior pituitary to secrete ACTH
Dopamine	Prolactin-inhibiting hormone	DA, PIH	neuroendocrine neurons of the arcuate nucleus	inhibits secretion of prolactin from the anterior pituitary
Gonadotropin-releasing hormone	Luteinising-hormone releasing hormone	GnRH, LHRH	neuroendocrine neurons in the medial preoptic and arcuate nuclei	stimulates anterior pituitary to secrete LH and FSH
Growth hormone-releasing hormone	Growth-hormone-releasing factor, somatocrinin	GHRH, GHRF, GRF	arcuate nucleus neuroendocrine neurons	stimulates anterior pituitary to secrete growth hormone
Melatonin			suprachiasmatic nucleus
Somatostatin	Growth hormone-inhibiting hormone, Somatotropin release-inhibiting factor	SS, GHIH, SRIF	neuroendocrine neurons of the periventricular nucleus	inhibits secretion of growth hormone from the anterior pituitary
Thyrotropin-releasing hormone	Thyrotropin-releasing factor, Thyroliberin, Protirelin	TRH, TRF	parvocellular neuroendocrine neurons in the paraventricular and anterior hypothalamic nuclei	stimulates anterior pituitary to secrete TSH

Median sagittal section of brain of human embryo of three months.

References

External links

• BrainMaps at UCDavis Hypothalamus
• The Hypothalamus and Pituitary at endotexts.org

v • d • e Brain: diencephalon
Epithalamus	Pineal body • Habenula (Habenular nuclei) • Stria medullaris • Habenular trigone
Thalamus/nuclei	paired: AN • Ventral (VA/VL, VP/VPM/VPL) • Lateral (Pulvinar) • Metathalamus (MG, LG) midline: MD • Intralaminar (Centromedian) • Midline nuclear group • Interthalamic adhesion • Medullary laminae surface: reticular tracts to thalamus: Mammillothalamic tract • Thalamic fasciculus • Lenticular fasciculus • Ansa lenticularis • Medial lemniscus • Trigeminal lemniscus • Spinothalamic tract • Lateral lemniscus
Hypothalamus	autonomic zones: Anterior (parasympathetic/heat loss) • Posterior (sympathetic/heat conservation) endocrine - posterior pituitary: magnocellular/Paraventricular/Supraoptic (oxytocin/vasopressin) endocrine - other: parvocellular/Arcuate (dopamine/GHRH) • Preoptic (GnRH) • Suprachiasmatic (melatonin) emotion: Lateral (hunger) • Ventromedial (satiety) • Dorsomedial (rage) surface: Median eminence/Tuber cinereum • Mammillary body • Infundibulum tracts: Medial forebrain bundle Pituitary: (Posterior is diencephalon, but anterior is glandular)
Subthalamus	Subthalamic nucleus • Zona incerta

v • d • e Human anatomy, endocrine system: endocrine glands
Hypothalamic/pituitary axes	Adrenal axis: Adrenal gland Thyroid axis: Thyroid gland (Parafollicular cell, Thyroid epithelial cell, Thyroid isthmus, Lobes of thyroid gland, Pyramid of thyroid) - Parathyroid gland (Oxyphil cell, Chief cell) Gonadal axis: Testes - Ovaries - Corpus luteum
Other	Pineal gland • Islets of pancreas

v • d • e Human brain: Limbic system
Diencephalon	Hypothalamus · Mammillary body
Telencephalon: limbic lobe	Archicortex: Hippocampal formation (Hippocampus, Alveus of the hippocampus, Subiculum, Perforant path, Fimbria, Dentate gyrus) · Paraterminal gyrus · Supracallosal gyrus Cingulate gyrus · Parahippocampal gyrus · Uncus
Telencephalon: other	Amygdala · Nucleus accumbens · Orbitofrontal cortex septum: Septum pellucidum, Septal nuclei

v • d • e 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)

ca:Hipotàlem

cs:Hypothalamus da:Hypothalamus de:Hypothalamusfi:Hypotalamus fr:Hypothalamus he:היפותלמוס hr:Hipotalamus hu:Hipotalamusz it:Ipotalamo ja:視床下部 la:Hypothalamus nl:Hypothalamus no:Hypothalamussk:Podlôžko sv:Hypotalamus

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