17.3 The Pituitary Gland and Hypothalamus

4 min readjune 18, 2024

The hypothalamus and are key players in the . They work together to regulate hormones that control vital functions like growth, metabolism, and reproduction. These structures form a crucial link between the nervous and endocrine systems.

The , often called the "master gland," produces and releases various hormones under the control of the hypothalamus. These hormones target different organs and tissues throughout the body, orchestrating a complex network of endocrine functions essential for maintaining .

The Pituitary Gland and Hypothalamus

Hypothalamus-pituitary endocrine regulation

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  • The hypothalamus and pituitary gland are closely connected structures that work together to regulate endocrine function throughout the body
    • The hypothalamus, located in the brain, acts as a vital link between the nervous and endocrine systems by integrating signals from both systems
    • The pituitary gland, situated below the hypothalamus, is often referred to as the "master gland" of the endocrine system due to its central role in hormone production and secretion
  • The hypothalamus sends signals to the pituitary gland to control the release of various hormones that regulate endocrine function
    • The hypothalamus produces two types of hormones: and inhibiting hormones
      • Releasing hormones (such as TRH and ) stimulate the pituitary gland to secrete specific hormones that target various endocrine glands and tissues
      • Inhibiting hormones (such as and ) prevent the pituitary gland from secreting specific hormones, providing a regulatory mechanism for hormone levels
  • The pituitary gland has two main lobes, each with distinct functions in endocrine regulation: the and the
    • The anterior lobe produces and secretes six major hormones (, TSH, , FSH, , and ) that regulate various endocrine glands and functions throughout the body, such as growth, metabolism, and reproduction
    • The posterior lobe stores and releases two hormones (ADH and ) produced by the hypothalamus, which regulate water balance, blood pressure, and reproductive functions
  • The hypothalamus and pituitary gland are connected by the , which contains blood vessels and nerve fibers that facilitate communication between these structures

Neuroendocrine Integration and Regulation

  • The hypothalamus and pituitary gland form the core of the , which integrates nervous and endocrine functions
  • are regulatory pathways that control specific endocrine functions throughout the body
    • Examples include the hypothalamic-pituitary-thyroid (HPT) axis and the hypothalamic-pituitary-adrenal (HPA) axis
  • play a crucial role in maintaining hormonal balance within these axes
    • Negative feedback loops help regulate hormone levels by inhibiting further hormone production when levels are sufficient
    • Positive feedback loops, though less common, can amplify hormone production in certain situations, such as during childbirth

Posterior pituitary hormone functions

  • Antidiuretic hormone (ADH), also known as , is released by the posterior pituitary and plays a crucial role in maintaining water balance and blood pressure
    • ADH regulates water balance in the body by increasing water reabsorption in the kidneys, reducing urine output and conserving water to prevent dehydration ()
    • ADH also constricts blood vessels, which increases blood pressure and helps maintain adequate blood flow to vital organs ()
  • , another hormone released by the posterior pituitary, has important roles in reproduction, social bonding, and maternal behavior
    • Oxytocin stimulates uterine contractions during labor and childbirth, facilitating the delivery of the baby and reducing the risk of postpartum hemorrhage
    • Oxytocin promotes milk letdown during breastfeeding by stimulating the contraction of myoepithelial cells in the mammary glands, allowing milk to flow from the alveoli to the nipple
    • Oxytocin is involved in social bonding, trust, and maternal behavior, playing a role in the formation of attachments between mothers and infants, as well as in adult relationships (pair bonding)

Anterior pituitary hormones and control

    • Targets bones, muscles, and other tissues to stimulate growth, cell reproduction, and protein synthesis (, )
    • Hypothalamic control: -releasing hormone (GHRH) stimulates GH release, while somatostatin inhibits its release
    • Targets the thyroid gland to stimulate the production and secretion of thyroid hormones ( and ), which regulate metabolism, growth, and development
    • Hypothalamic control: Thyrotropin-releasing hormone (TRH) stimulates TSH release from the anterior pituitary
    • Targets the adrenal cortex to stimulate the production and secretion of glucocorticoids, such as cortisol, which regulate metabolism, immune function, and stress response (, )
    • Hypothalamic control: Corticotropin-releasing hormone (CRH) stimulates ACTH release from the anterior pituitary
    • Targets the ovaries in females to stimulate follicle development and production, and the testes in males to stimulate sperm production (infertility)
    • Hypothalamic control: Gonadotropin-releasing hormone (GnRH) stimulates FSH release from the anterior pituitary
  • Luteinizing hormone (LH)
    • Targets the ovaries in females to trigger ovulation and stimulate the production of estrogen and , and the testes in males to stimulate production (infertility, hypogonadism)
    • Hypothalamic control: Gonadotropin-releasing hormone (GnRH) stimulates LH release from the anterior pituitary
    • Targets the mammary glands to stimulate milk production and secretion during lactation (, )
    • Hypothalamic control: Prolactin-inhibiting factor (PIF), primarily , inhibits PRL release, while prolactin-releasing factor (PRF) stimulates its release

Key Terms to Review (60)

Acromegaly: Acromegaly is a hormonal disorder that results from the pituitary gland producing an excess amount of growth hormone after the growth plates have closed. This condition leads to enlarged bones in the face, hands, and feet, but does not increase overall height.
Acromegaly: Acromegaly is a hormonal disorder characterized by the excessive production of growth hormone (GH) by the pituitary gland, leading to the abnormal growth of various body tissues, including the bones and soft tissues.
ACTH: ACTH, or adrenocorticotropic hormone, is a peptide hormone produced and secreted by the anterior pituitary gland. It plays a crucial role in the regulation of the body's stress response and the production of important steroid hormones by the adrenal glands.
Addison's disease: Addison's disease is a rare endocrine disorder characterized by insufficient production of hormones, particularly cortisol and aldosterone, from the adrenal glands. This condition can lead to various symptoms including fatigue, weight loss, and electrolyte imbalances, linking it closely to the regulation of the body’s stress response and fluid balance.
Adenohypophysis: The adenohypophysis, also known as the anterior pituitary, is the glandular portion of the pituitary gland responsible for the production and secretion of various hormones that regulate important physiological processes in the body.
ADH (Antidiuretic Hormone): ADH, also known as vasopressin, is a hormone produced by the hypothalamus and released by the posterior pituitary gland. It plays a crucial role in the regulation of water balance in the body, as well as in the control of blood pressure and other physiological processes.
Adrenocorticotropic hormone (ACTH): Adrenocorticotropic hormone (ACTH) is a polypeptide tropic hormone produced and secreted by the anterior pituitary gland. It stimulates the adrenal cortex to release cortisol, which helps the body respond to stress.
Anterior Lobe: The anterior lobe is one of the main lobes of the pituitary gland, a small endocrine gland located at the base of the brain. It is responsible for the production and secretion of several essential hormones that regulate important physiological processes in the body.
Cushing's Syndrome: Cushing's syndrome is a hormonal disorder caused by excessive levels of the hormone cortisol in the body. It is characterized by a range of symptoms, including weight gain, high blood pressure, and mood changes, and can have significant impacts on an individual's health and well-being.
Development and Aging of the Endocrine System: The process by which the endocrine system evolves and changes in structure and function from birth through old age, impacting hormone production and regulation. It encompasses both the maturation of this system during childhood and adolescence, as well as its gradual decline in efficiency as part of the natural aging process.
Diabetes Insipidus: Diabetes insipidus is a rare condition characterized by excessive thirst and frequent urination due to a deficiency of the antidiuretic hormone (ADH), also known as vasopressin, or the kidneys' inability to respond to ADH. This hormonal imbalance affects the body's fluid balance and regulation of water excretion.
Dopamine: Dopamine is a neurotransmitter that plays a crucial role in the nervous system, influencing perception, motor function, motivation, reward, and various other physiological processes. It is a key component in understanding the function of nervous tissue, the central nervous system, and the autonomic system, as well as the effects of certain drugs on the body.
Dwarfism: Dwarfism is a medical condition characterized by an abnormal shortness of stature resulting from a genetic or medical disorder that affects bone growth and development. It is typically defined as an adult height of 4 feet 10 inches or less, which is significantly below the average height for a given population and gender.
Endocrine System: The endocrine system is a complex network of glands and organs that produce and secrete hormones, chemical messengers that regulate various physiological processes in the body. It works in coordination with the nervous system to maintain homeostasis and ensure the proper functioning of the body's systems, including metabolism, growth, development, and reproduction.
Estrogen: Estrogen is a group of steroid hormones that play a crucial role in the development and regulation of the female reproductive system and secondary sexual characteristics. It is essential for processes like menstrual cycle regulation, bone health, and maintaining various functions within the body, connecting to numerous physiological systems.
Feedback Loops: Feedback loops are regulatory mechanisms in biological systems that maintain homeostasis, or a stable internal environment, through the continuous exchange of information and responses. They involve the detection of a change in a variable, followed by a compensatory action that helps return the variable to its desired state.
Follicle-stimulating hormone (FSH): Follicle-Stimulating Hormone (FSH) is a hormone produced by the anterior pituitary gland that plays a key role in the reproductive processes of both males and females. In women, it stimulates the growth of ovarian follicles in the ovary, and in men, it aids in sperm production.
Galactorrhea: Galactorrhea is the spontaneous flow of milk from the breast, unrelated to childbirth or breastfeeding. It is a condition that can occur in both men and women and is often associated with hormonal imbalances, particularly involving the pituitary gland and hypothalamus.
GH: GH, or growth hormone, is a critical hormone produced by the anterior pituitary gland that plays a vital role in regulating growth, development, and various metabolic processes within the human body. It is a key component of the endocrine system and its functions are closely linked to the pituitary gland and hypothalamus.
GHRH: GHRH, or growth hormone-releasing hormone, is a neuropeptide produced by the hypothalamus that stimulates the anterior pituitary gland to secrete growth hormone. It is a critical regulator of the somatotropic axis, which controls growth and development.
Gigantism: Gigantism is a rare condition that results in abnormal growth and extreme height due to excessive secretion of growth hormone, usually caused by a benign tumor on the pituitary gland. It occurs in children or adolescents before the closure of growth plates.
Growth Hormone: Growth hormone, also known as somatotropin, is a peptide hormone produced by the anterior pituitary gland that plays a crucial role in regulating growth, development, and various metabolic processes in the body. This hormone is essential for maintaining normal body structure, composition, and function throughout an individual's lifespan.
Growth hormone (GH): Growth Hormone (GH) is a peptide hormone secreted by the anterior lobe of the pituitary gland, which stimulates growth, cell reproduction, and cell regeneration in humans and other animals. It plays a crucial role in regulating body composition, body fluids, muscle and bone growth, sugar and fat metabolism, and possibly heart function.
Homeostasis: Homeostasis is the process through which the body maintains a stable internal environment despite external changes. This concept is crucial as it ensures that physiological processes function optimally, allowing for growth, reproduction, and overall health.
Hyperprolactinemia: Hyperprolactinemia is a condition characterized by an abnormally high level of the hormone prolactin in the bloodstream. Prolactin is primarily produced by the pituitary gland, and its primary function is to stimulate milk production in women after childbirth. Hyperprolactinemia can have various underlying causes and can lead to a range of symptoms, including reproductive and sexual dysfunction.
Hypophyseal portal system: The hypophyseal portal system is a network of blood vessels that connects the hypothalamus to the anterior pituitary gland, allowing for direct transport of regulatory hormones. This system plays a crucial role in ensuring efficient hormone communication between these two parts of the endocrine system.
Hypophyseal Portal System: The hypophyseal portal system is a specialized circulatory system that connects the hypothalamus in the brain to the anterior pituitary gland. This unique vascular network allows for the direct transfer of regulatory hormones from the hypothalamus to the pituitary, enabling the hypothalamus to exert control over the endocrine functions of the pituitary gland.
Hypophyseal Stalk: The hypophyseal stalk, also known as the pituitary stalk or infundibulum, is a structure that physically and functionally connects the hypothalamus to the pituitary gland, facilitating the exchange of hormonal signals between these two important endocrine centers.
Hypotension: Hypotension is defined as abnormally low blood pressure, which can result in symptoms like dizziness, fainting, or shock. This condition is significant as it can be influenced by various factors such as medications, hormonal regulation, and heart function, affecting overall body perfusion and health.
Hypothalamic-Pituitary Axis: The hypothalamic-pituitary axis, also known as the HPA axis, is a complex neuroendocrine system that regulates important physiological processes in the body. It is a bidirectional communication system between the hypothalamus in the brain and the pituitary gland, which is considered the 'master gland' of the endocrine system.
Hypothalamic-pituitary-target gland axes: Hypothalamic-pituitary-target gland axes are complex regulatory systems that connect the hypothalamus, the pituitary gland, and various target glands throughout the body to control hormone secretion and maintain homeostasis. These axes involve a series of hormonal signals starting from the hypothalamus, which releases specific releasing or inhibiting hormones that act on the pituitary gland, prompting it to release tropic hormones that then stimulate target glands, such as the adrenal glands or thyroid gland, to produce their own hormones. This intricate feedback loop ensures proper hormonal balance and physiological regulation.
Infundibulum: In the context of anatomy and physiology, particularly within the endocrine system, the infundibulum is a funnel-shaped structure that connects the pituitary gland to the base of the brain, specifically to the hypothalamus. It acts as a critical conduit through which hormonal signals are exchanged between these two major components of the endocrine system.
Lactotrophs: Lactotrophs are a type of endocrine cell found in the anterior lobe of the pituitary gland. These specialized cells are responsible for the production and secretion of the hormone prolactin, which plays a crucial role in lactation and various other physiological processes.
LH: Luteinizing hormone (LH) is a hormone produced by the anterior pituitary gland that plays a crucial role in regulating the reproductive system. It is essential for triggering ovulation in females and stimulating testosterone production in males. LH works in concert with follicle-stimulating hormone (FSH) and is influenced by the hypothalamus, showcasing the intricate relationships within the endocrine system.
Neuroendocrine system: The neuroendocrine system is a complex interaction between the nervous system and the endocrine system that regulates various physiological processes through hormones and neural signals. It plays a crucial role in maintaining homeostasis, influencing growth, metabolism, stress responses, and reproductive functions by linking emotional states and physical health.
Neurohypophysis: The neurohypophysis, also known as the posterior pituitary, is the posterior lobe of the pituitary gland. It is responsible for the storage and release of hormones produced by the hypothalamus, playing a crucial role in the regulation of various physiological processes.
Oxytocin: Oxytocin is a hormone produced in the hypothalamus and released by the pituitary gland, playing a crucial role in childbirth and lactation as well as in bonding and social behaviors. It facilitates uterine contractions during labor and helps with milk ejection during breastfeeding.
Oxytocin: Oxytocin is a hormone produced in the hypothalamus and released by the posterior pituitary gland. It plays a crucial role in various physiological processes, including homeostasis, central control, and the regulation of the endocrine system, as well as during pregnancy, labor, birth, and lactation.
PIF: PIF, or Prolactin-Inhibiting Factor, is a hormone secreted by the hypothalamus that plays a crucial role in the regulation of prolactin release from the pituitary gland. It is an important component in the complex interplay between the hypothalamus and pituitary gland, which together form the neuroendocrine system.
Pituitary dwarfism: Pituitary dwarfism is a growth disorder caused by insufficient secretion of growth hormone (GH) from the pituitary gland during childhood. This condition results in a shorter stature than average, without proportionate abnormalities in body size.
Pituitary gland: The pituitary gland is a pea-sized organ located at the base of the brain, functioning as the master gland of the body by secreting hormones that regulate various physiological processes, including growth, reproduction, and metabolism. It operates under the regulation of the hypothalamus to maintain body homeostasis.
Pituitary Gland: The pituitary gland is a small, pea-sized endocrine gland located at the base of the brain. It is often referred to as the 'master gland' due to its critical role in regulating various physiological processes throughout the body, as outlined in the topics of 1.1 Overview of Anatomy and Physiology, 17.1 An Overview of the Endocrine System, 17.3 The Pituitary Gland and Hypothalamus, and 17.11 Development and Aging of the Endocrine System.
Posterior Lobe: The posterior lobe, also known as the neurohypophysis, is the posterior part of the pituitary gland. It is responsible for the storage and release of two important hormones produced by the hypothalamus: oxytocin and antidiuretic hormone (ADH).
PRL: PRL, or Prolactin, is a hormone produced by the anterior pituitary gland that plays a crucial role in lactation and reproductive health. It primarily stimulates milk production in the mammary glands after childbirth, but it also has roles in regulating the menstrual cycle and influencing fertility. Elevated levels of PRL can affect hormonal balance and lead to reproductive issues, demonstrating its importance in both endocrine function and overall health.
Progesterone: Progesterone is a steroid hormone released by the corpus luteum in the ovary, placenta, and adrenal glands that plays a key role in the female menstrual cycle and maintaining the early stages of pregnancy. It prepares the body for conception, regulates the menstrual cycle, and supports fetal development.
Progesterone: Progesterone is a steroid hormone primarily produced by the ovaries, adrenal glands, and, during pregnancy, the placenta. It plays a crucial role in the regulation of the female reproductive system, pregnancy, and other physiological processes.
Prolactin (PRL): Prolactin is a hormone produced by the anterior pituitary gland that stimulates milk production in mammals after childbirth. It also plays a role in regulating the immune system and metabolism.
Releasing hormones: Releasing hormones are a group of hormones produced by the hypothalamus that stimulate the secretion of hormones from the anterior pituitary gland. These hormones play a critical role in regulating various physiological processes by controlling the release of other hormones, thereby maintaining homeostasis in the body. The interaction between the hypothalamus and pituitary gland forms an essential part of the endocrine system, coordinating numerous body functions such as growth, metabolism, and stress response.
Right atrioventricular valve: The right atrioventricular valve, also known as the tricuspid valve, is a valve located between the right atrium and the right ventricle of the heart that prevents backflow of blood into the atrium when the ventricle contracts. It consists of three cusps or flaps that open to allow blood flow from the atrium to the ventricle and close to prevent its return.
Somatostatin: Somatostatin is a hormone produced primarily in the hypothalamus and pancreas that plays a key role in regulating various physiological processes, including growth, hormone secretion, and metabolism. It is closely connected to the central control of the body, hormones, the pituitary gland and hypothalamus, the endocrine pancreas, and the development and aging of the endocrine system.
Somatotrophs: Somatotrophs are specialized cells located in the anterior pituitary gland that produce and secrete growth hormone (GH), which plays a crucial role in regulating growth, metabolism, and overall body composition. These cells respond to signals from the hypothalamus, such as growth hormone-releasing hormone (GHRH) and somatostatin, to modulate GH release according to the body's needs.
T3: T3, or triiodothyronine, is a thyroid hormone that plays a crucial role in regulating metabolism, growth, and development in the body. It is one of the primary hormones produced and released by the thyroid gland and works in conjunction with other hormones to maintain homeostasis and support various physiological processes.
T4: T4, or thyroxine, is a hormone produced by the thyroid gland that plays a crucial role in regulating the body's metabolism, growth, and development. It is one of the primary hormones secreted by the thyroid gland and is essential for maintaining overall physiological homeostasis.
Testosterone: Testosterone is a steroid hormone produced primarily in the testes of males and the ovaries of females, though in much smaller amounts, and is crucial for the development of male sexual characteristics and reproduction. It also plays a key role in muscle mass, bone density, and the regulation of mood.
Testosterone: Testosterone is a steroid hormone primarily produced by the testes in males and the ovaries in females. It is responsible for the development and maintenance of male secondary sexual characteristics and plays a crucial role in various physiological processes throughout the body.
Thyroid Stimulating Hormone (TSH): Thyroid Stimulating Hormone (TSH) is a crucial hormone produced by the pituitary gland that regulates the function of the thyroid gland. It plays a central role in maintaining proper thyroid hormone levels and overall endocrine system balance.
Thyroid-stimulating hormone (TSH): Thyroid-Stimulating Hormone is a pituitary hormone that stimulates the thyroid gland to produce and release thyroid hormones, which regulate metabolism, energy generation, and overall growth and development. It acts as part of a feedback system that maintains hormonal balance within the body.
TRH (Thyrotropin-Releasing Hormone): TRH is a small peptide hormone produced by the hypothalamus that stimulates the release of thyroid-stimulating hormone (TSH) from the anterior pituitary gland. It plays a crucial role in regulating the activity of the thyroid gland and overall thyroid function within the body.
Tropic hormones: Tropic hormones are hormones that stimulate other endocrine glands to release their own hormones, acting as a regulatory mechanism in the body's complex hormonal pathways. These hormones are crucial for maintaining homeostasis and coordinating various physiological processes. They primarily originate from the anterior pituitary gland, with the hypothalamus playing a significant role in their regulation through releasing or inhibiting hormones.
Vasopressin: Vasopressin, also known as antidiuretic hormone (ADH), is a peptide hormone produced by the hypothalamus and stored in the posterior pituitary gland. It plays a crucial role in regulating water balance and blood pressure within the body.
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