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🫀Anatomy and Physiology II

Hormones Secreted by the Pituitary Gland

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Why This Matters

The pituitary gland earns its nickname as the "master gland" because it orchestrates hormone release throughout your entire body—but here's what you're really being tested on: the feedback loops and target organ relationships that keep these systems in balance. Understanding pituitary hormones means understanding how the hypothalamus communicates with peripheral glands, how negative feedback maintains homeostasis, and what happens when these systems fail. You'll see these concepts appear in questions about endocrine pathology, reproductive physiology, fluid balance, and stress responses.

Don't just memorize which hormone does what—know which lobe secretes it, what releases or inhibits it, and what target tissue responds. The pituitary is divided into the anterior lobe (adenohypophysis) and posterior lobe (neurohypophysis), and this distinction matters for understanding both hormone synthesis and clinical disorders. Master these relationships, and you'll be ready for everything from multiple choice to complex case-study questions.


Anterior Pituitary: Tropic Hormones

Tropic hormones act on other endocrine glands to stimulate hormone release—they're the messengers that carry hypothalamic commands to peripheral targets.

Adrenocorticotropic Hormone (ACTH)

  • Stimulates the adrenal cortex to release cortisol, the body's primary glucocorticoid for stress response
  • Regulated by CRH (corticotropin-releasing hormone) from the hypothalamus and inhibited by cortisol via negative feedback
  • Clinical relevance: Excess causes Cushing's disease; deficiency leads to secondary adrenal insufficiency

Thyroid-Stimulating Hormone (TSH)

  • Targets thyroid follicular cells to promote synthesis and release of T3T_3 and T4T_4
  • Controlled by TRH (thyrotropin-releasing hormone) and inhibited by circulating thyroid hormones
  • Diagnostic marker: Elevated TSH indicates primary hypothyroidism; suppressed TSH suggests hyperthyroidism

Follicle-Stimulating Hormone (FSH)

  • Promotes follicle development in ovaries and supports spermatogenesis in seminiferous tubules
  • Works synergistically with LH—both are gonadotropins released in response to GnRH pulses
  • Inhibited by inhibin from gonads, providing sex-specific negative feedback

Luteinizing Hormone (LH)

  • Triggers ovulation and stimulates corpus luteum formation in females; drives testosterone production in Leydig cells
  • LH surge at mid-cycle is essential for ovulation—a classic exam topic in reproductive physiology
  • Pulsatile secretion pattern is critical; continuous GnRH actually suppresses LH release

Compare: FSH vs. LH—both are gonadotropins released by GnRH, but FSH supports gamete development while LH triggers hormone production and ovulation. If an FRQ asks about infertility, discuss how both must function together for reproduction.


Anterior Pituitary: Direct-Acting Hormones

These hormones act directly on non-endocrine target tissues rather than stimulating other glands—they complete their effects without an intermediary.

Growth Hormone (GH)

  • Stimulates linear growth by promoting IGF-1 release from the liver, which acts on bone epiphyseal plates
  • Metabolic effects include protein synthesis, lipolysis, and insulin resistance (diabetogenic effect)
  • Secretion peaks during deep sleep and is inhibited by somatostatin (GHIH) from the hypothalamus

Prolactin (PRL)

  • Stimulates mammary gland development and milk synthesis during lactation
  • Uniquely inhibited at baseline—dopamine from the hypothalamus tonically suppresses release
  • Hyperprolactinemia causes galactorrhea and amenorrhea; often results from pituitary adenomas or dopamine-blocking drugs

Compare: GH vs. Prolactin—both are direct-acting anterior pituitary hormones, but GH works through an intermediary (IGF-1) while prolactin acts directly on breast tissue. Both are released during sleep and stress.


Anterior Pituitary: Melanocyte Regulation

This hormone bridges the endocrine and integumentary systems, demonstrating how pituitary signals extend beyond traditional metabolic targets.

Melanocyte-Stimulating Hormone (MSH)

  • Stimulates melanocytes to produce and disperse melanin, increasing skin pigmentation
  • Derived from POMC (proopiomelanocortin), the same precursor molecule that produces ACTH
  • Clinical connection: Elevated ACTH in Addison's disease causes hyperpigmentation because POMC cleavage increases MSH

Compare: MSH vs. ACTH—both derive from the POMC precursor, which explains why adrenal insufficiency causes skin darkening. This shared origin is a favorite exam topic for connecting endocrine pathways.


Posterior Pituitary: Neurohypophyseal Hormones

The posterior pituitary doesn't synthesize hormones—it stores and releases hormones made by hypothalamic neurons. These are true neurohormones transported down axons to the posterior lobe.

Antidiuretic Hormone (ADH) / Vasopressin

  • Increases water reabsorption by inserting aquaporin-2 channels in collecting duct principal cells
  • Released in response to increased plasma osmolarity (detected by hypothalamic osmoreceptors) or decreased blood volume
  • Clinical disorders: Diabetes insipidus (deficiency) causes dilute polyuria; SIADH (excess) causes hyponatremia

Oxytocin

  • Triggers uterine smooth muscle contraction during labor and myoepithelial cell contraction for milk letdown
  • Operates via positive feedback—contractions stimulate more oxytocin release until delivery occurs
  • Synthesized in paraventricular and supraoptic nuclei of the hypothalamus, then transported to posterior pituitary

Compare: ADH vs. Oxytocin—both are nonapeptides synthesized in hypothalamic nuclei and released from the posterior pituitary, but ADH regulates fluid balance while oxytocin controls reproductive smooth muscle. Both demonstrate how the nervous and endocrine systems integrate.


Quick Reference Table

ConceptBest Examples
Tropic hormones (act on other glands)ACTH, TSH, FSH, LH
Direct-acting hormonesGH, Prolactin, MSH
Posterior pituitary releaseADH, Oxytocin
GonadotropinsFSH, LH
Negative feedback regulationTSH/thyroid hormones, ACTH/cortisol, GH/IGF-1
Positive feedback examplesLH surge, Oxytocin during labor
POMC-derived hormonesACTH, MSH
Hypothalamic inhibitionProlactin (by dopamine), GH (by somatostatin)

Self-Check Questions

  1. Which two anterior pituitary hormones share a common precursor molecule, and how does this explain hyperpigmentation in Addison's disease?

  2. Compare and contrast FSH and LH: What target cells does each act on in males, and how do their functions differ?

  3. A patient presents with dilute urine and excessive thirst despite adequate fluid intake. Which pituitary hormone is likely deficient, and what receptor mechanism is impaired?

  4. Why does continuous GnRH administration suppress gonadotropin release, even though pulsatile GnRH stimulates it? How is this principle used clinically?

  5. If an FRQ asks you to explain why a prolactin-secreting pituitary tumor causes both galactorrhea and infertility, what two mechanisms would you describe?