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The Pituitary Gland01:17

The Pituitary Gland

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The pituitary is a small endocrine organ in the sphenoid bone under the hypothalamus. Primarily, the pituitary in adults has two distinct anatomical and functional regions— the anterior and posterior lobes. During human fetal development, a third pituitary gland region called the pars intermedia atrophies and disappears. However, some of its cells migrate and exist adjacent to the anterior pituitary in adults.
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Hormones of the Pituitary Gland01:27

Hormones of the Pituitary Gland

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The small, pea-sized pituitary gland is located at the base of the brain. It is crucial in regulating various bodily functions, from growth to reproduction. The gland is divided into the anterior lobe and the posterior lobe. The secretory cell clusters in the pars distalis of the anterior pituitary lobe are controlled by hypothalamic regulators and synthesize six primary hormones.
The most abundantly secreted hormone from the anterior lobe is the growth hormone, which controls overall growth by...
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Hypothalamic-Pituitary Axis01:37

Hypothalamic-Pituitary Axis

61.6K
The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
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Major Hormones and Their Functions01:27

Major Hormones and Their Functions

678
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
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Adrenal Gland Disorders01:27

Adrenal Gland Disorders

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Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
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Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

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Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
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Video Experimental Relacionado

Updated: Sep 9, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

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Disfunción Pars Intermedia de la hipófisis equina

Nicola J Menzies-Gow1

  • 1Department of Clinical Science and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Hertfordshire AL9 7TA, UK.

Veterinary sciences
|August 28, 2025
PubMed
Resumen
Este resumen es generado por máquina.

La disfunción pars intermedia de la hipófisis (PPID) es un trastorno neurodegenerativo común en caballos de edad avanzada. El diagnóstico incluye signos clínicos y pruebas como la medición de ACTH, con pergolida como opción de tratamiento.

Palabras clave:
ACTH y sus derivadosdisfunciónde la insulinaLas partes intermediasPergolida y sus derivadosLa hipófisis

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Área de la Ciencia:

  • Neurología veterinaria
  • Endocrinología equina
  • Medicina de los animales

Sus antecedentes:

  • La disfunción pars intermedia de la hipófisis (PPID) es un trastorno neurodegenerativo prevalente y progresivo que afecta a los caballos de edad avanzada.
  • Se deriva del daño oxidativo a las neuronas del hipotálamo, interrumpiendo la inhibición dopaminérgica de la pars intermedia de la glándula pituitaria.
  • Esto conduce a una sobreproducción de hormonas derivadas de la pro-opiomelanocortina (POMC) y a cambios en los melanocitos.

Objetivo del estudio:

  • Describir la fisiopatología, la presentación clínica, los métodos de diagnóstico y las estrategias de tratamiento de la EIPP equina.
  • Hacer hincapié en la importancia del diagnóstico precoz y la gestión integral para mejorar el bienestar de los caballos.

Principales métodos:

  • El diagnóstico se basa en la señalización, los signos clínicos característicos (por ejemplo, hipertricosis, pérdida tardía) y las pruebas de diagnóstico.
  • Las pruebas de diagnóstico clave incluyen la medición de la hormona adrenocorticotrófica basal (ACTH) y la respuesta de la ACTH a la prueba de la hormona liberadora de tirotrofina (TRH).
  • Las pruebas de desregulación de la insulina son cruciales debido a la asociación entre el riesgo de laminitis en la EIPP y la hiperinsulinemia.

Principales resultados:

  • Los signos clínicos sugerentes incluyen hipertricosis, pérdida anormal de pelo, hiperhidrosis, atrofia muscular y laminitis.
  • La confirmación del diagnóstico incluye análisis hormonales (respuesta ACTH, TRH) y evaluación de la regulación de la insulina.
  • PPID es una condición manejable de por vida, no curable.

Conclusiones:

  • El diagnóstico temprano y el tratamiento de la EIPP son esenciales para los caballos afectados.
  • El tratamiento incluye alivio sintomático, ajustes dietéticos e intervención farmacológica con pergolida.
  • Un enfoque holístico que tenga en cuenta la condición corporal y la sensibilidad a la insulina optimiza los resultados del tratamiento.