Neurohypophysial hormone

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Neurohypophysial hormones are a group of peptide hormones produced by the neurohypophysis, also known as the posterior pituitary gland. These hormones are crucial for a variety of physiological processes, including water balance, childbirth, and lactation. The two primary neurohypophysial hormones are oxytocin and vasopressin (also known as antidiuretic hormone, ADH).

Production and Secretion[edit | edit source]

Neurohypophysial hormones are synthesized in the hypothalamus by neurosecretory cells. The hormones are then transported down the axons of these cells to the posterior pituitary gland, where they are stored in vesicles until their release into the bloodstream is triggered by specific physiological signals.

Oxytocin[edit | edit source]

Oxytocin plays a significant role in childbirth and lactation. During labor, oxytocin increases the strength and frequency of uterine contractions, which facilitates childbirth. Postpartum, it is essential for milk ejection in breastfeeding mothers. Oxytocin is also involved in various behaviors related to social bonding and stress reduction.

Vasopressin[edit | edit source]

Vasopressin, or antidiuretic hormone (ADH), is primarily involved in regulating the body's retention of water. It acts on the kidneys to promote water reabsorption, reducing urine volume, and helping to maintain blood pressure and overall fluid balance. Vasopressin also has vasoconstrictor properties, which contribute to its role in regulating blood pressure.

Function and Mechanism[edit | edit source]

The release of neurohypophysial hormones is tightly regulated by the body's needs. For oxytocin, factors such as the stretching of the cervix and uterus during childbirth, and suckling at the breast during lactation, stimulate its release. For vasopressin, changes in blood volume or osmolality are the primary triggers for secretion.

Once released, these hormones act on specific receptors located in their target tissues. Oxytocin receptors are found in the uterus and mammary glands, among other tissues, while vasopressin receptors are located in the kidneys and blood vessels.

Clinical Significance[edit | edit source]

Abnormalities in the production or action of neurohypophysial hormones can lead to various clinical conditions. Insufficient production of ADH can result in diabetes insipidus, a condition characterized by excessive thirst and dilute urine. Conversely, excessive ADH secretion can cause syndrome of inappropriate antidiuretic hormone (SIADH), leading to water retention and hyponatremia (low blood sodium levels).

Synthetic analogs of oxytocin and vasopressin are used in medical treatments. Synthetic oxytocin (Pitocin) is commonly used to induce or augment labor, and to reduce bleeding after childbirth. Vasopressin analogs are used in the treatment of diabetes insipidus and certain types of bleeding disorders.

Conclusion[edit | edit source]

Neurohypophysial hormones, oxytocin, and vasopressin, play critical roles in the human body, from regulating water balance and blood pressure to facilitating childbirth and lactation. Understanding these hormones and their mechanisms of action is essential for managing related health conditions and for the therapeutic use of their synthetic analogs.

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Contributors: Prab R. Tumpati, MD