(OBJ) Describe the concept that the hypothalamus is the primary site where there is integration of multiple forms of afferent information (e.g., sensory, affect) and subsequent modulation of multiple forms of efferent information (e.g., autonomic nervous system, pituitary) to promote adaptive behavior and homeostasis.
Key center in homeostasis
Receives:
–Sensory info from entire body
–Visceral, olfactory, and retinal inputs
–Steroid & peptide hormone input
Contains sensor neurons that compare incoming sensory info to set points -> respond to changes in physiological state
Coordinates physiologic and cognitive aspects of emotion (via amygdala)
(OBJ) Describe the anatomical landmarks of the brain that demarcate the hypothalamus.
Forms ventral half of diencephalon Surrounds third ventricle Inferior = pituitary (via infundibulum) Anterior = optic chiasm --Merges with basal olfactory area --Continuous with preoptic area (POA) Posterior = mammillary bodies --Merges into periaqueductal grey and tegmentum Dorsal = thalamus Lateral/caudal = subthalamic region
What is the median eminence of the hypothalamus?
The raised area on the tuber cinereum that goes on to form the infundibulum
Contains the primary capillary network of the hypophysial portal system
What is the tuber cinereum?
“Grey swelling” on ventral surface of brain
Between the optic chiasm and mammillary bodies
From which six general areas does the hypothalamus receive input?
Septal nuclei and neighboring forebrain Hippocampus Amygdala Orbital/frontal cortex Retina Brainstem and spinal cord
True/false: Connections to the hypothalamus are normally one directional.
FALSE. Connections to hypothalamus are most often reciprocal.
Also, single neurons are multifunctional and not well organized.
(OBJ) Describe the three MAJOR afferents of the hypothalamus and the type of information these tracts carry.
(many are bidirectional)
(OBJ) Describe the MAJOR efferents of the hypothalamus and the type of information these tracts carry.
(many are bidirectional)
(OBJ) Describe the nuclei and hormones that provide input to the posterior pituitary.
NUCLEI:
HORMONES: generally neuropeptides
(OBJ) Describe the role of oxytocin and arginine vasopressin in basic physiology (water reabsorption, changes associated with parturition) and in affiliative behaviors.
–Oxytocin - associated with parturition and milk secretion, sexual stimulation, uterine dilation, nursing, and stress; the “love” hormone (affiliative behaviors): trust, empathy, generosity, making eye contact, healthy long-lasting interpersonal relationships
–Arginine vasopressin (AVP) - functions in water reabsorption
(OBJ) Describe the difference between activational and organizational effects of steroids.
Activational effects: TRANSIENT actions that are essential for the control of reproduction
Organizational effects: act early in neonatal development and later during adolescence to impart PERMANENT changes in neural structures that underlie many of the SEXUALLY DIFFERENTIATED aspects of the brain and behavior
(OBJ) Describe the HPG axis (GnRH, FSH, LH).
GnRH (hypothalamus): neurons in periventricular region of medial POA and hypothalamus
(OBJ) Describe how gonadal steroids (estrogens, progestins, androgens) and other environmental factors (e.g., leptin) influence GnRH neurons through presynaptic afferents such as kisspeptin neurons.
Kisspeptin neurons receive input from sex hormones and from leptin, then release kisspeptin, which acts on GnRH hormones
–Sex hormones and leptin do NOT act directly on GnRH hormones
(OBJ) Name the nucleus that is the master regulator of circadian rhythms and describe how loops of transcription factor expression control “the clock”.
Nucleus: suprachiasmatic nucleus
TF Loops: TFs (CLOCK/BMAL) form heterodimers -!-> txn of other genes (Per/Cry) -x-> CLOCK/BMAL -x!-> Per/Cry -x!x-> CLOCK/BMAL (starts over)
(OBJ) Describe the origin of leptin and how it regulates neural circuits in the hypothalamus to regulate energy homeostasis.
LEPTIN: produced in white adipose tissue in proportion to energy stores
Discuss hypothalamic nuclei involved in feeding and satiety.
VMN/Arcuate nucleus (satiety center) - decrease food intake
–VMN key in resisting high-fat diet induced obesity
LHA (feeding center) - increase food intake; wakefulness
(this is an oversimplification)
True/false: the primary role of leptin is to diminish energy intake under conditions of adequate or more than adequate fat reserves
FALSE! The primary evolutionary role of leptin is to spur the body to maintain adequatefat stores in the absence of nutritional deficit.
(OBJ) Describe the routes other than leptin by which peripheral information on energy state reaches the hypothalamus.
Orexigenic peptides:
NPY: most orexigenic peptide known
Orexin: degeneration of orexin neurons -> narcolepsy; regulates thermogenesis in brown fat
AgRP
Anorexigenic peptides:
GI/Pancreatic hormones: CCK, ghrelin, insulin
(OBJ) Define the genetic deficit in ob/ob and db/db mice.
ob/ob = obese; mutation in leptin gene
db/db = diabetes; mutation in leptin receptor gene
(OBJ) Describe the dysregulation in leptin homeostasis in obese individuals and why clinical trials with leptin have had such a low success rate.
1-2% of people have leptin (or leptin receptor) mutations
In obese people, leptin is elevated, but have peripheral and central (CNS) leptin resistance
(OBJ) Describe the location of orexin neurons in the hypothalamus and their role in arousal.
Located in lateral hypothalamic area
–Project to ENTIRE CNS
Two different peptides derived from same gene, act through GPCRs
Critical regulator of sleep/wake transitions
Also excited by decreased leptin/increased ghrelin
–Act as a primary sensory of energy homeostasis
–Negative energy balance (hunger) -> arousal
(OBJ) Describe the pathophysiological basis for narcolepsy.
Arises from loss of orexin neurons (neurodegenerative)