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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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I. Hypothalamus-Pituitary System<br />

563<br />

Man<br />

Cow<br />

Horse<br />

Pig<br />

FIGURE 18-2 Schematic illustration<br />

<strong>of</strong> median sections through mammalian<br />

and avian pituitaries. Key ,<br />

anterior lobe; , intermediate lobe;<br />

, neural lobe. Redrawn from Batten<br />

and Ingleton (1987).<br />

Goat Dog Cat Bird<br />

circulatory flow within the pituitary, that is, from the AL to<br />

the NL, from there to the infundibulum, and then back to the<br />

AL. The primary capillary plexus <strong>of</strong> the NL appears to be<br />

well positioned in the minicirculatory system, controlling all<br />

<strong>of</strong> the afferent vascular events and many <strong>of</strong> the efferent vascular<br />

events in the pituitary ( Page, 1986 ).<br />

The vascularization <strong>of</strong> the intermediate lobe is closely<br />

linked to that <strong>of</strong> the neurohypophyis. In spite <strong>of</strong> the rich<br />

blood supply <strong>of</strong> the NL, the IL is a poorly vascularized<br />

structure. In horses the IL is supplied by a vast capillary or<br />

sinusoidal plexus, which connects that in the AL with that<br />

in the NL ( Okada et al. 1997 ).<br />

4 . Pituitary Organogenesis and Ontogenesis<br />

During embryogenesis the adenohypophysis develops from<br />

Rathke’s pouch, which arises from the primitive ro<strong>of</strong> <strong>of</strong><br />

the mouth in contact with the base <strong>of</strong> the brain. Rathke’s<br />

pouch subsequently separates by constriction from the oral<br />

cavity. The anterior wall thickens and forms the anterior<br />

lobe <strong>of</strong> the adenohypophysis. This largest portion <strong>of</strong> the<br />

adenohypophysis remains separated from the intermediate<br />

lobe by the hypophyseal cleft, which is the residual lumen<br />

<strong>of</strong> Rathke’s pouch. In several species ( Fig. 18-2 ), the adenohypophysis<br />

also extends into a pars tuberalis that forms<br />

a cuff or collar around the proximal neurohypophysis and<br />

may even envelop part <strong>of</strong> the median eminence ( Batten and<br />

Ingleton, 1987 ; Hullinger, 1993 ).<br />

In the embryonic development, the anterior lobe undergoes<br />

major cellular proliferation and differentiation ( Dubois<br />

et al. 1997 ). Totipotent pituitary stem cells give rise to two<br />

main cell lineages, the acidophilic (mammasomatotropic,<br />

somatotropic, lactotropic) and the basophilic (corticotropic,<br />

thyrotropic, and gonadotropic) differentiated pituitary cell<br />

types. Determination <strong>of</strong> AL cell-type lineages results from<br />

a temporally regulated cascade <strong>of</strong> homeodomain transcription<br />

factors that are being dissected by genetic and molecular<br />

approaches at a rapid pace ( Treier et al. 1998 ). Although most<br />

pituitary developmental information has been acquired from<br />

murine models, histological and pathogenetic observations<br />

in others mammals and human subjects have corroborated<br />

these developmental mechanisms. The transcription factor<br />

Rpx (Rathke’s pouch homeobox) is the earliest known<br />

specific marker for the adenohypophyseal primordium.<br />

Rathke’s pouch expresses several transcription factors <strong>of</strong> the<br />

LIM homeodomain family, including Lhx3 and Lhx4 ( Sheng<br />

et al. 1997 ). Lhx3 is one <strong>of</strong> the earliest markers for cells<br />

that are destined to form the AL and the IL and is required<br />

for Pit-1 expression ( Sheng et al. 1996 ). The homeodomain<br />

transcription factor Ptx1 behaves as a universal pituitary<br />

regulator and activates transcription <strong>of</strong> α -GSU (the<br />

α -subunit <strong>of</strong> gonadotroph hormones) and POMC ( Drouin<br />

et al. 1998 ; Lamonerie et al. , 1996 ). Transcription factors<br />

Tpit (T box transcription factor) ( Lamolet et al. , 2001 ) and<br />

NeuroD1 ( Lamolet et al. , 2004 ) appear to be a prerequisite<br />

for POMC expression and determine the development <strong>of</strong><br />

the corticomelanotrope cell lineage. TSH and gonadotropin<br />

(LH and FSH)-expressing cells share the common<br />

α -GSU expression under developmental control <strong>of</strong> GATA-<br />

2. Prop-1, the prophet <strong>of</strong> Pit-1, stimulates the Pit-1 gene.<br />

Pit-1 (or POU1F1), a POU -homeodomain transcription<br />

factor, determines the development and appropriate temporal<br />

and spatial expression <strong>of</strong> cells committed to GH,<br />

PRL, and TSH. Corticotroph cell commitment, although<br />

occurring earliest during fetal development, is independent<br />

<strong>of</strong> Pit-1-determined cell lineages. Mutations arising<br />

within these transcription factors may result in isolated or<br />

combined pituitary hormone failure syndromes. German<br />

shepherd dogs with pituitary dwarfism have a combined<br />

deficiency <strong>of</strong> GH, TSH, and PRL together with impaired<br />

release <strong>of</strong> gonadotropins, whereas ACTH secretion is intact<br />

( Kooistra et al. , 2000c ). The transcription factors Lhx4<br />

( van Oost et al. , 2002 ), Prop-1 ( Lantinga-van Leeuwen<br />

et al. , 2000a ), Pit-1 ( Lantinga-van Leeuwen et al. , 2000b ),<br />

and the LIF receptor gene ( Hanson et al. , 2006b ) have been<br />

excluded as candidates for pituitary dwarfism in German<br />

shepherds and the cause remains to be elucidated.<br />

The posterior wall <strong>of</strong> Rathke’s pouch is closely apposed<br />

to the neural tissue <strong>of</strong> the NL, thereby forming the intermediate<br />

lobe (IL), which is well developed in most mammals,

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