Adrenal glands

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Questions and Answers

What are the subdivisions of the adrenal gland?

Capsule, cortex and medulla

What are the three subdivisions in the cortex of the medulla?

Zona glomerulosa, zona fasiculata and zona reticularis

Match the hormones to the tissue area in which they’re produced

Zona glomerulosa = Mineral corticoids Zona fasiculata = Glucocorticoids Medulla = Catecholamines and stress hormones Zona reticularis = Androgens

In general, what do mineralcorticoids regulate? What is an example of a mineralcorticoid?

<p>Mineralcorticoids regulate mineral balance; aldosterone</p> Signup and view all the answers

In general, what do glucocorticoids regulate? What is the classic example of a glucocorticoid?

<p>Glucocorticoids regulate glucose metabolism; cortisol</p> Signup and view all the answers

In general, what do androgens stimulate?

<p>Androgens stimulate masculinization</p> Signup and view all the answers

In general, what do stress hormones stimulate? What are examples of the stress hormones (aka catecholamines)

<p>Stress hormones stimulate the sympathetic ANS; epiniphrine and norepinephrine</p> Signup and view all the answers

Which of the following hormones is primarily stimulated by signals from the sympathetic nervous system?

<p>Epinephrine (B)</p> Signup and view all the answers

What is the primary source of stimulation for glucocorticoids?

<p>Hypothalamus and pituitary gland (A)</p> Signup and view all the answers

Which of the following hormones is NOT a mineralocorticoid?

<p>Cortisol (D)</p> Signup and view all the answers

Which of the following statements correctly represents the source of stimulation for androgens?

<p>Primarily from the hypothalamus and pituitary gland (A)</p> Signup and view all the answers

Primary hyperadrenocorticism is associated with a pituitary gland tumor

<p>False (B)</p> Signup and view all the answers

Equine Cushings (AKA PPID) exact cause is unknown, but a loss of a particular hormone’s innervation to the pars intermedia (of HPA axis) seems to have a role of the disorder. What is this hormone?

<p>Dopamine</p> Signup and view all the answers

What is the initial hormone produced from cholesterol in the synthesis of adrenocortical hormones?

<p>Pregnenolone (D)</p> Signup and view all the answers

Where does the conversion of cholesterol to pregnenolone take place?

<p>Mitochondrion (A)</p> Signup and view all the answers

What role does ACTH play in the synthesis of adrenocortical hormones?

<p>Regulates the formation of pregnenolone (C)</p> Signup and view all the answers

Which of the following statements is true about the synthesis of adrenocortical hormones?

<p>All adrenocortical hormones share the pregnenolone formation step (D)</p> Signup and view all the answers

Which statement reflects a limitation regarding the synthesis of adrenocortical hormones?

<p>The synthesis of pregnenolone is a rate-limiting step for all hormones (B)</p> Signup and view all the answers

What is the primary mechanism by which cortisol regulates physiological functions in the body?

<p>Gene expression modulation (B)</p> Signup and view all the answers

Which of the following factors primarily stimulates the release of cortisol?

<p>Stressors and low blood glucose (C)</p> Signup and view all the answers

During what time of day are cortisol levels typically highest in the blood?

<p>Early morning (A)</p> Signup and view all the answers

Which of the following physiological functions is NOT regulated by cortisol?

<p>Neurological development (B)</p> Signup and view all the answers

What effect does cortisol have on the cardiovascular system?

<p>Increases blood pressure (D)</p> Signup and view all the answers

In summary, what are the three factors that influence the HPA axis?

<p>Glucocorticoids, stress, and diurnal rhythm (aka circadian rhythm)</p> Signup and view all the answers

What is the primary action of cortisol on carbohydrate metabolism?

<p>Promotes the synthesis of gluconeogenesis and glycogenolysis enzymes (C)</p> Signup and view all the answers

How does cortisol influence glucose utilization in the body?

<p>Decreases glucose utilization by peripheral cells (C)</p> Signup and view all the answers

What effect does cortisol have on insulin's function?

<p>Antagonizes insulin's effects on gluconeogenesis (B)</p> Signup and view all the answers

Which of the following hormones does cortisol potentiate the action of?

<p>Epinephrine (A)</p> Signup and view all the answers

What is a potential consequence of increased cortisol levels on carbohydrate metabolism?

<p>Elevated risk of developing Diabetes Mellitus (A)</p> Signup and view all the answers

Describe the effects cortisol has on protein metabolism.

<p>Cortisol stimulates protein catabolism in the muscle to allow mobilization of amino acids from the extra hepatic tissues. The amino acids serve as a substrate for enzyme manufacturing and for gluconeogenesis.</p> Signup and view all the answers

What is a primary effect of cortisol on lipid metabolism?

<p>Enhance fatty acid oxidation in cells (C)</p> Signup and view all the answers

How does cortisol affect the distribution of body fat?

<p>Depletes peripheral fat while increasing visceral fat (D)</p> Signup and view all the answers

What impact does cortisol have on glucose transport into fat cells?

<p>Inhibits glucose transport into fat cells (C)</p> Signup and view all the answers

What metabolic shift occurs due to cortisol's influence?

<p>From carbohydrate to fat utilization (D)</p> Signup and view all the answers

What consequence can result from prolonged elevated cortisol levels?

<p>Development of obesity (C)</p> Signup and view all the answers

What is one of the primary effects of immune system suppressants on inflammatory factors?

<p>They down-regulate pro-inflammatory factors. (D)</p> Signup and view all the answers

Which of the following processes is NOT influenced by immune system suppressants?

<p>Increased antibody formation. (C)</p> Signup and view all the answers

Which statement accurately describes the overall impact of immune system suppressants?

<p>They regulate a balance of pro-inflammatory and anti-inflammatory factors. (C)</p> Signup and view all the answers

What effect does cortisol have on the release of vasodilators in the cardiovascular system?

<p>Cortisol suppresses the release of vasodilators. (D)</p> Signup and view all the answers

In what way does cortisol affect reproductive success?

<p>Cortisol reduces reproductive success through various mechanisms. (A)</p> Signup and view all the answers

What is a primary characteristic of cortisol's effect on vascular smooth muscle?

<p>It increases sensitivity to vasoconstrictors. (D)</p> Signup and view all the answers

Which statement best describes cortisol's role in the body?

<p>Cortisol inhibits functions not essential for survival. (D)</p> Signup and view all the answers

Which statement is true regarding the impact of cortisol on blood pressure?

<p>Cortisol maintains blood pressure by suppressing vasodilators and enhancing constriction. (B)</p> Signup and view all the answers

What are the two transport proteins cortisol is bound to?

<p>Transcortin and albumin</p> Signup and view all the answers

What is the half life of cortisol in circulation?

<p>66 minutes</p> Signup and view all the answers

Match to the appropriate description of the diseases

<p>Cushing’s disease = Over secretion of cortisol due to high levels of ACTH Addison’s disease = Deficiency of cortisol and/or aldosterone Hyperaldosteronism = Known as Conn’s syndrome, is the over secretion of aldosterone Pheochromocytomas = Tumor in medulla</p> Signup and view all the answers

Aldosterone is stimulated by _______ and acts on the _______ cells in the _______.

<p>Aldosterone is stimulated by high blood K, low blood volume and pressure, and acts on the principle cells in the collecting duct.</p> Signup and view all the answers

What are the three major functions of aldosterone?

<p>Actively reabsorb sodium, actively secrete potassium and passive reabsorption of water</p> Signup and view all the answers

What causes a negative feedback on the adrenal cortex to inhibit the release of aldosterone?

<p>The negative feedback is primarily through the restoration of electrolyte balance</p> Signup and view all the answers

Which of the following is false about aldosterone transport?

<p>50% is free or bioactive , while 10% is bound to transcortin and 40% to albumin (B)</p> Signup and view all the answers

A patient with Conn’s syndrome will have these classes electrolytes changes:

<p>Hypokalemia, hypernatremia and metabolic alkalosis</p> Signup and view all the answers

What type of diuretic might we select to treat a patient with Conn’s syndrome?

<p>Spironolactone, as it’s an aldosterone antagonist</p> Signup and view all the answers

Which hormones are produced by the testis and ovaries after the uptake of androstenedione?

<p>Testosterone and estrogens (D)</p> Signup and view all the answers

What is the significance of DHEA conversion into androstenedione?

<p>It serves as a substrate for the synthesis of testosterone and estrogens. (D)</p> Signup and view all the answers

Which hormone has the capability of interacting with male sex hormone receptors?

<p>DHEA (C)</p> Signup and view all the answers

What is the main neurotransmitter transition seen in stressed animals affecting chromaffin cells?

<p>From acetylcholine to PACAP (A)</p> Signup and view all the answers

What is the role of acetylcholine in the activation of chromaffin cells during unstressed conditions?

<p>It primarily activates chromaffin cells (A)</p> Signup and view all the answers

Which factor is required for stress-induced catecholamine secretion in the context of chromaffin cells?

<p>Neuropeptide PACAP (A)</p> Signup and view all the answers

What characteristic distinguishes chromaffin cells from traditional neurons?

<p>Lack of axons and dendrites (B)</p> Signup and view all the answers

What predominantly influences the increased secretion of catecholamines during stress?

<p>Increase in splanchnic nerve electrical discharge (B)</p> Signup and view all the answers

What is the initial step in the synthesis of catecholamines from tyrosine?

<p>Conversion of tyrosine to DOPA (B)</p> Signup and view all the answers

What are the metabolic end products of tyrosine metabolism?

<p>DOPA, dopamine, epinephrine, and norepinephrine (C)</p> Signup and view all the answers

What role does DOPA play in the metabolic pathway of catecholamines?

<p>It is an intermediate in the synthesis of dopamine, epinephrine, and norepinephrine (A)</p> Signup and view all the answers

Which of the following statements about catecholamines is incorrect?

<p>DOPA is produced directly from dopamine. (C)</p> Signup and view all the answers

What is the overall action of epinephrine and norepinephrine?

<p>Increase energy availability and overall metabolism</p> Signup and view all the answers

What is the half life of Epi/norepiniphrine in circulation?

<p>2 minutes</p> Signup and view all the answers

What are examples of the body’s response to short term stress?

<p>Increased heart rate, increased blood pressure, increased metabolic rate and dilation of bronchioles</p> Signup and view all the answers

Which of the following statements accurately reflects the endocrine response in Addison's Disease?

<p>Both cortisol and aldosterone deficiencies can increase plasma ACTH levels. (A)</p> Signup and view all the answers

Flashcards

Mineralocorticoids Stimulus

Primarily stimulated by signals from the kidneys, but also influenced by hypothalamic CRH and pituitary ACTH.

Glucocorticoids & Androgens Stimulus

Stimulated mainly by signals from the hypothalamus (CRH) and pituitary (ACTH).

Catecholamines Stimulus

Stimulated by signals from the sympathetic nervous system.

Mineralocorticoid Example

Aldosterone.

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Glucocorticoid Example

Cortisol.

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Mineralocorticoid Action

Mineralocorticoids, like aldosterone, regulate salt and water balance in the body.

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Glucocorticoid Action

Glucocorticoids, like cortisol, regulate blood sugar levels, suppress inflammation, and aid in stress response.

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Adrenocortical hormone synthesis

The process by which the adrenal cortex produces steroid hormones like cortisol and aldosterone.

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Pregnenolone

The first steroid produced in the adrenal cortex, formed from cholesterol.

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Mitochondrion's role

The mitochondrion is the cellular organelle where the conversion of cholesterol to pregnenolone takes place.

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ACTH's regulation

ACTH (Adrenocorticotropic hormone) directly controls the rate at which cholesterol is converted to pregnenolone.

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Rate-limiting step

The conversion of cholesterol to pregnenolone is the slowest step in the synthesis of all adrenocortical hormones, therefore it controls the overall production rate.

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HPA Axis

The Hypothalamic-Pituitary-Adrenal (HPA) axis is a complex system that regulates the production of cortisol in response to stress and low blood glucose.

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Cortisol's Role

Cortisol, a hormone produced by the adrenal glands, plays a crucial role in regulating metabolism, immune function, cardiovascular health, growth, and reproduction.

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Cortisol & Stress

Cortisol levels increase in response to stress, helping the body cope with challenging situations by mobilizing energy resources.

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Cortisol & Circadian Rhythm

Cortisol production follows a daily rhythm, peaking in the morning and decreasing in the evening, contributing to our natural sleep-wake cycle.

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What triggers cortisol?

Low blood glucose levels and various stressors activate the HPA axis, leading to the release of cortisol.

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Cortisol & Metabolism

Cortisol helps regulate how the body uses energy from food, affecting blood sugar levels.

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What does cortisol do to gluconeogenesis?

Cortisol stimulates the production of enzymes involved in gluconeogenesis, the process of creating glucose from non-carbohydrate sources, like amino acids.

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How does cortisol impact insulin?

Cortisol acts as an antagonist to insulin. While insulin lowers blood sugar, cortisol raises it by promoting glucose production.

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What does cortisol do to glucose utilization?

Cortisol decreases the utilization of glucose by peripheral cells, making them less able to use glucose for energy.

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How does cortisol affect the brain's glucose use?

Cortisol does not interfere with the brain's glucose utilization. The brain always gets its priority supply.

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Which hormone does cortisol potentiate?

Cortisol increases the effects of glucagon and epinephrine on glucose metabolism, further boosting blood sugar levels.

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Cortisol's Effect on Fat

Cortisol promotes the breakdown of stored fat (lipolysis) and shifts the body's energy source from glucose to fat.

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Cortisol & Fat Utilization

Cortisol enhances the use of fatty acids (FFAs) as fuel by increasing their oxidation within cells.

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Cortisol & Fat Storage

Cortisol reduces glucose uptake in fat cells, making it harder for fat to be stored.

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Cortisol & Obesity

Chronic exposure to high levels of cortisol can lead to an increase in abdominal fat (visceral fat), which is linked to obesity and health risks.

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Cortisol's Impact on Fat Distribution

Cortisol can cause a shift in fat storage from peripheral areas to visceral areas (around internal organs).

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Immune Suppressant Effect

Reduces the body's immune response by decreasing the production of inflammatory chemicals (prostaglandins, leukotrienes, histamine) and suppressing antibody formation, resulting in reduced inflammation.

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How do Immune Suppressants Work?

They down-regulate pro-inflammatory factors, which promote inflammation, while up-regulating anti-inflammatory factors, which suppress inflammation. This leads to an overall reduction in inflammation.

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Immune Suppressant Mechanism: Phagocytosis

Immune suppressants decrease phagocytosis by immune cells, which are responsible for engulfing and destroying harmful invaders.

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Immune Suppressant Mechanism: Antibody Formation

Immune suppressants suppress the production of antibodies, which are protein molecules produced by the immune system to fight off specific infections.

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Immune Suppressant Overall Effect

Immune suppressants effectively inhibit inflammation by decreasing the production of inflammatory chemicals, suppressing antibody formation, and reducing the activity of immune cells.

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Cortisol & Blood Pressure

Cortisol helps maintain blood pressure by increasing the sensitivity of blood vessels to vasoconstrictors, reducing the release of vasodilators, and boosting the effects of catecholamines.

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Cortisol & Reproduction

Cortisol can reduce reproductive success by interfering with various processes in the reproductive system.

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Cortisol & Growth

Cortisol can inhibit growth through various mechanisms.

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Cortisol's Secondary Function

Cortisol inhibits functions not essential for survival when the body is under stress.

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Cortisol's Overall Impact

Cortisol plays a crucial role in regulating metabolism, immunity, cardiovascular health, growth, and reproduction, and is essential for responding to stress.

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Androgen Action

Androgens are hormones that bind to male sex hormone receptors, triggering specific biological responses in the body.

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DHEA Conversion

Dehydroepiandrosterone (DHEA) is converted into DHEA-sulfate by the enzyme sulfotransferase, and into androstenedione by the enzyme 3β−HSD.

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Androgen Production

Androstenedione, produced from DHEA, is released into the bloodstream and taken up by the testes and ovaries to produce testosterone and estrogens.

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Testosterone Production

The testes convert androstenedione into testosterone, the primary male sex hormone.

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Estrogen Production

The ovaries convert androstenedione into estrogens, the primary female sex hormones.

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Chromaffin Cells

Neuroendocrine cells found in the adrenal medulla and sympathetic paraganglia. They are modified post-ganglionic sympathetic neurons that lack dendrites and axons. They produce and release catecholamines like adrenaline (epinephrine) and noradrenaline (norepinephrine).

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Traditional View of Chromaffin Cell Activation

According to the traditional view, acetylcholine (ACh) released from pre-ganglionic sympathetic neurons binds to nicotinic receptors on chromaffin cells, stimulating them to release catecholamines.

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PACAP's Role

Pituitary adenylate cyclase-activating polypeptide (PACAP) is a neuropeptide found to be essential for stress-induced catecholamine secretion. It plays a key role in the body's response to stress.

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Shift in Neurotransmission under Stress

In unstressed animals, acetylcholine (ACh) is the main neurotransmitter activating chromaffin cells. However, during stress, there's a shift to noncholinergic neurotransmission, with PACAP becoming the primary neurotransmitter.

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Stress Response & Chromaffin Cell Activation

Stress leads to an increased electrical discharge in the splanchnic nerve, stimulating chromaffin cells. The increased discharge also results in more nerve fibers innervating the adrenal medulla, leading to an amplified response.

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Tyrosine Hydroxylase

An enzyme crucial in the synthesis of essential neurotransmitters like dopamine, norepinephrine, and epinephrine. It catalyzes the conversion of tyrosine to DOPA, the first step in the process.

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DOPA

Short for 3,4-dihydroxyphenylalanine, DOPA is an amino acid produced from tyrosine. It is a precursor to dopamine, a vital neurotransmitter involved in mood, reward, and movement.

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Catecholamines

A group of neurotransmitters, including dopamine, norepinephrine, and epinephrine, that play a vital role in the body's 'fight-or-flight' response, regulating heart rate, blood pressure, and alertness.

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Epinephrine & Norepinephrine

Both are powerful hormones, part of the catecholamine family. Epinephrine (adrenaline) is released in response to stress, increasing heart rate and blood pressure. Norepinephrine, also called noradrenaline, plays a role in regulating mood, sleep, and arousal.

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What is the starting point for synthesis of catecholamines?

The synthesis of catecholamines begins with the conversion of the amino acid tyrosine into DOPA by the enzyme tyrosine hydroxylase.

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Addison's Disease

A condition caused by a deficiency of cortisol and/or aldosterone, primarily affecting the adrenal glands (primary) or the pituitary gland (secondary).

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Primary Hypoadrenocorticism

A type of Addison's Disease where the adrenal gland is malfunctioning, resulting in increased ACTH levels due to lack of negative feedback and reduced response to exogenous ACTH.

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Secondary Hypoadrenocorticism

A type of Addison's Disease where the pituitary gland is malfunctioning, leading to decreased ACTH levels and potential reduced response to exogenous ACTH.

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Exogenous ACTH

ACTH administered from an external source, used to test the adrenal gland's responsiveness.

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Endogenous ACTH

ACTH produced naturally within the body.

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