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Questions and Answers
What is the primary function of aldosterone?
What is the primary function of aldosterone?
- To regulate blood sugar levels
- To control sodium and water levels (correct)
- To promote the synthesis of catecholamines
- To stimulate the production of adrenal androgens
Catecholamines are primarily produced by the adrenal cortex.
Catecholamines are primarily produced by the adrenal cortex.
False (B)
Which enzyme is responsible for converting norepinephrine to epinephrine in chromaffin cells?
Which enzyme is responsible for converting norepinephrine to epinephrine in chromaffin cells?
phenylethanolamine-N-methyl transferase (PNMT)
The adrenal cortex develops from __________ cells.
The adrenal cortex develops from __________ cells.
Match the following terms with their descriptions:
Match the following terms with their descriptions:
What triggers the opening of voltage-gated calcium channels in glomerulosa cells?
What triggers the opening of voltage-gated calcium channels in glomerulosa cells?
Angiotensin II binds to receptors influencing aldosterone synthesis.
Angiotensin II binds to receptors influencing aldosterone synthesis.
What is the role of the adrenal medulla in the stress response?
What is the role of the adrenal medulla in the stress response?
What is the primary function of catecholamines released from the adrenal medulla?
What is the primary function of catecholamines released from the adrenal medulla?
Epinephrine is released primarily from postganglionic sympathetic nerve terminals.
Epinephrine is released primarily from postganglionic sympathetic nerve terminals.
What are the two main catecholamines synthesized in the adrenal medulla?
What are the two main catecholamines synthesized in the adrenal medulla?
The adrenal medulla is regulated primarily by __________ signals in response to stress.
The adrenal medulla is regulated primarily by __________ signals in response to stress.
Match the processes with their corresponding hormones or actions:
Match the processes with their corresponding hormones or actions:
Which part of the nervous system is primarily involved in the regulation of catecholamine secretion?
Which part of the nervous system is primarily involved in the regulation of catecholamine secretion?
Where are catecholamines stored in the adrenal medulla?
Where are catecholamines stored in the adrenal medulla?
Cortisol has no effect on catecholamine synthesis.
Cortisol has no effect on catecholamine synthesis.
Approximately _____% of the adrenal medulla cells secrete epinephrine.
Approximately _____% of the adrenal medulla cells secrete epinephrine.
What role does the hypothalamus play in catecholamine regulation?
What role does the hypothalamus play in catecholamine regulation?
What is the primary site for aldosterone synthesis?
What is the primary site for aldosterone synthesis?
Aldosterone secretion is primarily regulated by the renin-angiotensin system.
Aldosterone secretion is primarily regulated by the renin-angiotensin system.
Name the two primary hormones produced in the adrenal medulla.
Name the two primary hormones produced in the adrenal medulla.
Aldosterone stimulates the absorption of __________ in the kidneys.
Aldosterone stimulates the absorption of __________ in the kidneys.
Match the following hormones with their primary effects:
Match the following hormones with their primary effects:
Which of the following actions is NOT a result of norepinephrine and epinephrine during exercise?
Which of the following actions is NOT a result of norepinephrine and epinephrine during exercise?
Epinephrine and norepinephrine can lead to vasodilation and vasoconstriction.
Epinephrine and norepinephrine can lead to vasodilation and vasoconstriction.
What is the role of epinephrine in increasing glucose availability during exercise?
What is the role of epinephrine in increasing glucose availability during exercise?
The adrenal medulla responds rapidly because it is directly innervated by the __________.
The adrenal medulla responds rapidly because it is directly innervated by the __________.
Match the following catecholamines with their effects during exercise:
Match the following catecholamines with their effects during exercise:
Which of the following best describes phenochromocytoma?
Which of the following best describes phenochromocytoma?
The sympathoadrenal response includes an increase in energy demand by visceral smooth muscle.
The sympathoadrenal response includes an increase in energy demand by visceral smooth muscle.
What are the two primary catecholamines involved in the sympathoadrenal response during exercise?
What are the two primary catecholamines involved in the sympathoadrenal response during exercise?
Epinephrine acts on which type of receptor to induce vasoconstriction?
Epinephrine acts on which type of receptor to induce vasoconstriction?
Match the physiological actions to the corresponding catecholamine:
Match the physiological actions to the corresponding catecholamine:
What is the primary chemical signal that stimulates catecholamine secretion from the adrenal medulla?
What is the primary chemical signal that stimulates catecholamine secretion from the adrenal medulla?
Cortisol has no influence on the production of catecholamines in the adrenal medulla.
Cortisol has no influence on the production of catecholamines in the adrenal medulla.
What are the two primary enzymes involved in the degradation of catecholamines?
What are the two primary enzymes involved in the degradation of catecholamines?
The primary receptor type that increases IP3 and DAG in vascular smooth muscle is the ______.
The primary receptor type that increases IP3 and DAG in vascular smooth muscle is the ______.
Match the adrenergic receptor type to its mechanism of action and tissue distribution:
Match the adrenergic receptor type to its mechanism of action and tissue distribution:
Which catecholamine has greater potency at the β2 receptor?
Which catecholamine has greater potency at the β2 receptor?
The half-life of catecholamines in circulation is approximately 10 minutes.
The half-life of catecholamines in circulation is approximately 10 minutes.
What role does cortisol play in the synthesis of catecholamines?
What role does cortisol play in the synthesis of catecholamines?
The predominant enzyme for catecholamine degradation in neuronal mitochondria is ______.
The predominant enzyme for catecholamine degradation in neuronal mitochondria is ______.
Which of the following statements about catecholamine synthesis is accurate?
Which of the following statements about catecholamine synthesis is accurate?
Flashcards
Aldosterone Regulation
Aldosterone Regulation
Aldosterone production is regulated by sodium and water levels, angiotensin II (ang II), and potassium levels in the blood.
Angiotensin II (Ang II)
Angiotensin II (Ang II)
A hormone that stimulates aldosterone production.
ROMK Channel
ROMK Channel
Renal Outer Medullary Potassium channel, plays a role in potassium secretion in the kidneys.
ENaC Channel
ENaC Channel
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Adrenal Medulla
Adrenal Medulla
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Cortisol's Influence
Cortisol's Influence
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Adrenal Cortex Development
Adrenal Cortex Development
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Chromaffin Cells
Chromaffin Cells
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Aldosterone's function
Aldosterone's function
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How does aldosterone work?
How does aldosterone work?
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What stimulates aldosterone synthesis?
What stimulates aldosterone synthesis?
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Aldosterone's synthesis site
Aldosterone's synthesis site
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How is aldosterone regulated?
How is aldosterone regulated?
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Adrenal medulla function
Adrenal medulla function
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Catecholamine storage
Catecholamine storage
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Epinephrine vs. Norepinephrine
Epinephrine vs. Norepinephrine
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Epinephrine source
Epinephrine source
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Norepinephrine source
Norepinephrine source
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Catecholamine secretion regulation
Catecholamine secretion regulation
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Autonomic Centers
Autonomic Centers
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Chromaffin Granule Recycling
Chromaffin Granule Recycling
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CRH/ACTH/Cortisol Synergy
CRH/ACTH/Cortisol Synergy
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Stress & Catecholamine
Stress & Catecholamine
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Catecholamine's Diverse Effects
Catecholamine's Diverse Effects
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Catecholamine secretion signal
Catecholamine secretion signal
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Sympathoadrenal Response
Sympathoadrenal Response
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Chromaffin cell receptors
Chromaffin cell receptors
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Adrenomedullary Response Speed
Adrenomedullary Response Speed
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Anticipatory Response
Anticipatory Response
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Catecholamine synthesis regulation
Catecholamine synthesis regulation
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Sympathoadrenal Response to Exercise
Sympathoadrenal Response to Exercise
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Catecholamine degradation
Catecholamine degradation
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Catecholamine Effects on Heart
Catecholamine Effects on Heart
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Catecholamine action mechanism
Catecholamine action mechanism
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α1 receptor action
α1 receptor action
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Catecholamine's Role in Glucose Availability
Catecholamine's Role in Glucose Availability
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Catecholamine's Effect on Smooth Muscle
Catecholamine's Effect on Smooth Muscle
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α2 receptor action
α2 receptor action
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β1 receptor action
β1 receptor action
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Pheochromocytoma
Pheochromocytoma
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β2 receptor action
β2 receptor action
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β3 receptor action
β3 receptor action
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Study Notes
The Adrenal Gland and Adrenal Hormones
- Aldosterone, epinephrine, and norepinephrine are hormones
- Aldosterone's class: steroid hormone
- Epinephrine's class: amine hormone
- Norepinephrine's class: amine hormone
- Location of aldosterone synthesis: zona glomerulosa of adrenal cortex
- Location of epinephrine synthesis: adrenal medulla
- Location of norepinephrine synthesis: adrenal medulla
- Aldosterone regulation: primarily by renin-angiotensin system
- Renin-angiotensin system: a cascade of hormones that affects blood pressure and volume
- Mechanism of aldosterone action: modulating gene transcription after binding to MRs; regulates Na+ reabsorption and K+ secretion primarily in the distal tubule and collecting duct
- Aldosterone synthesis involves: steroidogenic cells; the rate-limiting step in aldosterone synthesis is controlled by a rate-limiting enzyme; ACTH and potassium levels in the blood influence aldosterone production in the zona glomerulosa cell.
Synthesis of Aldosterone
- Aldosterone synthesized from cholesterol
- Zona glomerulosa cells are the only cells that have aldosterone synthase
- Aldosterone secretion is limited by the rate of synthesis in the glomerulosa cells
- ACTH and extracellular K+ and Angiotensin II levels stimulate aldosterone production in the zona glomerulosa cells.
- Enzymes like the SCC enzyme and aldosterone synthase are involved.
- 37% of circulating aldosterone is in free form in plasma
- The rest (21% and 42%) bind weakly to CBG and albumin
Mechanism of Action of Aldosterone
- Major action: stimulate kidney to reabsorb Na+, and enhance potassium secretion in kidneys
- Also effects colon, salivary glands, and sweat glands
- Physiologic role in myocardium, liver, brain, and other tissues is unclear
- Acts by modulating gene transcription after binding to the mineralocorticoid receptor (MR)
Mechanism of Action of Aldosterone (in Renal Tubules)
- Increases activity of several key proteins involved in Na+ transport
- Increases transcription of Na-K pump, to augment distal Na+ reabsorption
- Increases apical Na+ channels and Na/K/Cl cotransporters
- ROMK = renal outer medullary potassium channel
- ENaC = epithelial sodium channel
- SGK = Serine/threonine-protein kinase
Regulation of Aldosterone Synthesis
- Feedback regulation via blood levels of Na+ and K+
- RAS (renin-angiotensin-aldosterone system) is a major regulator
- ACTH (adrenocorticotropic hormone) stimulates aldosterone synthesis
- High extracellular K+ depolarizes glomerulosa cells, increasing Ca2+
- Ca2+ stimulates production of aldosterone
The Adrenal Medulla: Catecholamines
Development of the Adrenal Gland (AG)
- Adrenal cortex develops from mesodermal cells; produces steroid hormones
- Chromaffin cells migrate into the cortex from neural crest cells; produce catecholamines
- Cortisol inhibits neuronal differentiation of chromaffin cells; promotes PNMT expression for epinephrine production
The Adrenal Medulla
- Bridges endocrine and sympathetic nervous systems
- Secreted catecholamines into blood; act as hormones
- Has chromaffin cells to secrete catecholamines
Synthesis of Catecholamines
- Tyrosine is the precursor for catecholamines
- Storage in chromaffin granules, complexed with proteins, ATP, and Ca2+
- Norepinephrine converted to epinephrine by PNMT
- VMATS move neurotransmitters into vesicles
- CRH/ACTH/cortisol and sympathetic epinephrine axis cause release to adrenal medulla
- 70% epinephrine and 30% norepinephrine are circulating hormones
Regulation of Catecholamines
- Primarily regulated by descending sympathetic signals from centers in CNS
- Feedback mechanisms regulate blood levels of catecholamines
- Autonomic centers in brain stem and hypothalamus initiate sympathetic responses
- Acetylcholine (ACh) stimulates catecholamine secretion
- ACh enhances the activity of tyrosine hydroxylase, dopamine β-hydroxylase
- Cortisol maintains adequate epinephrine production
Degradation of Catecholamines
- Catecholamines have a short half-life
- Degradation primarily by monoamine oxidase (MAO) and catechol-O-methyltransferase (COMT).
Mechanism of Action of Catecholamines
- Act through adrenergic GPCRs
- Differential potency at adrenergic receptors; epinephrine is more potent for certain receptors
- Multiple responses possible with single catecholamine
Physiologic Actions of Catecholamines
- Rapid adrenomedullary responses
- Increase blood flow to muscles, blood glucose, energy use
- Key role in the body's responses to exercise, stress, etc
Pheochromocytoma
- Rare adrenal medulla tumor, causes excessive catecholamine production
- Symptoms: hypertension, headaches, sweating, anxiety.
- Diagnosis: detects urinary catecholamines and metabolites. Possible treatment: adrenalectomy and subsequent hormone replacement therapy.
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