12 The Adrenal Glands Flashcards

1
Q

What are the sections of the adrenal cortex?

A

Zona glomerulosa
Zona fasiculata
Zona reticularis

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2
Q

What is released from the Zona glomerulosa?

A

Mineralcorticoids
E.g. aldosterone

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3
Q

What does the Zona fasiculata release?

A

Glucocorticoids
E.g. CORTISOL, corticosterone, cortisone

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4
Q

What does the Zona reticularis release?

A

Glucocorticoids + Androgens-sex hormones

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5
Q

How are steroid hormones synthesised?

A

From cholesterol
In adrenal glands and gonads

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6
Q

Are steroid hormones lipid or water soluble?

A

Lipid soluble

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7
Q

Adrenal gland structure

A

Capsule
Cortex
Medulla

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8
Q

What cells produce adrenaline and nor adrenaline?

A

Chromaffin cells

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9
Q

What hormones are released in the medulla?

A

Adrenaline
Noradrenaline

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10
Q

How to remember what is secreted by the layers of the cortex?

A

The deeper you go the sweeter it gets
Salt sugar sex

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11
Q

What is the main glucocorticoid?

A

Cortisol

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12
Q

What do steroid hormones regulate?

A

Gene transcription

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13
Q

What is aldosterone and where is it released form?

A

Mineralcorticoid
Zona glomerulosa - outer layer of cortex

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14
Q

How is aldosterone transported?

A

Steroid hormone so by carrier proteins:
Serum albumin mainly
Transcortin

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15
Q

Aldosterone function

A
  • regulation of plasma Na+, K+
  • regulation of arterial BP
  • promotes expression of Na+/K+ pump - NA+ in, K+ out - influences water retention, blood volume and BP
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16
Q

How does aldosterone exert its actions?

A

Regulating gene transcription

17
Q

Actions of angiotensin II

A
  • vasoconstriction
  • stimulation of adrenal cortex - aldosterone released causing increased expression of Na+/K+ so increased water reabsorption
  • stimulation of posterior pituitary - ADH released causing more aquaporins in nephron so increased water reabsorption
18
Q

How is cortisol transported?

A

Carrier protein- transcortin

19
Q

How does cortisol exert its actions?

A

Regulating gene transcription

20
Q

Actions of cortisol

A
  • increased protein breakdown in muscles
  • increased lipolysis in fats
  • increased gluconeogensis in liver
  • resistance to stress
  • anti-inflammatory effects
  • depression of immune response
21
Q

Effects of glucocorticoids on metabolism

A
  • increased glucose production (in liver)
  • breakdown of protein (in muscle)
  • redistribution of fat
22
Q

Effects of cortisol in liver

A
  • increased gluconeogensis
  • increased glycogen storage due to increased glucose production
23
Q

Effects of cortisol of muscle
What does it inhibit?

A

Increased protein degradation
Inhibits insulin induced GLUT 4 translocation - prevents glucose uptake

24
Q

Where is the GLUT 4 transporter found?

A

Striated muscle and adipose

25
Effects of cortisol on adipose
Increased lypolysis Decreased glucose utilisation
26
What is the only source of oestrogen for women after menopause?
Adrenal androgens converted in oestrogen
27
What do chromaffin cels act as?
Postganglionic nerve fibres
28
What do chromaffin cells lack?
Axons
29
Hormonal action of adrenaline on the heart, lungs + blood vessels including the receptors involved
Heart - increased HR and contractibility (B1) Lungs - bronchodilation (B2) Blood vessels - vasoconstriction in high level (a1) + vasodilation in circulating level (B2)
30
How to remember which receptors are in heart and lungs
1 heart 2 lungs Heart B1 Lungs B2
31
How is noradrenaline converted to adrenaline
Enzyme N-methyl transferase
32
What is POMC a precursor of?
a-MSH ACTH B-endorphins
33
Outline QISS receptors
- **Q : a1**: stimulates DAG + IP3 - **I : a2**: inhibits adenylyl cyclase > reduces cAMP + PKA - **S : B1**: activates adenylyl cyclase > increases cAMP > activates PKA - **S : B2**: activates adenylyl cyclase > increases cAMP > activates PKA