22.3 Adrenal Hormones Flashcards

1
Q

What is the function of the adrenal medulla?

A
  1. secrete epinephrine and norepinephrine

2. participate with the sympathetic response system

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2
Q

What type of hormones are secreted from the cortex of the adrenal gland directly in to the blood?

A
  1. mineralcorticoids
  2. glucocorticoids
  3. androgenic hormones
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3
Q

What layer are the cortisol and androgens secreted from?

A
  1. cortex, made of the zona fasciculata and zona reticularis
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4
Q

What area of the adrenal gland is the catecholamines secreted from?

A
  1. adrenal medulla
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5
Q

What is the rate limiting step for forming corticosteroids from cholesterol?

A
  1. cholesterol desmolase
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6
Q

What will increase the LDL receptors that will contribute to increasing the production of corticosteroids?

A
  1. Adrenocorticothyroid hormone, with angiotensin II increase conversion of cholesterol to pregnenolone
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7
Q

What is the main glucocorticoid?

A

cortisol, generally released in response to stress

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8
Q

WHat controls the release of cortisol?

A

adrenocortiotropic hormone from the anterior pituitary gland. This upregulates its own receptor and will increase the release of cAMP/

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9
Q

Where is cortisol secreted from?

A

zona fasciculata of the adrenal cortex.

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10
Q

When is cortisol highest in concentration and lowest in concentration?

A
  1. highest before waking

2. lowest in the evening

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11
Q

What group of hormones can dehydroepiandrosteron and androstenedione clumped into?

A
  1. androgenic hormones
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12
Q

18-carbon steroids have what type of activity?

A
  1. estrogenic activity
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13
Q

19-carbon steroids have what type of activity?

A

testosterone activity

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14
Q

Where are the androgenic hormones secreted from?

A

zona reticularis

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15
Q

What can lack of aldosterone lead to?

A
  1. death due to lack of mineralocorticoids and electrolyte imbalance
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16
Q

Why are mineralocorticoids important for survival?

A
  1. prevent increased levels of potassium, and loss of NaCl.
  2. this will prevent hypovolemic shock
  3. also prevents hyperkalemia and cardiac toxicity as secondary symptom/sign
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17
Q

What is the effect of excess aldosterone secretion?

A
  1. increased arterial pressure
  2. hypokalemia, muscle weakness
  3. increas potassium transport into cell bodies generating alkalosis, by exchanging H ion for K ion in intercalated cells.
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18
Q

What is the primary function of glucocorticoids?

A
  1. initiate gluconeogenesis.

2. increases lipolysis

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19
Q

What is secreted from the zona glomerulosa?

A
  1. mineralocorticoids, regulate BP and electrolyte balance
20
Q

Corticosteroids are derivatives of what and attach to what?

A
  1. form from cholesterol and attach to coated pits
21
Q

What must be present to convert cholesterol to corticosteroids?

A
  1. sholesterol desmolase (rate limiting step) which produces pregnenolone in the mitochondria
22
Q

What can increase the activity of cholesterol desmolase?

A

ACTH, and angiotensin II. produce more pregnenolone

23
Q

What effect will mineralocorticoids have on electrolytes?

A
  1. sodium reabsorption increased
  2. hyperkalemia increases aldosterone
  3. aldosterone increases potassium secretion by kidney
  4. aldosterone increase H ion secretion by kidney
24
Q

What controls the secretion of mineralocorticoids?

A
  1. angiotensin II and potassium
25
What is the major glucocorticoid?
cortisol
26
What controls the release of glucocorticoids?
1. Adrenocorticothyroid hormone, activate cAMP to increase stimulation of glucocorticoid secretion from the zona fasciculata
27
Which hormone oscillates with circadian rhythm. is high in the morning and low before bed?
cortisol
28
What is DHEA, dehydroepiandrosterone?
precursor that becomes testosterone in the testis
29
What must happen to precursors to form estrogen?
oxidation in the ovary which forms an 18-carbon steroid
30
Which steroids are precursors for testosterone?
19-carbon steroids
31
What can lack of aldosterone produce?
1. hyperkalemia 2. reduced ECF and blood volume 3. hypovolemic shock 4. rapid loss of sodium and chloride via urine
32
What can excess aldosterone produce?
1. increase ECF and blood volume 2. hypokalemia/ muscle fatigue 3. transport K ion into the cells 4. cause alkalosis. due to exchange for Na ions in renal system
33
What is the major overall effect of aldosterone?
1. reabsorption of Na and secretion of K ions
34
What are the 6 steps to promote sodium reabsorption via aldosterone?
1. aldosterone diffuse into tubular epithelial cells 2. combine with mineralocorticoid receptor protein 3. receptor-hormone complex fuse into nucleus 4. RNA is transcribed into Na-K ATPase pumps 5. spithelial sodium channels transcribed
35
What hormones can directly increase aldosterone secretions?
1. increased K concentration 2. increased angiotensin II 3. ACTH required but independent of aldosterone secretion
36
What hormone has little to no effect on the rate of secretion of aldosterone
adrenocorticothyroid hormone
37
What is the main function of glucocorticoids?
stimulate gluconeogenesis, and can contribute to adrenal diabetes
38
How do glucocorticoids resist inflammation?
1. prevent release of serotonin and histamine 2. block anaphylactic response 3. block IL-2 production 4. reduce eosinophils/lymphocytes in blood
39
What is primary addison's disease?
injury to adrenal cortex causing hypoadrenalism
40
What is secondary addison's disease?
impaired function of the pituitary gland causes hypoadrenalism
41
What can a mineralocorticoid deficiency cause?
1. hyponatremia, hypokalemia 2. acidosis 3. RBC increase 4. reduced cardiac output 5. metabolic acidosis
42
What can a glucocorticoid deficiency cause?
1. hypoglycemia 2. protein and fat reduction 3. weight loss 4. muscle weakness 5. stress suscpetibility
43
What results in an uneven distribution of pigmentation across the skin?
melanin pigmentation abnormality from hypoadrenalism.Overproduced melanin stimulating hormone
44
What is cushing's disease?
hyperadrenalism
45
What are causes of cushing's disease?
1. glucocorticoid 2. pituitary gland adenoma 3. hypothalamus abnormality 4. adrenal cortex adenoma 5. excess ACTH secretion
46
What are common characteristics of cushing's syndrome?
1. moon face 2. acne/hirsutism 3. increased BG 4. HTN 5. protein catabolism