Adrenal Gland Physiology Flashcards
Zona glomerulosa
Produce mineralcorticoids (aldosterone) Regulate mineral/electrolyte balance
Zona fasciculata
Glucocorticoids (cortisol)
Regulate glucose metabolism
Zona reticularis
Androgens
Stimulate masculinization
dehydroepiandrosterone
Medulla
Stress hormones
Sympathetic ANS
epi and norepi
HPA axis
Hypothalamus -corticotropin releasing hormone->
Anterior pituitary -Adrenocorticotropic hormone
Adrenal cortex- cortisol
Mineralcorticoids
Aldosterone
Stimulated mainly by signals from the kidneys but also hypothalamic (CRH) and pituitary (ACTH)
Glucocorticoids and androgens
Cortisol and dehydroepiandrosterone
Stimulated mainly by signals from the hypothalamus (CRH) and pituitary (ACTH)
Catecholamines
Epi
Stimulated by signals from the sympathetic nervous system
Andrenal cortex hormone synthesis
Produces steroid hormones- derived from cholesterol
In the first step- cholesterol is used to form pregnenolone
This step is common to all arden-cortical hormones
Occurs in the mitochondrion
This step is regulated by ACTH- limits the rate of synthesis of all adrenocortical hormones
Mineralocorticoid overview
These are corticosteroids that influence salt and water balances (electrolyte and fluid balance)
Aldosterone is the primary mineralocorticoid
Acts on distal tubules in kidneys to provide:
-active reabsorption of Na
-active secretion of K
-active secretion of protons
-passive reabsorption of water
Adrenal cortex aldosteron
Closely linked to a renin (enzyme) and angiotensin (hormone, which create RAAS.
Primary regulators: decrease in blood volume or BP will activate RAAS. Also an increase in K in blood
Leads to zona glomerulosa enhanced secretion of aldosterone which leads to increase blood volume and BP
Main stimulants are low blood Na or high blood K or low blood volume and pressure
Major function- regulate NA and K through the distal tubules in kidneys
-active reabsorption of Na, active secretion of K and passive reabsorption of water
Negative feedback primarily via restoration of electrolyte balance
Weakly binds to plasma transport proteins.
-bound 10% to transcortin and 50% to albumin
-40$ is free or bioactive
Action on target tissue
-via cytoplasm or nuclear receptors- mineralocorticoid-receptor complex on DNA
half life iin circulation 20 minutes
metabolized in liver
-sulfates and glucuronides reduce bioactivity and increase water solubility
-secreted in urine
Steroid hormones bind to intracellular receptors
- most hydrophobic steroids are bound to plasma protein carriers. Only unbound hormones can diffuse into target cell
- Steroid hormon receptors are in the cytoplasm or nucleus
- The receptor-hormone complex binds to DNA and activates or represses one or more genes
- Activated genes create new mRNA that moves back to the cytoplasm
- Translation produces new proteins for cell processes
- Some steroid hormones also bind to membrane receptors that use second messenger systems to create rapid cell response
Glucocorticoids overview
These are corticosteroids that have broad effects but are primarily involved in metabolic (carbohydrate) and immunologic (antiinflammatory) responses
Cortisol- the most important glucocorticoids- considered stress hormoen
Circadian or diurnal rhythm- higher blood concentrations in morning than afternoon/evening
Regulation is via hypothalamic (CRH)- pituitary (ACTH) adrenal (cortisol) axis in response to low blood glucose and other stressors
Adrenal cortex: Cortisol
Stress is a biological response to external or internal stimuli or a bodys reaction to change to maintain homeostasis
- hypoglycemis
- physical trauma
- inflammation
- pathogenic
- disease
Glucocorticoids, stress and diurnal rhythm can influence the axis
Metabolic enhancer: Stimulated in response to low blood sugar or glucose
- Increases glucose via countering insulin and inhibiting glucose uptake and storage in muscle and adipose tissue, except brain
- Simulates liver enzymes to increase gluconeogenesis and glucogenolysis
- mobilize aas and FFAs to serve as substrates for gluconeogenesis
Cortisol actions on carbohydrate metabolism
Stimulates synthesis of enzymes involves in gluconeogenesis
Antagonizes insulins effects to inhibit gluconeogenesis in liver
Decrease glucose utilization be cells
Potentiates the action of glucagon and epic on glucose metabolism
Can cause diabetes mellitus
-increased gluconeogenesis + reduction in glucose utilization