Adrenal glands Flashcards

1
Q

Where do the adrenal glands lie in relation to the kidneys?

A

Supramedially

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2
Q

What are the 3 layers of the cortex and what do they all produce?

A

Zona glomerulosa
Zona fasiculata
Zona reticularis
All produce corticosteroids

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3
Q

What does the zona glomerulosa produce?

A

Mineralocorticoids eg aldosterone

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4
Q

What does the zona fasiculata produce?

A

Glucocorticoids eg cortisol

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5
Q

What does the zone reticularis produce?

A

Androgens (sex hormones) eg DHEA

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6
Q

What is the precursor for all corticosteroids?

A

Cholesterol

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7
Q

Properties of corticosteroids (4)

A
  • lipid soluble - can pass through membranes
  • bind specific intracellular receptors
  • alter gene expression directly/ indirectly
  • function is depended on specific shape
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8
Q

What does the adrenal medulla produce?

A

Catecholamines eg adrenaline, noradrenaline

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9
Q

What triggers release of aldosterone from the zona glomerulosa?

A

Renin release from the JGA in afferent arterioles of kidneys

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10
Q

Problems of the pituitary/hypothalamus WON’T affect the secretion of which hormone?

A

Aldosterone (kidney problems will)

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11
Q

What is stress? Give examples

A

Real/ perceived threat to homeostasis

eg physical trauma, shock, sleep deprivation

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12
Q

How does stress affect the body?

A
  1. Stress detected by hypothalamus - CRH released
  2. CRH carried by hypothalamic-hypophyseal portal vessles to ANT pituitary - ACTH hormone
  3. ACTH stimulates adrenal cortex to release cortisol
    Cortisol has -ve feedback on CRH and ACTH production
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13
Q

How much cortisol is “free?”

A

5% is bioavailable

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14
Q

What hormone other than cortisol increases in response to stress?

A

Vasopressin (ADH)

Stimulates ANT pituitary to stimulate ACTH

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15
Q

What are the normal/ non-stress functions of cortisol?

A

Maintain homeostasis - blood glucose levels, dampen immune system, maintains bp

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16
Q

What are the stress functions of cortisol? (4)

A
  • Metabolism
  • Circulation
  • Reduces inflammatory response
  • Inhibits non-essential functions (growth & reproduction)
17
Q

What type of androgens does the zona reticularis release?

A

Weak androgens eg DHEA and androstenedione

18
Q

How are androgens made stronger?

A

Converted in the peripheral tissues

19
Q

What regulates androgen production?

A

ACTH secreted by the ANT pituitary

20
Q

What does the adrenal medulla produce?

A

Catecholamines (dependent on high cortisol levels - permissive effect)

21
Q

What 3 catecholamines does the adrenal medulla produce?

A
  • Adrenaline (80%)
  • Noradrenaline (20%)
  • Dopamine (small amounts)
22
Q

What are actions of the sympathetic nervous system?

A
  • increase gluconeogenesis
  • increase lipolysis
  • tachycardia
  • redistribution of circulating volume
  • increase lung ventilation