Adrenal Hormones Flashcards

1
Q

Chromaffin cells in the medulla secrete _(2)

A

Epi and norepi

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2
Q

The cortex zona glomerulosa secretes _

A

mineralocorticoids (aldosterone)

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3
Q

The cortex zona fasciculata secretes _

A

glucocorticoids (cortisol) and androgens

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4
Q

The cortex zona reticularis secretes _

A

Androgens and glucocorticoids

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5
Q

Blood flow patterns in the adrenal glands ensure that blood flows from _ to _ ([cortex/medulla]

A

Cortex to medulla

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6
Q

The catecholamines mediate the short term fight or flight responses. One area where they have no direct effects is _

A

CNS. Cannot cross BBB

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7
Q

What types of receptors to catecholamines bind? What are the receptors of NE? Epi?

A

GPCR
NE- a1, a2, b1
Epi - a1, a2, b1, b2

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8
Q

Of the catecholamine receptors, which is inhibitory? which binds epi with highest affinity?

A

a2

b2

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9
Q

The rate limiting step of catecholamine synthesis is mediate by what enzyme? What order are catcholamines made?

A

Tyrosine hydroxylase

DA-NE-Epi

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10
Q

What is a pheochromocytoma? What are symptoms?

A

A tumor of chromaffin cells oversecreting catecholamines

Sudden onset “fight/flight” symptoms

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11
Q

The precursor for mineralocorticoids, glucocorticoids and sex steroids is _

A

Cholesterol

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12
Q

The protein that chaperones cholesterol to the mitochondria is _

A

StAR

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13
Q

The rate limiting step for steroid hormone synthesis is the production of _. It is catalyzed by what enzyme? Where does this occur (2)?

A

Pregnenolone synthesis
Desmolase
Mitochondria and ER

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14
Q

In the gonads, what enzyme converts testosterone to estradiol?

A

Aromatase

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15
Q

What enzyme converts testosterone to dihydrotestosterone?

A

5-alpha-reductase

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16
Q

Between aldosterone and cortisol, which has a shorter half life? Why?

A

Aldosterone, because it circulates in free form, vs. cortisol circulates bound to cortisol binding globulin

17
Q

The major effect of aldosterone is _. What life threatening condition can occur in the absence of aldosterone?

A

Na rebsorption, K+ secretion

Hyperkalemia

18
Q

Aldosterone escape refers to _

A

The ability of the body to stop aldosterone from continually increasing extracellular volume

19
Q

Cortisol and aldosterone can bind the same mineralocorticoid receptor. What prevent this from occuring?

A

Enzyme 11-beta-HSD2 is expressed in aldosterone responsive tissues, hydrolyzes cortisol to cortisone

20
Q

The 2 major + regulators of aldosterone release are_. The major - regulator is _

A

High plasma K+, Renin-Ang-system

ANP

21
Q

Increased gluconeogenesis, decreased cellular glucose utilization, increased blood glucose are all effects of _

A

Glucocorticoids

22
Q

Increased fat mobilization from arms and legs, decreased protein synthesis, anti-inflammatory effects are all effects of _

A

Gluco-corticoids

23
Q

Decreased lymphocyte proliferation and decreased cytokine synthesis are effects of _

A

Glucocorticoids

24
Q

ACTH sequences are contained within the same peptide fragment containing _ (2)

25
Too much ACTH can cause hyperpigmentation because _
MSH is contained within the same protein fragment
26
Glucocorticoid receptors are found in _. How do they exert their effects?
Nucleus | Bind glucocorticoids, which homodimerize and bind GRE (glucocorticoid response element)
27
Glucocorticoids have what effect on POMC expression?
Reduce it, long loop negative feedback because it is on the same transcript as ACTH
28
What is Addison's disease? What can cause it (2)?
Combined MC and GC deficiency | Autoimmune cortex destruction, TB
29
What is Conn's syndrome? What are the major findsings regarding Na+ and K+?
Zona glomerulosa tumor | Increased Na+ retention, decreased K+
30
Cortisol hypersecretion can cause _. How do you differentiate between the 2?
Cushing's syndrome or Cushing's disease | Bolus dexamethasone, if it suppresses ACTH and cortisol, then Cushing's disease
31
What is adrenal diabetes?
High blood sugar from too much cortisol
32
Congenital adrenal hyperplasia results from _
Blockade of cortisol synthesis, no negative feedback to block ACTH
33
What is Adrenogenital syndrome?
Hypersecretion of DHEA, leading to masculinization of females or virilization of males