Ch23 Flashcards
What class of hormones are secreted by the adrenal cortex?
Steroid hormones
What class of hormones are secreted by the adrenal medulla?
Catecholamines
What kind of hormones are released from the zona reticularis?
Steroid hormones
Sex hormones
What kind of hormones are released from the zona fasciculata?
Steroid hormones
Glucocorticoids (primarily cortisol)
What kind of hormones are released from the zona glomerulosa?
Steroid hormones
Mineralocorticoids (aldosterone)
What 4 tissues does cortisol act on? What are the responses?
Immune system: function suppressed
Liver: Gluconeogenesis
Muscle: Protein catabolism
Adipose tissue: Lipolysis
When is cortisol release the highest in the circadian rhythm?
Between 6 am and noon
What are the 6 metabolic effects of cortisol?
- Promotes gluconeogenesis
- Causes breakdown of skeletal muscle proteins
- Enhances lipolysis
- Suppresses the immune system
- Causes negative calcium balance
- Influences brain function
What is hypercortisolism called?
Cushing’s disease (or Cushing’s syndrome if iatrogenic)
What is hypocortisolism called? What is it accompanied by?
Addison’s disease and it is accompanied by loss of all hormones from adrenal cortex
What are the physical symptoms of Cushing’s disease?
Moon face, red cheeks, striations on abdominal fat, fat deposits in the trunk, buffalo hump
What hormones are linked with the mediation of immune function as a result of stress?
CRH and ACTH
What are the two kinds of melanocortins?
MSH and ACTH
How does excess ACTH lead to darker skin?
ACTH is a melanocortin like MSH and can bind to receptors on melanocytes and increases melanin production
What are symptoms of Addison’s disease?
weight loss, muscle weakness, fatigue, low blood pressure (from loss of aldosterone), darkening of the skin
What is the function of TBGs?
Thyroid binding globulins act as carrier proteins to transport the lipophilic thyroid hormones in the blood
What is the more common type of thyroid hormone? What is the more active type?
Both are T3
What does the pendrin transporter do?
Moves Iodine from the follicular cell into the colloid of the thyroid gland
What does thyroid peroxidase do?
Adds iodine to tyrosine to make T3 and T4
What is the difference between thyroid-binding globulin and thyroglobulin?
Thyroid-binding globulin acts as a carrier for T3 and T4 in the blood.
Thyroglobulin acts as a carrier from the colloid into the follicular cell
Where are the de-iodinases found that modify T4?
In the target tissues
What is the name of pseudo-hyperthyroidism brought on by excessive thyroid-stimulating immunoglobulins mimicking TSH?
Grave’s disease
What is exopthalmos caused by?
Hyperthyroidism
What is the most common form of hypothyroidism?
Hashimoto’s disease