Corticosteroid production and regulation Flashcards

1
Q

What are steroids derived from?

A

Steroid hormones are derived from enzymatic modification of cholesterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how is steroidogenesis regulated?

A

by controlling the enzymes which convert cholesterol into the steroid hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

where are Enzymes which produce steroid hormones from cholesterol located?

A

in mitochondria and smooth ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

are steroid hormones stored after synthesis?

A

No, they are not stored but synthesized and immediately released

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

As steroid hormones aren’t water soluble, how are they carried in blood?

A

they are carried in the blood complexed to specific binding globulins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what binding globulin carries cortisol?

A

Corticosteroid binding globulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

where are adrenal glands located?

A

in abdomen above kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

describe the size and colour of adrenal glands

A

Endocrine glands are 4-6cm

Yellow in colour due to high cholesterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are adrenal glands composed of?

A

Composed of outer cortex and inner medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how are the cortex and medulla adrenal glands different ?

A

Medulla is embryologically and histologically distinct to cortex, they are two different glands
Medulla- rich in blood + nerve supply
Cortex- consists of different zones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the arterial supply of adrenal cortex?

A

superior, middle and inferior suprarenal arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How does arterial blood flow and what vessel does it become?

A

moves towards the centre of the gland and flows into the medullary vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

describe the venous blood flow of the adrenal cortex?

A

Medullary vein emerges from the hilum before forming the suprarenal veins, which join the inferior vena cava on the right side and the left renal vein on the left

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the adrenal nerve supply derived from? what do the nerves supply?

A

derived from the coeliac plexus and the thoracic splanchnic nerves.

The nerves supply the chromaffin cells of the adrenal medulla.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what surrounds the adrenal cortex?

A

Fibrous capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Name the 3 layers of the adrenal cortex

A

Zona Glomerulosa
Zona Fasciculata
Zona Reticularis
SALT, SUGAR, SEX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

describe the cell type in ZG, what hormone it secretes, what it is regulated by and what process it regulates

A

Cluster of small cells
Regulated by RAS and K+
Produces mineralocorticoids e.g. aldosterone, deoxycorticosterone.
Regulates Na+ homeostasis
Cluster of small cells with ball-like structure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

describe the cell type in ZF, what hormone it secretes, what it is regulated by and what process it regulates

A

Column like cells
Regulated by ACTH
Produces Glucocorticoids e.g. cortisol, corticosterone
Regulates carbohydrate metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

describe the cell type in ZR, what hormone it secretes, what it is regulated by and what its role is

A

Haphazard cell arrangement
Regulated by ACTH
produces adrenal androgens e.g. DHEA, DHEA-sulphate

Sole source of androgens – (important in women as males has testes which make testosterone)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is found in the medulla?

A

Chromaffin cells

And Numerous capillaries and veins – produces catecholamines like adrenaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is the Rate-limiting enzyme is cholesterol synthesis?

A

HMG-CoA reductase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

in what form is cholesterol taken up by a cell?

A

in the form of low density lipoprotein (LDL).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what happens after LDL is taken into cells?

A

It is broken down into esterified cholesterol, and then free cholesterol – ready for steroid biosynthesis

24
Q

What is the first enzymatic step in steroid synthesis? what enzyme catalyses this reaction? where is it found?

A

the conversion of cholesterol to pregnenolone

Cytochrome P450 enzyme , found in inner mitochondrial membrane

25
what is the rate limiting step? what is it carried out by?
the transport of free cholesterol from cytoplasm into mitochondria. Carried out by Steroidogenic Acute Regulatory Protein (StAR) - which forms a channel to deliver cholesterol to inner mitochondrial membrane
26
what is the name for the steroidogenic enzyme: Side-chain cleavage enzyme
CYP11A1
27
what is the name for the steroidogenic enzyme: 3 beta-hydroxysteroid dehydrogenase
3 beta-HSD
28
what is the name for the steroidogenic enzyme: 17 alpha-hydroxylase
CYP17
29
what is the name for the steroidogenic enzyme: 21 hydroxylase
CYP21A2
30
what is the name for the steroidogenic enzyme: 11 beta-hydroxylase
CYP11B1
31
what is the name for the steroidogenic enzyme: Aldosterone synthase
CYP11B2
32
what causes Congenital Adrenal Hyperplasia?
21 hydroxylase deficiency
33
what type of receptors are steroid receptors?
Nuclear receptors
34
What occurs at each domain of the steroid receptor
A/B: N terminal domain controls which gene is activated C: DNA binding zone D: hinge region- controls movement of receptor to nucleus E: ligand binding domain F: C-terminal domain
35
describe the mechanism of action of steroid hormones
Steroid hormone diffuses through plasma membrane Binds to intracellular cytosolic receptor Receptor hormone complex enters nucleus and binds to DNA sequence Binding initiates transcription to produce mRNA mRNA is translated to protein which mediates cell response
36
where are glucocorticoid receptors found?
widespread around body
37
where are mineralocorticoid receptors found?
Distal CT of Nephron, Salivary glands, sweat glands, large intestine, also in brain, vascular tissue and heart
38
why is cortisol more likely to bind to a mineralocorticoid receptor than aldosterone is to a glucocorticoid receptor?
Plasma Cortisol concentration is much higher than aldosterone
39
what mechanism protects mineralocorticoid receptor from illicit occupation by glucocorticoids like cortisol?
``` 11 beta-HSDII catalyses the conversion of Cortisol (active) to Cortisone (inactive) in selective tissues e.g. kidney allowing aldosterone to function normally ```
40
what inhibits the enzyme 11 beta HSD II?
Liquorice
41
describe the effects of cortisol on the body
``` Stimulates gluconeogenesis in liver stimulates lipolysis permissive effect on glucagon counteracts insulin increased skeletal muscle breakdown immune suppression ```
42
describe the mechanism of action of aldosterone
Upregulates epithelial sodium channel which increases Na and water reabsorption Stimulates secretion of K into lumen and secretion of H+ via the H/ATPase in intercalated cells of cortical collecting tubules
43
describe the role of hypothalamus and anterior pituitary in regulation of cortisol production
Hypothalamus secretes Corticotropin releasing Hormone, which causes Anterior Pituitary to release Adrenocorticotropic hormone (ACTH) which acts on Adrenal cortex to cause cortisol production
44
at what time of day are cortisol levels higher?
In the morning
45
What is POMC (propriomelanocortin), in the anterior pituitary, made of? and what does it control
ACTH Lipotropin which become: Beta endorphin Melanocyte Stimualting hormone Controls melanin pigmentation (increase ACTh = increase MSH= increase melanin so dark skin)
46
what type of receptor is ACTH receptor?
G-protein Coupled Receptor
47
after ACTH binds to G-protien coupled receptors what happens?
Conformation changes in receptor stimulate adenyl cyclase , causing an increase in cAMP, activation of PKA and calcium influx
48
what rapid and long term effects does ACTH have to increase cortisol production?
Stimulation of cholesterol delivery to the mitochondria (rapid) -for steroidogensis Increased transcription of genes coding for steroidogenic enzymes (long-term).
49
what activates the RAS system?
Activated in response to low blood pressure, plasma sodium
50
how does Angiotensin II increase aldosterone production?
AngII binds to 7 transmembrane domain G-protein coupled receptor Activates phospholipase C Cascade of reactions causes Ca2+ release this stimulates transcription of StAR and cholesterol uptake into mitochondria
51
how does potassium increase aldosterone production?
Increase in potassium, increases aldosterone
52
what is primary aldosteronism and what are the most common causes of it?
High levels of Aldosterone Most Common Causes: Aldosterone producing adenoma (unilateral) Bilateral adrenal hyperplasia
53
what effects does primary aldosteronism have?
``` Increased sodium reabsorption, Volume expansion Hypokalaemia (Potassium excretion) Alkalosis (due to hydrogen excretion) Low PRA (plasma renin activity) Hypertension ```
54
what is cushing's syndrome and what are the most common causes of it?
High levels of Cortisol Caused by: ACTH producing adenoma (pituitary) Cortisol producing adenoma (adrenal) Iatrogenic – caused by large doses of steroids for other medical conditions
55
in Addison's disease, there is the inability to make _____ and _____
cortisol and aldosterone