Endocrine - Adrenal Flashcards

1
Q

What is the parenchyma of the adrenal gland divided into?

A

Cortex - outer - yellowish

Medulla - inner - reddish-brown

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2
Q

Where do cortical cells of the adrenal gland originate from? Medullary cells?

A

Mesenchyme - cortical cells (mesodermal)

Neural crest cells - Medullary cells (ectodermal)

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3
Q

How is the adrenal gland organized?

A

Endocrine gland - cords of secretory cells arranged along fenestrated capillaries

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4
Q

What is the capsule of the adrenal medulla formed by? What does it send into the parenchyma of the gland?

A

Dense CT

Sends trabeculae into the gland

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5
Q

What percent of the adrenal gland does the cortex form?

A

90%

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6
Q

As the steroid producing part of the gland, what three things does the cortex produce?

A

Mineralcorticoids
Glucocorticoids
Androgens

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7
Q

What organelle is abundant in the cells of the cortex?

A

SER

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8
Q

Are steroids stored int he cytoplasm of cortical cells or released immediately?

A

Released immediately

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9
Q

What are the three zones of the adrenal cortex? Percent of the cortex?

A

Zona glomerulosa - 15%
Zona fasciculata - 65%
Zona reticularis - 7%

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10
Q

What type of cells are in the zona glomeruloas? How are they arranged?

A

Cuboidal/pyramidal cells

Arch cords or curved columns

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11
Q

What do cells of the zona glomerulosa secrete? What does this ultimately do?

A

Mineralocorticoids - regulate Na and K homeostasis and H2O balance

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12
Q

What is the principal mineralocorticoid secreted by the zona glomerulosa?

A

Aldosterone

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13
Q

What 4 tissues does aldosterone act on to cause reabsorption of Na?

A

Kidney tubules
Gastric mucosa
Salivary glands
Sweat glands

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14
Q

What system provides feedback to the zona glomerulosa? What specifically?

A

Renin-angiotensin-aldosterone system

Angiotensin II stimualtes zona glomerulosa to produce aldosterone

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15
Q

What cells are found in the zona fasiculata? How are they typically arranged?

A

SPongiocytes

One or two cell thick straight cords

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16
Q

What do spongiocytes mainly secrete?

A

Glucocorticoids (such as cortisol)

17
Q

What are two important role of glucocorticoids?

A

Increasing metabolism of glucose and FA
Depressing immune and inflammatory responses - decreasing IL-1 and IL-1 from lymphocytes and macrophages and decreasing lymphblast mitosis within lymph nodes

18
Q

What controls glucocorticoid production?

A

ACTH produced by corticotropes of anterior pituitary

19
Q

Besides signaling glucocorticoid production, what else is ACTH also necessary for in the adrenal gland?

A

Increase growth and blood flow through gland

20
Q

What is the inner most layer of the adrenal cortex? What do these small cells contain? How do they stain?

A

Zona reticularis
Lipofuscin granules
Eosin (intense, due to fewer lipid droplets)

21
Q

What two things do cells in the zona reticularis secrete?

A

Androgens and glucocorticoids

22
Q

What are the two types of cells found in the adrenal medulla?

A

Chromaddin cells

Ganglion Cells

23
Q

What are chromaffin cells derived from? Theya re modifed what?

A

Neural crest cells

Modified postsynaptic neurons

24
Q

What suppresses axonal growth of chromaffin cells?

A

Glucocorticoids

25
What do cromaffin cells store and secrete?
NE and Epi
26
How do chromaffin cells secreting NE differ from those secreting Epi?
NE - larger secretory granules - 20% | Epi - smaller secretory granules - 80%
27
What innervates chromaffin cells?
Sympathetic nerve fibers
28
What is released fom the synaptic terminals of sympathetic nerve fibers to cause degranulation of chromaffin cells?
Acetylcholine
29
What do ganglion cells of the adrenal medulla do?
Modulate activity of chromaffin cells
30
What supplies the adrenal gland with blood?
Suprarenal arteries
31
How is the blood supply organized in the adrenal medulla?
Capsular arteries - irrigate capsule Cortical arteries - form fenetrated cortical sinusoidal cap Medulalry arteries - pass through cortex and supply medulla
32
What are the two blood supplies of the adrenal medulla? What do each contain?
Medullary arteries - oxygenated blood | Cortical capillaries - glucocorticoid rich blood
33
What structures collect the blood from within the medulla? What do these then drain into?
Adrenomedullary collecting veins Large central adrenomedullary vein to IVC on rights and left renal on left