Endocrinology 10 Flashcards
What are the effects of Cortisol on Metbolism?
- Increased protein breakdown
- Increased fat breakdown
- Glucose formation in liver
- Glycogen formation in the liver
- Increased Blood glucose
- Decrease glucose utilization by peripheral tissues
- Increase glucose available for the CNS
How does Cortisol affect Protein and Fat?
It increases protein and fat breakdown
How does Cortisol affect glucose and glycogen in the liver?
It increases both glucose and glycogen formation in the liver
How does cortisol affect blood glucose?
It increases blood glucose (hyperglycemia)
How does cortisol affect glucose utilization by peripheral tissues?
It increases utilization by peripheral tissue
How does cortisol affect glucose in the CNS?
It increases glucose available for the CNS
How does Cortisol affect the immune system?
- Decrease lymph node side
- Decrease lymphocyte number
- Decrease humoral/cellular immunity
- Decrease production of inflammatory mediators
- Increases infections
Why might someone be given a cortisol like drug?
If they have long term inflammatory responses
How does Cortisol affect the GI tract?
It can increase the secretion of acids in the stomach and interfere with the absorption of calcium
How does cortisol affect the cardiac output?
It can increase cardiac output
How does cortisol affect the bones?
They tend to inhibit the formation of bones
How does cortisol affect the kidneys?
It can increase the GFR
How can cortisol affect a fetus?
It can affect the maturation of the lungs
How is the uptake of glucose into adipose tissue affected by cortisol?
The uptake of cortisol into adipose tissue is decrease
Where does Cortisol preferentially supply glucose?
The CNS (at the cost of less glucose be available to other tissues)