HPA Flashcards
Highest ACTH affinity receptor
MC2R
Immediate effects of ACTH
IN Cholesterol esterase DEC Cholesterol ester synthetase IN Cholesterol transport into mitochondria IN Cholesterol binding to p-450SCC IN Pregnenolone production IN StAR protein
Subsequent effects of ACTH
IN Gene transcription of P-450SCC, P-450 C17, P-450 C11
Adrenoxin
LDL receptor
HDL receptor
Long-term effects of ACTH
IN size and functional complexity of organelles
IN Size and number of cells
Long term binging: adrenal hypertrophy
Pleiotropic effects of cortisol
Muscle
Maintain muscle function
Decrease muscle mass
Inhibits GLUT4 insertion into the membrane; decreases glucose uptake into muscle cells
Pleiotropic effects of cortisol
Bone
Decrease bone formation
Increase bone resorption
Pleiotropic effects of cortisol
Connective tissue
Decrease connective tissue
Pleiotropic effects of cortisol
Immune
Inhibit inflammatory and immune responses
Pleiotropic effects of cortisol
Cardiovascular
Maintain cardiac output
Increase arteriolar tone
Decrease endothelial permeability
Pleiotropic effects of cortisol
Pregnancy
Facilitate maturation of the fetus
Pleiotropic effects of cortisol
Kidney
Increase glomerular filtration and free water clearance
Pleiotropic effects of cortisol
Brain
Modulate emotional tone
Modulate wakefulness
Zona glomerulosa
Top Mineralcorticoids (aldosterone)
Zona fasciculata
Middle, largest layer
Glucocorticoids (cortisol)
Zona reticularis
Bottom Weak androgens (DHEA)