L6 - Adrenal medulla Flashcards

1
Q

function of adrenal medulla

A

synthesises catecholamines (Camines) and adr

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2
Q

what part of NS is adrenal medulla part of

A

ANS

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3
Q

is adrenal medulla essential for life and why

A

no because other parts of NS can produce things that is also produced by medulla

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4
Q

where does adrenal medulla originate from

A

primitive neural crest then to sympathetic ganglia and chromaffin cells

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5
Q

what are chromaffin cells

A

they are CC cells where it produces Camines like Nadr and adr

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6
Q

pathway of Camines synthesis

A

tyrosine>L-DOPA>dopamine>Nadr> Adr

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7
Q

what is the enzyme that converts N adr to Adr

A

PNMT

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8
Q

hwo are Camines stored

A

transported into vesicles > protects them from degradation

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9
Q

how are Camines regulated

A

High camines levels inhibit rate limiting step of tyrosine to LDOPA.
-but if there is high level of stimulation from the nerves, this overtakes the high Camines levels and stimulate tyrosine hydroxlase

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10
Q

pathway of adr secretion from the stimulus

A

stress(sstimulus)> hypothalamus> SNS activation > adr secretion

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11
Q

what other molecules can activate adr secretion

A

high levels of ACTH/cortisol due to stress can activate PNMT enzymes to convert Nadr to adr

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12
Q

ACTH/cortisol production has a negative feedback so does this have an effect on adr secretion

A

no

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13
Q

how can Camines be terminated

A

uptaken into nerve terminals to be metabolised and recycled

- inactivated in liver or kidney

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14
Q

pathway of metabolic degradation of adr to exretion in kidney

A

adr> metadr>VMA> excreted via kidney

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15
Q

how can be VMA be used as an indicator

A

to see how much adr in circulation

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16
Q

sensiitivirty of a and B receptors towards Nadr and Adr

17
Q

effects of adr on CVS

A

HR and force contraction increases

- vasodil of skeletalvessels

18
Q

effects of adr on RS

A

bronchodilation

19
Q

effects on CNS by adr

A

increases alterness, anxiety, muslce tremor

20
Q

effects of adr on muscle

A

glycogen breakdown into glucose

21
Q

effects of adr on liver

A

increases glycogenolysis or gluconeogenesis

22
Q

effects of adr on adipose tissue

A

FAs mobilised to glucose

23
Q

why is it useful to have medulla alongside with SNS

A

longer lasting effect, wide spread effect, has a diff effect to SNS activation

24
Q

what is phaeochromocytoma

A

excess Camines produced due to tumour of chromaffion cells(oversecretion) or dramatic eps due to sudden stressors

25
symptoms of phaeochormocytoma
high BP, headcahe. chest pain, sweating, anxiety
26
treatment for phaeochromocytoma
surgery, anti hypertensive drugs, a and B blocker drugs
27
what happens when there is hypofunction of adrenal medulaa
no problems since SNS activity is enough