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

A

a: A>NA

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
Q

symptoms of phaeochormocytoma

A

high BP, headcahe. chest pain, sweating, anxiety

26
Q

treatment for phaeochromocytoma

A

surgery, anti hypertensive drugs, a and B blocker drugs

27
Q

what happens when there is hypofunction of adrenal medulaa

A

no problems since SNS activity is enough