Lecture 63-Adrenal Medulla And Cortex Flashcards

1
Q

Where are the adrenal glands located?

A

Retroperitoneal cavity above each kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two separate structural/functional glands of the kidney?

A

Medulla and cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does the adrenal cortex produce?

A

Mineralcorticoids, glucocorticoids, androgens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does the adrenal medulla produce?

A

Epinephrine and norepinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What receptors does epinephrine act on?

A

ALL alpha- and beta- adrenergic receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What receptors does noraepinephrine act on?

A

Alpha 1 & 2, beta-1 receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do chromaffin cells secrete?

A

Catecholamines (epinephrine and norepinephrine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the half-life of chromaffin cells?

A

2 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where is the adrenal medulla located?

A

In the inner zone of the gland and surrounded by the cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where does the adrenal medulla receive input from? What is it considered?

A

Receives input from sympathetic nervous system via preganglionic fibers originating in the thoracic spinal cord

**considered a specialized sympathetic ganglion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where is epinephrine stored? And when is it released?

A

Stored in granules, and released when activated by SNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why does cortisol reach the medulla in such high concentrations?

A

Because it is made in the cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What enzyme converted NE -> EPI under the influence of cortisol?

A

Phenylethanolamine-N-methyltransferase (PNMT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the predominant catecholamine synethesized?

A

Epinephrine (80%)

NE (20%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where does all EPI originate from?

A

Adrenal medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where does most NE originate from?

A

Sympathetic nerve terminals and brain

(Only small amount from adrenal medulla)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the target tissue of catecholamines?

A

Muscle cells and liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Where does the most metabolism of catecholamines occur in?

A

Liver and kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The regulation of catecholamine secretion is responsible for which response?

A

FIGHT OR FLIGHT

20
Q

What are the effects of catecholamines?

A

-increased heart rate, cardiac output, and blood pressure
-redistribution of blood towards skeletal muscle
-increased respiration
-increased blood glucose
-blood shunted AWAY from GIT
-increase lipolysis and possible gluconeogenesis

21
Q

What are the zones AND major hormones of each zone in the adrenal cortex?

A
  1. Zona glomerulosa
    A.) aldosterone
  2. Zona Fasciculata
    A.) cortisol (in humans, dogs, cats, horses, pigs, sheep, cattle)
    B.) corticosterone (in rat, mouse, rabbit)
  3. Zona reticularis
    A.) androgen precursors-> converted to testerogen and estrogen in peripheral
    B.) DHEA
    C.) Androsterone
22
Q

What is the precursors for all steroids?

A

Cholesterol

23
Q

What is the first step of steroid hormone production? Which enzyme plays a big role? Which zones contain this step?

A

Conversion of cholesterol to pregnenolone

Cholesterol Desmolase is the enzyme that makes this conversion possible !

All layers or zones contain this enzyme !!!!!!!!

24
Q

What does the direction of the hormone pathway depend on?

A

Presence/absence of enzymes to catalyze modifications

25
Where is the main site of production for mineralcorticoids (such as aldosterone)?
Adrenal cortex: Zona glomerulosa
26
What does the production of mineralcorticoids REQUIRE?
Aldosterone Synthase ACTH to stimulate cholesterol desmolase
27
Aldosterone is long OR short term regulation of blood pressure?
Long-term
28
What type of pattern does aldosterone display?
Diurnal pattern
29
What is the half life of aldosterone?
20 minutes
30
How does the primary regulation of aldosterone occur? (2)
Via changes in ECF volume via renin angiotensin II-aldosterone system AND changes in blood pressure
31
How is aldosterone transported in blood?
Aldosterone-binding globulin, transcortin, albumin
32
What stimulates synthesis of aldosterone? WHat is considered the mediator in aldosterone secretion?
Angiotensin II
33
What are the two things that the renin-angiotensin II-aldosterone system DECREASES? What is one thing this system INCREASES? What is the ultimate end goal of this system?
Decreases = ECF volume, renal blood perfusion pressure Increases= renin secretion by kidney End goal = stimulates Na reabsorption by kidney to restore ECF volume
34
When regulating aldosterone secretion there is an increase in blood K+ concentration. This results in deporliazation of adrenal cells to open which channel? The opening of this channel stimulates secretion of what? Which ultimately results in excretion of what?
Depolarization adrenal cells = opening Ca channels = stimulate aldosterone secretion = increases K+ excretion in kidneys
35
Where are glucocorticoids (cortisol) produced?
Adrenal cortex: Zona fasciculata
36
What is required to produce glucocorticoids?
ACTH to stimulate cholesterol desmolase
37
What is the half life of cortisol?
60-90 minutes
38
What axis is cortisol regulated by?
Hypothalamic-pituitary-adrenal axis
39
How is cortisol transported in blood?
By transcortin
40
What is cortisol metabolized by? Where is it excreted?
Metabolized by the liver Excreted in urine using glucuronides
41
What are two factors that influence ACTH secretion?
Stimulators and inhibitors
42
What are examples of stimulators?
Stress, low cortisol, ADH
43
What are examples of inhibitors?
High cortisol, exogenous steroids, somatostatin, dopamine
44
What two things inhibit CRH release?
Cortisol and ACTH
45
ACTH has a ___ loop feedback to inhibit CRH release. Cortisol has a ____ loop feedback to block CRH release.
ACTH has short loop feedback Cortisol has long loop feedback
46
What does administration of exogenous corticosteroids create? And then result in?
Creates negative feedback Resulting in adrenal gland atrophy