stress responses and cortisol Flashcards

1
Q

what is the other cause for cortisol to be secreted

A

low blood glucose or day night cycle

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2
Q

what type of hormone is cortisol

A

a lipid soluble hormone

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3
Q

what does the non stress neural inputs cause

A

causes the hypothalamus to secrete corticotropin-releasing hormone (CRH)

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4
Q

whats the target cell for CRH

A

the anterior pituitary gland

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5
Q

what does CRH cause in the anterior pituitary gland

A

the release of adrenocorticotropic hormone (ACTH)

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6
Q

whats the target cell for adrenocorticotropic hormone (ACTH)

A

target cell is the adrenal cortex

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7
Q

what does adrenocorticotropic hormone (ACTH) cause in the adrenal cortex

A

it causes the secretion of cortisol

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8
Q

what cells does cortisol have the main effects on

A

liver, muscle and fat

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9
Q

what does cortisol cause in the liver

A

an increase in glucose synthesis

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10
Q

what does cortisol cause in the muscle cell

A

increase in protein breakdown and decrease glucose uptake

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11
Q

what does cortisol cause in the fat cell

A

increase in breakdown of fats, decrease in glucose uptake

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12
Q

what other effects does cortisol have

A

helps one to cope with stress
long-term: suppresses immune system
* essential for maintaining normal blood pressure

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13
Q

when does cortisol secretion peak

A

when one wakes up

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14
Q

cortisol functions

A

increasing blood glucose levels
* increasing fat, protein and carbohydrate
metabolism to maintain blood glucose
* promoting anti-inflammatory actions
* increasing blood pressure
* increasing heart and blood vessel tone and
contraction
* activation of the central nervous system (CNS)

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15
Q

integrated stress reponse involves what 3 pathways

A

cortisol, adrenaline and antidiuretic hormone

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16
Q

whats the stimulus to release ADH

A

neural input into the posterior pituitary

17
Q

what does ADH cause in the body

A

decrease in water excretion in kidneys
increase in blood volume and blood pressure.

18
Q

what are the phases of stress in order

A

alarm, resistance and then exhaustion

19
Q

what are the phases of stress in order?

A

alarm, resistance and then exhaustion

20
Q

cortisol effects in integrated stress response

A

increase blood glucose by glucose production in liver and increases blood pressure

21
Q

whats the alarm phase

A

the stereotypical fight or flight response stage

22
Q

what happens in alarm phase

A

when we want rapid increase in blood glucose, so this is when adrenaline and noradrenaline is released
So increased action of sympathetic pathway
Increase heartrate
Increase contractile force of heart
Increased mental alertness
Increase in energy used by each cell
This is all initial response to stress

23
Q

what happens in the resistance phase

A

result of alarm phase for ages
Adrenal cortex releases cortisol
Increase blood glucose, mainly through making new blood glucose
Resistance phase is used to replenish the gluocse used in alarm phase, allowing us to continue the stress response
So more fats are broken down and amino acids are released by muscle.
Liver then increase gluconeogenesis
ADH gets involved to make extre fluid, as ADH increases blood volume and pressure

24
Q

why does resistance phase kick in

A

becuase the alarm phase has been going on too long

25
Q

why does the exhaustion phase kick in

A

body has been in resistance phase too long

26
Q

what happens in the exhaustion phase

A

After we have been in resistance too long.
When homeostatic regulation kinda breaks down
This can be fatal
Can cause heart falilure as body may longer be able to maintain appropriate levels of K+, as we cant actively move these as energy is used to do the stress response
Can occur due to over functioning adrenal cortex
Also resistance phase makes cortisol, and too much cortisol supresses the immune system.