The Adrenal Glands Flashcards

1
Q

Where are the adrenal glands located

A

Above the Kidneys

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2
Q

Name the 2 types of tissue which makes up adrenal glands

A

1- medulla (inner)

2 - cortex (outer)

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3
Q

What is the layer on the outside of adrenal glands called and the function

A

The capsule

It’s a fibrous protective layer

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4
Q

Which cells are located in the adrenal medulla and what 2 hormones do they produce

A

Chromaffin cells

Produce epinephrine and norepinephrine

(Adrenaline and noradrenaline)

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5
Q

Chromaffin cells in the medulla have the potential to become post synaptic neurones - why don’t they differentiate

A

Due to cortisol presence in the cortex stops them differentiating

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6
Q

What type of hormones are epinephrine and norepinephrine

A

Amino acid hormones (like thyroxin)

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7
Q

What 3 steroid hormones (derived from cholesterol) are produced in the adrenal cortex

A

1- cortisol
2- aldosterone
3- adrenal androgens eg testosterone oestrogen

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8
Q

Name the 3 layers of the cortex

A

1- zona glomerulosa (most outer)

2- zona fasciculata (outer)

2- zona reticularis (inner)

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9
Q

What type of steroid hormone is produced at the zona glomerulosa

A

Aldosterone

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10
Q

Why can’t zona glomerulosa produce androgens or cortisol

A

No 17alpha hydroxylase enzyme present

= can’t modify cholesterol into them

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11
Q

What type of hormone is aldosterone and give its function

A

It’s a mineralo corticoid

Important for water and mineral reuptake at the Kinsey ,colon and salivary glands

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12
Q

What type of protein binds to aldosterone because it is a steroid hormone and hydrophobic

A

Albumin

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13
Q

Explain how aldosterone does it’s mineralocorticoid job

A

Binds to mineralocorticoid receptors on areas such as collecting duct on the kidney

This allows for upregulation of the NA/K pump, and the sodium channel ENAC

Causes Na reabsorption into blood as well as water

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14
Q

Explain how renin is used to control aldosterone when blood pressure drops

A

Blood pressure drops is sensed by kidney

Renin is released

Acts on angiotensinogen in the liver

Peptides are cleaved from angiotensinogen by renin

Angiotensin 1 then is converted to angiotensin 2 by ACE enzyme

This angiotensin 2 acts on the zona glomerulosa and this releases aldosterone = more Na uptake into blood = increased BP

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15
Q

What protein does renin activate in the liver

A

Angiotensinogen

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16
Q

Which enzyme cleaved antigeotensin 1 into angiotensin 2

A

ACE enzyme

17
Q

Which hormones are produced by zona fasciculata and zona reticularis

A

Cortisol and adrenal androgens

18
Q

Why can’t zona fasciculata and reticularis produce aldosterone

A

Cells don’t have genes for the enzyme P450 aldo enzyme

19
Q

Why is cortisol released

A

When hypothalamus detects stress

20
Q

What happens when hypothalamus recieves stress signals

A

The parvocellular neurones release corticotropin releasing hormone into the anterior pituitary

This causes release of adrenocorticotropin from corticotroph cells

This adrenocorticotropin binds to adrenocorticotropin receptors (ACTH) on fasciculata and reticularis

= cortisol production and release

21
Q

What type of hormone is cortisol

A

A gluco corticoid

22
Q

What type of receptor does adrenocorticotropin bind to on fasciculata and reticularis

A

G protein coupled cell surface receptor (because it’s a peptide hormone)

23
Q

What happens when adrenocorticotropin binds to acth receptor on the fasciculata and reticularis layers at the adrenal cortex

A

G protein when activated activated adenylate cyclase

Produces cAMP from ATP

Camp then activated PKA

24
Q

What 3 effects does pKa activation have when adrenocorticotropin binds

A

1- increased transcription of enzymes for steroid hormone synthesis

2- activate cholesterol ester hydrolase enzyme

3- activate star protein

25
What does cholesterol esterase enzyme do when activated by PKA
Turns cholesterol esters into a free cholesterol ready to produce steroid hormones
26
What does star protein do
Allows cholesterol to get across the mitochondrial membrane
27
What happens when cholesterol is moved into the mitochondria membrane by star protein
Cytochrome P450 enzymes such as SCC act on it Cleave or modify cholesterol to produce cortisol
28
Why is the enzyme cleaving cholesterol into cortisol called SCC
Because it side cleaved cholesterol
29
Why is cortisol called a gluco corticoid
Because it effects glucose homeostasis
30
Name the MANY effects cortisol has
Stimulates gluconeogenesis Inhibits glucose uptake in muscle and adepose tissue Causes muscle catabolism / breakdown Inhibits bone formation Increases sensitivity to epinephrine and norepinephrine in the flight or fight response Allows modulation of behaviour Inhibits gonad androgens like testosterone and oestrogen
31
How does cortisol cause immunosuppression
Prevents cytokines release = not cell proliferation
32
Explain which enzyme cortisol lowers to prevent inflammatory responses
Phospholipase A
33
How does lower levels of phospholipase AZ due to cortisol cause no inflammatory response
Lowers production of phospholipids into arachidonic acid Can’t produce prostaglandins and leukotienes (inflammatory agents)
34
How does cortisol prevent production of inflammatory agent prostaglandin
Lowers levels of enzyme cyclooxygenase
35
What are the 2 inflammatory agents stopped by cortisol called
Prostaglandins and leukoteines
36
Why can cortisol and aldosterone act on the same receptors (mineralocorticoid receptors and gluco corticoid)
Because they are similar in shape
37
What enzyme stops cortisol binding to mineralocorticoid receptors too often
11 beta hydroxysteroid dehydrogenase Inactivates cortisol in aldosterone cells (in the glomerulosa)
38
How does epinephrine when (released by sympathetic nervous system )with the help of thyroxine increase HR
Binds to adrenergic receptors g coupled and allows cAMP production Increases HR
39
Which 2 cell types do adrenaline / epinephrine bind to on cell surface to adronegic receptors
Heart - to increase heart rate Muscle - allows glycogen breakdown for glucose release