The Adrenal Glands Flashcards

1
Q

What types of hormones are produced by the adrenal cortex and give some examples

A

Mineralocorticoids - aldosterone

Glucocorticoids - cortisol and corticosterone

Androgens - dehydroepiandrosterone

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2
Q

What hormones are produced by the adrenal medulla and what cells produce them

A

Catecholamines: including adrenaline, noradrenaline and dopamine

Chromaffin cells

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3
Q

What are the three zones in the adrenal cortex and what hormones do they secrete

A

Zona glomerulosa - mineralocorticoids

Zona fasciculata - glucocorticoids

Zona reticularis - glucocorticoids and androgens

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4
Q

Describe how corticosteroids cause their effects

A

Diffuse across plasma membrane and bind to receptors

Binding causes dissociation of chaperone proteins with the receptor ligand complex translocating to the nucleus

Complex then either binds to glucocorticoid response elements (GREs) or to other transcription factors

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5
Q

What is the function of aldosterone

A

Causes Na and water reabsorption and K excretion in distal tubules and collecting duct of nephrons in the kidney

Acts on principal cells of distal tubule and collecting duct to upregulate expression of basolateral Na/K pump (3 Na into intersitial fluid and 2 K into cell)

Also upregulates expression of epithelial sodium channels in collecting duct and colon to promote Na absorption

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6
Q

Describe the control of cortisol secretion

A

ACTH from corticotropes of anterior pituitary control release of cortisol and is secreted under circadian rhythm

ACTH secretion is under control of CRF (corticotropin releasing factor) - secreted due to physical, emotional or chemical stressors

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7
Q

How is ACTH produced and what other peptides are produced along with ACTH

A

Produced by post-translational processing of POMC (pro-opiomelanocortin)

Peptides include: ACTH, α-MSH (melanocyte stimulating hormone), endorphins

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8
Q

What cells does ACTH stimulate and what does binding cause

A

Cells in zona fasciculata and reticularis

Causes activation of cholesterol esterase increasing concentration of free cholesterol

Stimulates other steps in synthesis of cortisol

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9
Q

What transport proteins transport cortisol in the plasma

A

Transcortin (corticosteroid-binding globulin (CBG))

Albumin (only ~10%)

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10
Q

What are the actions of cortisol

A

Decreased amino acid uptake

Decreased protein synthesis

Increased proteolysis in most tissues (not liver)

Increased hepatic gluconeogenesis and glycogenolysis

Increased lipolysis in adipose tissue

Decreased peripheral glucose uptake

Depress immune system

Anti-inflammatory effect by inhibiting macrophage activity and mast cell degradation

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11
Q

How are catecholamines produced by chromaffin cells

A

Series of enzyme catalysed reactions converting tyrosine (amino acid) to dopamine

Dopamine -> noradrenaline -> adrenaline

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12
Q

What are the actions of adrenaline and what receptors are stimulated

A

Increased cardiac output - increased heart rate (β1) and increased contractility (β1)

Increased blood supply to muscle - vasoconstriction to skin and gut (α1) and vasodilation to skeletal muscle (β2)

Increased mental alertness

Increased liver and muscle glycogenolysis

Increased glycolysis in muscle

Increased gluconeogenesis in liver

Increased lipolysis in adipose tissue

Bronchodilation (β2)

Increased renin secretion by kidney

Increased glucagon and decreased insulin secretion

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13
Q

Where are androgens secreted from and give an example of an androgen

A

From cells in zona reticularis

Dehydroepiandrosterone (DHEA)

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14
Q

What is DHEA converted to in males and females and what are is the function of androgens

A

Males - DHEA converted to testosterone in testes

Females - DHEA converted to oestrogens

Androgens promote axillary and pubic hair growth in both sexes

Female androgens also promote libido

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