Adrenal cortex metabolism

The adrenal cortex produces steroidal hormones that are associated with carbohydrate, fat, and protein metabolism, electrolyte balance, and gonadal functions (58). One of these, cortisone [53-06-5] ( ) demonstrated a remarkable ability to relieve the symptoms of inflammatory conditions... 

A principle glucocorticoid produced in the zona glometulosa of the adrenal cortex. It is involved in modulating stress responses, immune reactions and food metabolism. 

Responses to stress by altering blood flow to skeletal muscles and other tissues as well as enhancing secretion of hormones from the adrenal cortex (glucocorticoids) whose metabolic activities enable the body to physically cope with stress... 

Primary adrenal insufficiency (Addison s disease) most often involves the destruction of all regions of the adrenal cortex. There are deficiencies of cortisol, aldosterone, and the various androgens. Medications that inhibit cortisol synthesis (e.g., ketoconazole) or accelerate cortisol metabolism (e.g., phenytoin, rifampin, phenobarbital) can also cause primary adrenal insufficiency. 

C5. Cohen, R. B., The histochemical distribution and metabolic significance of glucose-6-phosphate dehydrogenase activity, glycogen and lipid in the stimulated adrenal cortex. Endrocrinology 68, 710-715 (1961). 

Cortisol, the most important g/ucocorticoid, is synthesized by the adrenal cortex, it is involved in regulating protein and carbohydrate metabolism by promoting protein degradation and the conversion of amino acids into glucose. As a result, the blood glucose level rises (see p. 152). Synthetic glucocorticoids (e.g., dexamethasone) are used in drugs due to their anti-inflammatory and immunosuppressant effects. 

The tenn corticosteroids refers to steroid hormones secreted by the adrenal cortex. Corticosteroids are involved in a wide range of physiologic systems such as stress response, immune response, and regulation of inflammation, carbohydrate metabolism, protein catabolism, blood electrolyte levels, and behavior. 

Mitotane, or o,p -DDD, is an oral medication used in the treatment of adrenocortical carcinoma. Chemically it is an isomere of DDT. Following its metabolism in the adrenal cortex to a reactive acyl chloride intermediate, mitotane covalently binds to adrenal proteins, specitically inhibiting adrenal cortical hormone production. The drug accumulates in fat tissue. It is eliminated mainly by the kidneys with a half-life of 18-159 days. Common side effects include anorexia, nausea, lethargy, sleepiness and skin problems. 

The steroidal nature of adrenocortical hormones was established in 1937, when Reichstein synthesized desoxycorticosterone. Eventually it was clearly established that the adrenal cortex elaborated a number of hormones and that these compounds differed in their amount of inherent metabolic (glucocorticoid) and electrolyte regulating (mineralocorticoid) activity. The actions of these hormones extend to almost every cell in the body. In humans, hydrocortisone (cortisol) is the main carbohydrate-regulating steroid, and aldosterone is the main electrolyte-regulating steroid. 

Another major function of the adrenal cortex is the regulation of water and electrolyte metabolism. The principal mineralocorticoid, aldosterone, can increase the rate of sodium reabsorption and potassium excretion severalfold. This will occur physiologically in response to sodium or volume depletion or both. The primary site of... 

Corticotropin (adrenocorticotropic hormone, ACTH) regulates the function of the adrenal cortex and has numerous other effects on metabolism. It contains 39 amino acids in the form of a random coil, owing to the presence of several proline residues that prevent helix formation. Species differences are seen in amino acids 25-39 the rest of the ACTH molecule is identical in all animals and humans. The first 24 amino acids are responsible for all of the biological action of ACTH synthetic human ACTHj 24 is known as cosyntropin. 

Hyposecretion of hormones from the adrenal cortex leads to development of Addison s disease which is characterized by loss of appetite, muscular weakness, loss of weight due to loss of water, hypoglycemia, subnormal body temperature, decreased basal metabolic rate, increased blood potassium, decreased blood sodium and inability to maintain the normal protein deposition in the muscles. 

Corticosteroids are synthesized in the adrenal cortex under the influence of ACTH. Glucocorticoids affect the metabolism of carbohydrates, proteins, fats, calcium and electrolytes. 

In the animal body three important groups of hormones are formed by the metabolism of cholesterol the progestins, the sex hormones, and the adrenal cortical hormones 249 Their synthesis occurs principally in mitochondria of the adrenal cortex and the gonads. Steroid hormone synthesis is regulated by hormones, such as corticotropin (ACTH), from the anterior pituitary250 (see Chapter 30) and is also dependent upon the recently discovered steroidogenic acute regulatory protein, which in some way promotes the movement of stored cholesterol into mitochondrial membranes.251 252 Some major pathways of... 

A partial list of physiological functions til at have been determined to be affected by vitamin C deficiencies includes (1) absorption of iron (2) cold tolerance, maintenance of adrenal cortex (3) antioxidant (4) metabolism of tryptophan, phenylalanine, and tyrosine (5) body growth (6) wound healing (7) synthesis of polysaccharides and collagen (8) formation of cartilage, dentine, bone, and teeth and (9) maintenance of capillaries. 

Longer lasting control of mineral metabolism is achieved by steroid hormones elaborated by the adrenal cortex and by synthetic analogues. Besides their actions on gluconeogenesis, glycogen deposition, protein metabolism and sexual characteristics, the corticosteriods influence calcium metabolism and the control of water and electrolyte equilibria, so that profound changes accompany their administration. 

Adrenal cortex Glucocorticoids Mineralocorticoids Regulate glucose metabolism enhance response to stress Regulate fluid and electrolyte levels... 

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