Adrenal Reticularis

The adrenal cortex is functionally divided into three zones, the zona glomerulosa, fasciculata, and reticularis. Only the outermost zone, the zona glomerulosa, synthesizes aldosterone. The other zones are responsible for the generation of glucocorticoids and androgens. 

Cortisol synthesis requires three hydroxylases located in the fasciculata and reticularis zones of the adrenal cortex that act sequentially on the Cjy, C21, and Cjj positions. The first two reactions are rapid, while Cu hydroxylation is relatively slow. If the C, position is hydroxylated first, the action of 17a-hydroxylase is impeded and the mineralocorticoid pathway is followed (forming corti-... 

The adrenal gland is located on the upper segment of the kidney (Fig. 42-1). It consists of an outer cortex and an inner medulla. The adrenal medulla secretes the catecholamines epinephrine (also called adrenaline) and norepineprhine (also called noradrenaline), which are involved in regulation of the sympathetic nervous system. The adrenal cortex consists of three histologically distinct zones zona glomerulosa, zona fasciculata, and an innermost layer called the zona reticularis. Each zone is responsible for production of different hormones (Fig. 42-2). 

Adrenal steroid synthesis. The adrenal cortex consists of three histologically distinct zones the zona glomerulosa, zona fasciculata, and an innermost layer called the zona reticularis. Each zone is responsible for production of different hormones. (17 =... 

The zona reticularis produces the androgens androstene-dione, dehydroepiandrosterone (DHEA), and the sulfated form of dehydroepiandrosterone (DHEA-S). Only small amounts of testosterone and estrogen are produced in the adrenal glands. Androstenedione and DHEA are converted in the periphery, largely to testosterone and estrogen. 

The mammalian adrenal cortex is divided into three concentric zones the zona glomerulosa, zona fascicu-lata, and zona reticularis. The zona glomerulosa produces hormones, such as aldosterone, that are responsi-... 

The adrenal gland, which is located at the cap of the kidney, is divided histologically into three zones the outer zone or zona glomerulosa, the middle zone or zona fasciculata, and the inner zone or zona reticularis. The adrenal cortex synthesizes cholesterol and pregnenolone through the interaction of a group of enzymatic reactions (Figure 61.1). 

The adrenal glands play an important role in pubertal development. Termed adrenarche, the maturation of a prominent zona reticularis, the innermost layer of the cortex, begins around age six to eight in girls, resulting in increased secretion of the adrenal androgens, dehydroepiandrosterone (DHEA) and DHEA sulfate (Beckman Feuston, 2003). The rise in these hormones leads to the development of pubic and axillary hair. Recent evidence suggests... 

In the adrenal cortex, the outermost zona glomerulosa secretes the mineralocorticoid aldosterone, and corticosterone. The middle zona fasciculata and the inner zona reticularis secrete predominately the glucocorticoids cortisol and corticosterone. In the human, the inner zona reticularis secretes large amounts of the adrenal androgens, DHEA and DHEAS, as well as cortisol [12]. Whereas steroidogenesis in the... 

Q1 Each adrenal gland is composed of an outer cortex and an inner medulla. The cortex consists of three layers where several steroid hormones, synthesized from cholesterol, are produced and secreted. The outer layer of the cortex, the zona glomerulosa, produces the mineralocorticoid aldosterone. The zona fasciculata lies under this layer and, together with the inner layer, the zona reticularis, secretes glucocorticoids, mainly cortisol, corticosterone and androgens. 

The human adrenal cortex secretes a number of steroid hormones that are involved with a wide range of metabolic processes from three discrete anatomical zones the zona fasciculata, the mna reticularis, and the zona glomerulosa. 

Cortisol is synthesized from pregnenolone by two pathways in the fasciculata and reticularis zones of the adrenal gland. For simplicity, only one pathway is shown in Figure 51-6. The enzyme 17a-hydroxylase and the enzyme complex A -3P-hydroxysteroid dehydrogenase A ketosteroid isomerase located in the endoplasmic reticulum will synthesize 17a-hydroxyprogesterone from either 17a-hydroxypregnenolone or progesterone. Hydroxylation of this compound by the... 

The zona fasciculata and zona reticularis produce and secrete 17a-hydroxypregnenolone, the main precursor of the adrenal androgens. A microsomal 17a-hydroxylase/ C-17,20-lyase (P-450ci7) enzyme converts 17a-... 

ACTH acts mainly on the cells of the zona fasciculata of the adrenal cortex to stimulate the synthesis and release of cortisol (Chapter 32). It also stimulates the secretion of adrenal androgens from the zona reticularis. Binding of ACTH to receptors activates formation of cAMP, which mediates cortisol formation and secretion and protein synthesis. Deficiency of ACTH leads to reduction in size and activity of adrenocortical cells in the inner two zones. 

The adult adrenal cortex is divided into three zones histologically the outermost zona glomerulosa, the middle zona fasciculata, and the inner zo a reticularis. All three zones are exclusive steroid producers together, they can produce all classes of steroid hormones. Under normal conditions the major products are 11-hydroxylated C21... 

The adrenal cortex, the zona reticularis in particular, daily secretes substantial amounts of DHEA and DHEAS, equaling or exceeding the amount of cortisol. Table 32-1 shows approximate blood levels of the important corticosteroids. Most of the DHEA and all of the DHEAS come from the adrenals. Negligible amounts of testosterone, dihydrotestosterone (DHT), and estradiol are secreted by the cortex however, DHEA and, to a lesser extent, DHEAS undergo conversion to estradiol in skeletal muscle and adipose tissue they also can be converted to testosterone. The adrenal cortex accounts for about two-thirds of the urinary 17-ketosteroids, which are a measure of androgen production. This steroidogenic versatility makes the adrenal cortex an important factor in certain disease states (see below). 

Cortisol is produced in the zona fasciculata and zona reticularis of the adrenal cortex, the end prixluct of a cascade of hormones which make up the hypothalamic-pituitary-adreniKortical axis (Fig. 2). Corticotrophin releasing hormone (CRH) is secreted by the hypothalamus under the influence of cerebral factors. Adrenocorticotrophic hormone (corticotrophin. orsimply ACTH) is secreted by the anterior pituitary under the control of CRH to maintain the fa.scicular and reticular zones of the adrenal cortex and to stimulate the secretion of cortisol. Ilypolhalamie secretion of CRH and pituitary secretion of ACTH are modulated by cortisol in negative feedback liwps. 

P450 1 IBl is expressed in the adrenal cortex, specifically the zona fasciculate/reticularis In rats, some expression has been detected in brain but the relevance is not clear. 

These glands are situated adjacent to the kidneys and have several distinct anatomical zones that are functionally different. The outer adrenal cortex has three distinct zones the outer zona glomerulosa, the intermediate zona fasciculate, and the inner zona reticularis, which adjoins the central adrenal medulla. 

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