Steroid Hormone-Producing Glands

3 STEROID HORMONE-PRODUCING GLANDS 16.3.1 Biosynthesis of Steroid Hormones 

The corticosteroids and to some extent the mineralocorticoids are released from the adrenal cortex under the influence of ACTH. In turn, ACTH secretion 

Aldosterone is expected to work in concert with ADH. Thus, if the appropriate baroreceptors (monitors of blood pressure) should detect decreased blood 

Several relatively common disorders result in aldosterone secretion abnormalities and aberrations of electrolyte status. In Addison s disease, the adrenal cortex is often destroyed through autoimmune processes. One of the effects is a lack of aldosterone secretion and decreased Na+ retention by the patient. In a typical Addison s disease patient, serum [Na+] and [CL] are 128 and 96 meq/L, respectively (see Table 16.2 for normal values). Potassium levels are elevated, 6 meq/L or higher, because the Na+ reabsorption system of the kidney, which is under aldosterone control, moves K+ into the urine just as it moves Na+ back into plasma. Thus, if more Na+ is excreted, more K+ is reabsorbed. Bicarbonate remains relatively normal. The opposite situation prevails in Cushing s disease, however, in which an overproduction of adrenocorticosteroids, especially cortisol, is present. Glucocorticoids have mild mineralocorticoid activities, but ACTH also increases aldosterone secretion. This may be caused by an oversecretion of ACTH by a tumor or by adrenal hyperplasia or tumors. Serum sodium in Cushing s disease is slightly elevated, [K+] is below normal (hypokalemia), and metabolic alkalosis is present. The patient is usually hypertensive. A more severe electrolyte abnormality is seen in Conn s syndrome or primary aldosteronism, usually caused by an adrenal tumor. Increased blood aldosterone levels result in the urinary loss of K+ and H+, retention of Na+ (hypernatremia), alkalosis, and profound hypertension. 

The maintenance of the appropriate potassium levels in extracellular fluid is extremely important for the normal functioning of cardiac and skeletal muscle. Apparently, the regulation of intracellular potassium is of lesser importance. The control of potassium concentration in the extracellular fluid is affected by its migration in and out of the intracellular fluid and via excretion in the urine. The glomerular filtrate contains the same amount of potassium as plasma however, practically all of it is reabsorbed in the proximal convoluted tubule. In the distal tubule, however, as the sodium becomes reabsorbed under the influ- 

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The nature and quantity of steroid hormones produced by the adrenal glands and gonads are different. The difference is inherent in the degree of activity of certain enzyme systems. For example, the enzymes lip-hydroxylase and 21-hydroxylase, present only in the adrenal glands, synthesize steroids characteristic of the adrenal glands. Similarly the ovaries and the testes contain enzymes that synthesize the male and female sex hormones (see Chapter 53). 

In addition to Its structural role In membranes, discussed In Chapter 5, cholesterol Is the precursor for several Important bloactive molecules. They Include bile acids (see Figure 18-6), which are made In the liver and help emulsify dietary fats for digestion and absorption In the Intestines, steroid hormones produced by endocrine cells (e.g., adrenal gland, ovary, testes), and vitamin D produced In the skin and kidneys. Arthropods need cholesterol or other sterols to produce membranes and ecdysterold hormones, which control development however, they cannot make the precursor sterols themselves and must obtain these compounds In their diet. Another critical function of cholesterol Is Its covalent addition to Hedgehog protein, a key signaling molecule In embryonic development (Chapter 15). 

Cortisone is a hormone produced by the cortex of the adrenal glands. As with other adrenal corticoid steroids, administration of cortisone leads to an increased deposition of liver glycogen. Tt can remove features of rheumatoid arthritis, but does not check the underlying disease it is used in various diseases of the eye, and is an antiallergic and anlifibroplastic agent. 

Steroid hormones are produced by the adrenal cortex, testes, ovaries, and placenta. Synthesized from cholesterol, these hormones are lipid soluble therefore, they cross cell membranes readily and bind to receptors found intracellularly. However, because their lipid solubility renders them insoluble in blood, these hormones are transported in the blood bound to proteins. Furthermore, steroid hormones are not typically preformed and stored for future use within the endocrine gland. Because they are lipid soluble, they could diffuse out of the cells and physiological regulation of their release would not be possible. Finally, steroid hormones are absorbed easily by the gastrointestinal tract and therefore may be administered orally. 

Angiotensin II has two effects first, as a vasoconstrictor acting via receptors on vascular smooth muscle cells, and second, it stimulates the adrenal cortex gland to produce aldosterone (a mineralocorticoid steroid hormone, see Chapter 4). Aldosterone promotes the reabsorption of sodium from the renal tubule into the bloodstream and the resulting increase in osmolality (osmotic potential) of the blood causes water reabsorption in the nephrons. The outcome is an increase in blood volume and, therefore, pressure which inhibits (by negative feedback) further renin secretion from the JGA. 

While these steroids directly regulate sexual function, their synthesis and release are, in turn, controlled by gonadotropins — polypeptide hormones produced by the pituitary gland. The biology and medical applications of the gonadotropins are outlined in Chapter 8. Sex hormones produced naturally may be classified into one of three groups ... 

Steroid Hormones. Generally, steroid hormones arc mctaholically short-lived steroids produced in small amounts by various endocrine glands. They serve as chemical messengers that regulate a variety of physiological and metabolic activities in vertehrates. Steroid hormones bind to soluble, intracellular receptor molecules. In the nucleus of... 

Vitamin D3 is a precursor of the hormone 1,25-dihy-droxyvitamin D3. Vitamin D3 is essential for normal calcium and phosphorus metabolism. It is formed from 7-dehydrocholesterol by ultraviolet photolysis in the skin. Insufficient exposure to sunlight and absence of vitamin D3 in the diet leads to rickets, a condition characterized by weak, malformed bones. Vitamin D3 is inactive, but it is converted into an active compound by two hydroxylation reactions that occur in different organs. The first hydroxylation occurs in the liver, which produces 25-hydroxyvita-min D3, abbreviated 25(OH)D3 the second hydroxylation occurs in the kidney and gives rise to the active product 1,25-dihydroxy vitamin D3 24,25 (OH)2D3 (fig. 24.13). The hydroxylation at position 1 that occurs in the kidney is stimulated by parathyroid hormone (PTH), which is secreted from the parathyroid gland in response to low circulating levels of calcium. In the presence of adequate calcium, 25(OH)D3 is converted into an inactive metabolite, 24,25 (OH)2D3. The active derivative of vitamin D3 is considered a hormone because it is transported from the kidneys to target cells, where it binds to nuclear receptors that are analogous to those of typical steroid hormones. l,25(OH)2D3 stimulates calcium transport by intestinal cells and increases calcium uptake by osteoblasts (precursors of bone cells). 

Steroid hormones are produced in the adrenal cortex and the sex glands. All such hormones originate from cholesterol. Figure 16.4 shows the overall scheme for steroid hormone biosynthesis that is applicable to all tissues. The final products may be divided into the following groups mineralocorticoids (e.g., aldosterone), produced by the zona glomerulosa of the adrenal cortex glucocorticoids (e.g., cortisol), produced by the zona fasciculata of the adrenal cortex and 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. 

Addison s disease an endocrine disorder associated with the adrenal gland, when low levels of steroid hormones are produced. 

ANDROGENS are predominantly male steroid sex hormones that act directly to stimulate the development of male sex organs, and male secondary sexual characteristics, by acting at receptors on target tissues. Production is under the control of the pituitary hormone, corticotrophin. In men, androgenic steroids are produced primarily by the testes, and the main form is testosterone. However, in both men and women, androgens are also produced by the adrenal glands, and in women small quantities are also secreted by... 

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