Steroids, adrenal cortex

Cortisol 1 Cortisone etc. J Steroids Adrenal cortex Most cells Hyper ycaemia. Increased gluconeogenesis. Balancing carbohydrate, fat and protein metabolism. Antiinflammatory effects... 

Aldosterone Steroid Adrenal cortex Kidney Promotes reabsorption of Na in the kidney... 

Steroids are synthetic products of cholesterol [57-88-5]. The chemical stmcture of a steroid hormone is determined by sequential enzymatic processing of the cholesterol molecule. Steroid products differ among steroid-secreting glands because of differences in enzyme processing, eg, the production of estrogen by the ovary requires enzymatic steps that do not occur in the adrenal cortex. 

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... 

It was known for some time that even after the corticoids had been separated from crude extracts of the adrenal cortex, the remaining material, the so-called "amorphous fraction" still possessed considerable mineralocorticoid activity. Aldosterone (250), one of the last steroids to be isolated from this fraction, proved to be the active principle. This compound proved to be an extremely potent agent for the retention of salt, and thus water, in body fluids. An antagonist would be expected to act as a diuretic in those edematous states caused by excess sodium retention. Although aldosterone has been prepared by both total and partial synthesis, the complexity of the molecule discouraged attempts to prepare antagonists based directly on the parent compound. 

Corticosteroids are hormones secreted from the adrenal cortex. These hormones arise from the cortex of the adrenal gland and are made from the crystalline steroid alcohol cholesterol. Synthetic forms of the natural adrenal cortical hormones are available The potent antiinflammatory action of the corticosteroids makes these drugs useful in the treatment of many types of musculoskeletal disorders. The corticosteroids are discussed in Chapter 50. 

Figure 11-6. Cytochrome P450 hydroxylase cycle in microsomes. The system shown is typical of steroid hydroxylases of the adrenal cortex. Liver microsomal cytochrome P450 hydroxylase does not require the iron-sulfur protein FejSj. Carbon monoxide (CO) inhibits the indicated step.

Neurosteroids differ from nearly all the other transmitters and mediators in that they are lipid-soluble and can easily cross the blood-brain barrier. Thus it is necessary to distinguish those steroids that are produced in the brain from those that find their way there from the circulation after being released from the adrenal cortex or gonads. There are many natural and synthetic steroids that have some effect on neuronal function and can be considered neuroactive but few are actually produced in the brain to act on neurons, i.e. the true neurosteroids. 

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 =... 

Dehydroepiandrostemne (DHEA) and dehydroepiandrosterone sulfate (DHEAS) are the most abundant steroids secreted by the adrenal cortex under pituitary ACTH control (B5). Very little plasma DHEA(S) appears to be of testicular or ovarian origin. Physiologically, the concentration of DHEA(S) in the blood oscillates coincidentally with cortisol, consistent with the response of adrenal... 

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. 

Adrenal cortex. The adrenal cortex forms the outer portion of the adrenal gland and accounts for 80 to 90% of the weight of the gland. It is the site of synthesis of many types of steroid hormones such as ... 

Cholesterol, mostly esterified, is utilized in the buildup of cell biomembranes. Besides, cholesterol is a precursor to biologically important steroid compounds bile acids (in liver), steroid hormones (in adrenal cortex, male and female sexual glands, and placenta), and vitamin D3, or cholecalciferol (in skin). 

Adrenal gland A triangle-shaped organ positioned at the top of the kidney which functions as a double endocrine gland . The larger outer adrenal cortex secretes three classes of steroid hormones glucocorticoids (e.g., cortisol), minerlocorticoids (aldosterone) and small amounts of sex steroids (e.g., testosterone). The inner adrenal medulla secretes catecholamines (e.g., adrenaline and noradrenaline). 

The steroid hormones known as mineralocorticoids and glucocorticoids are synthesized in the adrenal cortex of mammals [3]. The physiological mineralocorticoid is... 

Adrenal cortex Glucocorticoids Mineralocorticoids Sex hormones Steroids... 

Steroid hormones are produced by only two tissue types, the adrenal cortex and the gonads. A summary of the steroid hormones is given in Table 4.2. Steroid hormones are synthesized from cholesterol (Figure 4.2). This sterol lipid may itself be synthesized within the steroidogenic cell or it may be delivered to the cell by circulating lipoprotein complexes such as low density lipoprotein (LDL) or high density lipoprotein (HDL). 

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. 

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