Anatomy and Physiology of Adrenal Gland

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    Alegre, Stephen III-D BLACK

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    The ENDOCRINE SYSTEM is

    composed of an interrelated

    complex of glands (pituitary,adrenals, thyroid, parathyroid,

    islets of Langerhans of the

    pancreas, thymus, pineal gland,ovaries, and testes) that secrete a

    variety of hormones directly into

    the bloodstream.

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    Although the nervous and endocrine systems act together tocoordinate functions of all body systems, their means of control aredifferent.

    Exocrine glands (exo- outside) secreteproducts into ducts that carry the secretions into

    body cavities, into lumen of an organ, or to the

    outer surface of the body.

    Endocrine glands secrete products (hormones)

    into the interstitial fluid surrounding the secretorycells, rather than into ducts.

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    FUNCTIONS

    Maintenance and regulation of vital

    functions

    Response to stress and injury

    Growth and development

    Energy metabolism

    Reproduction

    Fluid, electrolyte, and acid-base

    balance

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    ADREN

    AL

    GLA

    ND

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    Two small glands, one above each

    kidney Regulates sodium and electrolyte

    balance

    Affects carbohydrate, fat, andprotein metabolism

    Influences the development of sexualcharacteristics

    Sustains the flight or fight response

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    1.Adrenal cortex (outer portion)

    The outer shell of the adrenal

    gland

    ProducesM

    INERALOCO

    RT

    ICO

    ID

    S andGLUCOCORTICOIDS

    2 SECTIONS:

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    Aldosterone principal steroid withmineralocorticoid activity TARGET: distal tubule of the kidney

    Increased resorption of sodium: sodium loss in urine isdecreased under aldosterone stimulation

    Increased resorption of water, with consequent expansion ofthe extracellular fluid volume.

    Increased renal excretion of potassium

    REGULATORS: 1. Concentration of K+ ions in extracellularfluid

    2.Angiotensin II renin-angiotensin mechanism

    MINERALOCORTICOIDS

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    stimulation of the gluconeogenesis, particularlyin the liver

    mobilization of amino acids from extrahepatictissue

    inhibition of glucose uptake in muscle andadipose tissue

    stimulation of fat breakdown in adipose tissue

    anti-inflammatory effect

    immunosuppressive effect

    - functions

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    - cortisol, cortison, corticosterone

    - REGULATOR:ACTH which is also controlled by

    hypothalamic peptideC

    RH

    (corticotropin-releasing hormone)

    - CNS is the commander-in-chief of response

    -A

    ny type of stressors results in elevation ofcortisol concentrations in the blood due toenhanced secretion ofCRH.

    GLUCOCORTICOIDS

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    ADRENALCORTEX FUNCTION

    Secretion of adrenal

    androgens, controlled byACTH, which governdevelopment of certain

    secondary sexcharacteristics.

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    2.Adrenal medulla

    The inner core of the adrenal gland

    Works as part of the sympathetic nervoussystem

    Produces two catecholamines: (triggered byexercise, hypoglycemia, distress,hemorrhage)

    a. epinephrine (also called asadrenalin)

    b. norepinephrine (sometimescalled as noradrenalin)

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    CATECHOLAMINES

    Increased rate and force of contraction in theheart muscle (epinephrine)

    Constriction of blood vessels (norepinephrine)

    Dilation of bronchioles

    Stimulation of lipolysis in fat cells

    Increased metabolic rate

    Dilation of pupils

    Inhibition of GI secretion and motor activity