Disorders of the adrenal glands

Adrenal glands

Also known as suprarenal glands Endocrine glands that produce a variety of hormones Each gland has an outer cortex and an inner medulla

The adrenal cortex is divided into 3 zones:

  • Zona glomerulosa
  • Zona fasciculata
  • Zona reticularis

Mineralocorticoids:

  • Zona glomerulosa
  • Produces aldosterone
  • Helps in the regulation of blood pressure and electrolytes balance
    • Na retention
    • Water retention
    • K+ excretion

Glucocorticoids:

  • Zona fasciculata
  • Cortisol and cortisone
  • Helps in the regulation of the metabolism and immune system suppression
  • CORTISOL is responsible for control & metabolism of:
    • A. CHO (carbohydrates)
      • Increases glucose formation
      • Increases glucose release
    • B. FATS:
      • Control of fat metabolism
      • Stimulates fatty acid mobilization from adipose tissue
    • C. PROTEINS:
      • Control of protein metabolism
      • Stimulates protein synthesis in liver & protein breakdown in tissues
    • D. Others:
      • Inflammatory and allergic response
      • Immune system therefore increases the risk of infection

Adrenocorticotropic hormone ACTH

  • Produced in the anterior pituitary gland
  • Individual biorhythms
    • Highest in the early morning
    • Gradually decrease on the rest of the day
  • Stress- Increases cortisol production

ANDROGENS:

  • Zona reticularis
  • Produces androgens that are converted to fully functional sex hormones in the gonads and other target organs
  • Hormones which increases male characteristics via release of testosterone

Adrenal medulla: It produces catecholamines (Epinephrine, and Norepinephrine)

Catecholamines produce a rapid response throughout the body in stress situations.