Adrenal cortex

Adrenal cortex
Layers of cortex.
Latin	cortex glandulae suprarenalis
Gray's	subject #277 1278
Precursor	mesoderm[1]

Cortical part of the adrenal gland (on the pointer).

Situated along the perimeter of the adrenal gland, the adrenal cortex mediates the stress response through the production of mineralocorticoids and glucocorticoids, including aldosterone and cortisol respectively. It is also a secondary site of androgen synthesis.

Layers

Layer	Name	Primary product
Most superficial cortical layer	zona glomerulosa	mineralocorticoids (e.g., aldosterone)
Middle cortical layer	zona fasciculata	glucocorticoids (e.g., cortisol)
Deepest cortical layer	zona reticularis	weak androgens (e.g., dehydroepiandrosterone, adrenosterone)

Notably, the reticularis in all animals is not always easily distinguishable and dedicated to androgen synthesis. In rodents, for instance, the reticularis also generates corticosteroids (specifically corticosterone, not cortisol). The two layers are collectively referred to as the fasciculo-reticularis. Female rodents also exhibit another cortical layer called the "X zone" whose function is not yet clear.

Hormone synthesis

All adrenocortical hormones are synthesized from cholesterol. Cholesterol is transported into the adrenal gland. The steps up to this point occur in many steroid-producing tissues. Subsequent steps to generate aldosterone and cortisol, however, primarily occur in the adrenal cortex:

• Progesterone → (hydroxylation at C21) → 11-Deoxycorticosterone → (two further hydroxylations at C11 and C18) → Aldosterone
• Progesterone → (hydroxylation at C17) → 17-alpha-hydroxyprogesterone → (hydroxylation at C21) → 11-Deoxycortisol → (hydroxylation at C11) → Cortisol

Production

The adrenal cortex produces a number of different corticosteroid hormones.

Mineralocorticoids

Main article: Mineralocorticoids

They are produced in the zona glomerulosa. The primary mineralocorticoid is aldosterone. Its secretion is regulated by the oligopeptide angiotensin II (angiotensin II is regulated by angiotensin I, which in turn is regulated by renin). Aldosterone is secreted in response to high extracellular potassium levels, low extracellular sodium levels, and low fluid levels and blood volume. Aldosterone affects metabolism in different ways:

• It increases urinary excretion of potassium ions
• It increases interstitial levels of sodium ions
• It increases water retention and blood volume

Glucocorticoids

Main article: Glucocorticoids

They are produced in the zona fasciculata. The primary glucocorticoid released by the adrenal gland in the human is cortisol and corticosterone in many other animals. Its secretion is regulated by the hormone ACTH from the anterior pituitary. Upon binding to its target, cortisol enhances metabolism in several ways:

• It stimulates the release of amino acids from the body
• It stimulates lipolysis, the breakdown of fat
• It stimulates gluconeogenesis, the production of glucose from newly-released amino acids and lipids
• It increases blood glucose levels in response to stress, by inhibiting glucose uptake into muscle and fat cells
• It strengthens cardiac muscle contractions
• It increases water retention
• It has anti-inflammatory and anti-allergic effects

Androgens

Main article: Androgens

They are produced in the zona reticularis. The most important androgens include:

• Testosterone: a hormone with a wide variety of effects, ranging from enhancing muscle mass and stimulation of cell growth to the development of the secondary sex characteristics.
• Dihydrotestosterone (DHT): a metabolite of testosterone, and a more potent androgen than testosterone in that it binds more strongly to androgen receptors.
• Androstenedione (Andro): an androgenic steroid produced by the testes, adrenal cortex, and ovaries. While androstenediones are converted metabolically to testosterone and other androgens, they are also the parent structure of estrone.
• Dehydroepiandrosterone (DHEA): It is the primary precursor of natural estrogens. DHEA is also called dehydroisoandrosterone or dehydroandrosterone. The reticularis also produces DHEA-sulfate due to the actions of a sulfotransferase, SULT2A1.^[2]

Pathology

• Adrenal insufficiency (e.g. due to Addison's disease)
• Cushing's syndrome
• Conn's syndrome
• Adrenal Virilism

See also

• Adrenal gland

References

1. ^ "Embryology of the adrenal gland". http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=endocrin.box.466. Retrieved 2007-12-11. 
2. ^ Rainey WE, Nakamura Y (February 2008). "Regulation of the adrenal androgen biosynthesis". J. Steroid Biochem. Mol. Biol. 108 (3-5): 281–6. doi:10.1016/j.jsbmb.2007.09.015. PMC 2699571. PMID 17945481. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2699571. 

External links

• SUNY Labs 40:04-0203 - "Posterior Abdominal Wall: Blood Supply to the Suprarenal Glands"
• Mnemonic at medicalmnemonics.com 180 2201 412
• Histology at BU 14502loa
• Anatomy Atlases - Microscopic Anatomy, plate 15.292 - "Adrenal Gland"
• Adrenal Cortex Medical Notes on rahulgladwin.com