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18
Fisiologi Sistem
Endokrin
Kelenjar Adrenal
Tujuan Pembelajaran
1. Menjelaskan fisiologi hormon korteks adrenal
2. Menjelaskan fisiologi hormon medula adrenal
Right superior
adrenal arteries
Celiac trunk
Right adrenal
gland
Right middle
adrenal artery
Left middle
adrenal artery
Left inferior
adrenal arteries
Right inferior
adrenal artery
Adrenal
cortex
Zona
fasciculata
Zona
glomerulosa
Capsule
Adrenal gland
LM 140
Cholesterol
Pregnenolone
Progesterone
17-Hydroxyprogesterone
Dihydroepiandrsterone
(Androgens)
Androstenedione
Testes
Corticosterone
(Glucorticoids)
Aldosterone
(Mineralocorticoid)
Cortisol
Testosterone
Ovaries
Estradiol
Protein
receptor
G protein
(inactive)
G protein
activated
Hormone
Hormone
Protein
receptor
Protein
receptor
G protein
activated
Acts as
second
messenger
Increased
production
of cAMP
adenylate
cyclase
G protein
activated
PDE
Enhanced
breakdown
of cAMP
kinase
Opens ion
channels
Activates
enzymes
Examples:
Epinephrine and norepinephrine
( receptors)
Calcitonin
Parathyroid hormone
ADh, ACTH, FSH, LH, TSH
Glucagon
Reduced
enzyme
activity
Examples:
Epinephrine and norepinephrine (2 receptors)
Diffusion through
membrane lipids
Translation and
protein synthesis
Receptor
Binding of hormone
to cytoplasmic or
nuclear receptors
Transcription and
mRNA production
Receptor
Gene activation
Nuclear
pore
Nuclear
envelope
Binding of
hormonereceptor
complex to DNA
The name
2.
3.
4.
5.
The stimulaters
6.
The inhibitors
7.
Mineralocorticoid
Aldosteron
Mineralocorticoid
Efect:
Stimulates conservation of sodium ions and elimination of potassium
ions
Increases sensitivity of salt receptors in taste buds
Stimulator:
Drop in blood Na+, blood volume, or blood pressure via RAA
Rise in blood K+ concentration
Mineralocorticoid
Inhibitor:
Rise in blood Na+, blood volume, or blood pressure
Drop in blood K+ concentration
ANP & BNP
Glucocorticoid
For example, cortisol (hydrocortisone)
Glucocorticoid
Efect:
1. Metabolic efect:
overall effect: increase plasma glucose levels,
often at the expense of proteins and fats
a. Carbohydrate
gluconeogenesis
b. Protein
Glucocorticoid
Efect:
1. Metabolic efect:
c. Fat
expectations: person will be thin, but if excessive cortisol see unusual fat
distribution (i.e. buffalo hump)
d. Increases Hunger
Glucocorticoid
Efect:
2. Other Effects:
a. Fetal Development
b. Adults
i.
Anti-inflammatory
Glucocorticoid
Efect:
2. Other Effects:
b. Adults
ii.
Immune Response
iii. Vasoconstriction
v.
Glucocorticoid
Stimulator:
1. CRH
2. ACTH
3. Hypoglicemia
4. Stress
* Stress and hypoglycemia can also trigger the release of CRH
Glucocorticoid
Inhibitor:-
Androgen
DHEA
Androgen
Stimulator
ACTH
Inhibitor
Feed back mechanism
3. Exhaustion phase
Brain
General
sympathetic
activation
Adrenal medulla
Sympathetic
stimulation
Epinephrine,
norepinephrine
Resistance Phase
Growth hormone
Pancreas
Glucagon
Sympathetic
stimulation
ACTH
Adrenal cortex
Glucocorticoids
Kidney
Mineralocorticoids
(with ADH)
Renin-angiotensin
system
Long-Term Metabolic
Adjustments
Mobilization of remaining
energy reserves: Lipids are
released by adipose tissue;
amino acids are released by
skeletal muscle
Conservation of glucose:
Peripheral tissues (except
neural) break down lipids to
obtain energy
Elevation of blood glucose
concentrations: Liver
synthesizes glucose from
other carbohydrates, amino
acids, and lipids
Conservation of salts and
water, loss of K+ and H+
Exhaustion Phase
Collapse of Vital Systems
Exhaustion of lipid reserves
Cumulative structural or
functional damage to vital
organs
Inability to produce
glucocorticoids
Failure of electrolyte balance