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Adrenal Steroids

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The adrenal cortex is a factory for steroid hormones. In total, at

least two to three dozen different steroids are synthesized and

secreted from this tissue, but two classes are of particular

importance:

Class of Steroid Major Representative Physiologic Effects

Mineralocorticoids Aldosterone Na+, K+ and water homeostasis

Glucocorticoids Cortisol Glucose homeostasis and many others

Additionally, the adrenal cortex produces some sex steroids,

particularly androgens, a talent of considerable importance in such

diseases as congenital adrenal hyperplasia.

Like all steroids, adrenal " corticosteroids " are synthesized from

cholesterol through a series of enzyme-mediated transformations. The

details of these pathways are presented elsewhere, but the major

branches are easy to understand.

Each of the three major pathways involves sequential processing by a

group of enzymes, some of which reside in endoplasmic reticulum and

others inside mitochondria. Hence, synthesis involves shuttling of

the steroids between these two organelles.

Synthesis of the different steroids is not uniformly distributed

through the cortex. For example, the outermost group of cells (zona

glomerulosa) synthesizes aldosterone, but essentially no cortisol or

androgens because those cells do not express the enzyme 17-alpha-

hydroxylase which is necessary for synthesis of 17-

hydroxypregnenolone and 17-hydroxyprogesterone. That enzyme is

however present in cells of the inner zones of the cortex (zonae

fasiculata and reticularis), which are the major sites of cortisol

production.

Like all steroid hormones, cortisol and aldosterone bind to their

respective receptors, and the resulting hormone-receptor complexes

bind to a hormone response element to modulate transcription of

responsive genes. Although the physiologic effects of these two

steroid hormones are distinctly different, their receptors are quite

similar and, most interestingly, they bind to the same consensus

response element in DNA! How then is it possible to get hormone-

specific responses? Follow the path to the next topic to find out at

least part of the answer.

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if you have very low cholesterol numbers that is another key to

adrenal problems--the normal only thyroid person has high cholesterol

where mostly adrenal person has 140 and below. another sypmtom to

look into---

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really? I was told I have cholesterol #s of a teenager.

Gracia

> if you have very low cholesterol numbers that is another key to

> adrenal problems--the normal only thyroid person has high cholesterol

> where mostly adrenal person has 140 and below. another sypmtom to

> look into---

>

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Guest guest

yes and you have both adrenal and thyroid so your numbers should be

lower but if they are too low than you are not getting enough cortef--

Lipid metabolism: Increased thyroid hormone levels stimulate fat

mobilization, leading to increased concentrations of fatty acids in

plasma. They also enhance oxidation of fatty acids in many tissues.

Finally, plasma concentrations of cholesterol and triglycerides are

inversely correlated with thyroid hormone levels - one diagnostic

indiction of hypothyroidism is increased blood cholesterol

concentration.

>

> really? I was told I have cholesterol #s of a teenager.

> Gracia

>

>

> > if you have very low cholesterol numbers that is another key to

> > adrenal problems--the normal only thyroid person has high

cholesterol

> > where mostly adrenal person has 140 and below. another sypmtom to

> > look into---

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

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