Biochemistry · MU Plovdiv

55. The hypothalamic-pituitary-adrenal (HPA) axis. Hormonal control over synthesis and general characteristics of steroid hormones. Synthesis of mineralo- and glucocorticoids. Releasing hormones: corticotropin-releasing hormone (CRH), proopiomelanocortin (POMC) and adrenocorticotropic hormone (ACTH). Regulatory mechanisms that control synthesis of glucocorticoids and mineralocorticoids in the adrenal cortex. Biological and metabolic effects of cortisol. Clinical cases with increased or decreased secretion of cortisol.

Inside: 7 sections · 14 labelled pictures · 1 table · 25 flashcards · 7 min

Topic 55 of 71 in the MU Plovdiv syllabus for Biochemistry (Medicine, Year 2). The free AceMed note covers it in 7 sections, about 1,221 words (7 min of reading), with 25 flashcards.

In this note

  1. Overview
  2. General characteristics of steroid hormones
  3. The adrenal cortex and synthesis of corticosteroids
  4. The hypothalamic-pituitary-adrenal axis: CRH, POMC and ACTH
  5. Biological and metabolic effects of cortisol
  6. Mineralocorticoids and adrenal androgens
  7. Clinical cases: increased and decreased cortisol

Overview

The adrenal cortex makes steroid hormones from cholesterol: mineralocorticoids, glucocorticoids and adrenal androgens. Glucocorticoid output is controlled by the hypothalamic-pituitary-adrenal axis, and too much or too little cortisol produces characteristic clinical syndromes.

General characteristics of steroid hormones

  • Metabolism refers to the sum of all chemical reactions occurring within an organism to maintain life.
  • It includes anabolism (building molecules) and catabolism (breaking down molecules).
  • Metabolic pathways are tightly regulated to ensure energy balance and homeostasis.
  • Integration involves the coordination of various organs, tissues, and cells to respond to nutrient availability and energy demands.
  • Hormones: Chemical messengers that regulate metabolism by signalling between organs and tissues.
  • Enzymes: Catalytic proteins that control the rate of metabolic reactions.
  • Substrate availability: Nutrient levels in the bloodstream influence metabolic pathways.

Fasting vs. Feeding States:

  • Fasting: Body switches to catabolic pathways to generate energy (lipolysis).
  • Feeding: Anabolic pathways are activated to store excess nutrients (lipogenesis).

Exercise:

  • Increased energy demand triggers catabolic pathways to release energy (glycolysis, \beta-oxidation).
  • Hormones are signalling molecules secreted by glands into the bloodstream to regulate physiological processes in distant target cells.
  • Peptide/Protein Hormones:
  • Composed of amino acids.
  • Examples: Insulin, Growth hormone, Glucagon.
  • Steroid Hormones:
  • Derived from cholesterol.
  • Examples: Estrogen, Testosterone, Cortisol.
  • Amino Acid-Derived Hormones:
  • Derived from amino acids.
  • Examples: Thyroxine (derived from tyrosine), Epinephrine (derived from tyrosine).
  • Endocrine: Hormones travel through the bloodstream to target cells.
  • Paracrine: Hormones act locally on nearby cells.
  • Autocrine: Hormones act on the same cell that produced them.
  • Feedback mechanisms involving hormones, neurotransmitters, and other factors regulate hormone secretion.
  • Examples: Negative feedback loops maintain hormone levels within a narrow range.

Steroid Hormone Structure:

  • Steroid hormones are lipid-soluble molecules derived from cholesterol.
  • Consist of four interconnected rings.

Intracellular Receptors:

  • Steroid hormones diffuse across the cell membrane and bind to intracellular receptors (usually in the cytoplasm or nucleus).
  • Hormone-receptor complex translocates to the nucleus.
  • Complex binds to specific DNA sequences (hormone response elements) and regulates gene transcription.

Gene Transcription:

  • Activation or repression of target genes leads to changes in mRNA synthesis.
  • mRNA is translated into proteins that mediate the physiological response to the hormone.
  • Estrogen: Regulates female reproductive functions, bone density, and cardiovascular health.
  • Testosterone: Controls male reproductive functions, muscle mass, and secondary sexual characteristics.
  • Cortisol: Modulates metabolism, immune response, and stress adaptation.
  • Controlled by feedback mechanisms involving the hypothalamus, pituitary gland, and target tissues.
  • Stimulated by factors such as stress, circadian rhythms, and other hormones.

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