Cushing’s Syndrome

Anatomy of adrenal gland

Location Function 
Adrenal cortex
    • Outer layer of adrenal gland 
    • Secretes mineralocorticoids (eg, aldosterone) to regulate sodium and potassium 
    • Middle layer of cortex 
    • Secretes glucocorticoids (eg, cortisol) 
    • Stimulated by ACTH released by pituitary 
    • Secretes sex steroids (eg, androgens, estrogen precursors, progesterone) 
Adrenal medulla
  • Inner region of the adrenal gland 
  • Secretes catecholamines (eg, epinephrine, norepinephrine) 
Hypothalamic pituitary axis    
  • Hypothalamus secretes corticotropin releasing hormone (CRH), which stimulates pituitary to secrete ACTH 
  • ACTH stimulates adrenal gland to secrete cortisol 
  • Cortisol provides feedback inhibition loop for both ACTH and CRH 
(Next Lesson) Classification of adrenal disorders
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