| Term 
 | Definition 
 
        | -important for life, essential during stress -many different cellular effects
 -increases glycogen levels in liver and circulating glucose concentrations
 -potent anti-inflammatory
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        |  | 
        
        | Term 
 | Definition 
 
        | -essential for life -effects primarily seen in kidney during stress
 -regulates Na+/K+ levels
 -controls water balance
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        |  | 
        
        | Term 
 | Definition 
 
        | -adrenal cortex -zona glomerulosa- mineralocorticoid synthesis
 -zona fasiculata/reticularis- glucocorticoid synthesis
 -adrenal medulla- epinephrine synthesis
 |  | 
        |  | 
        
        | Term 
 
        | comparison of synthesis of glucocorticoid and mineralocorticoid |  | Definition 
 
        | -glucocorticoid: synthesized both in response to natural biorhythm (serotonin regulated) and in response to long term stress (cold, pain, prolonged loud noise), made in large amounts (up to 25 mg/day), regulation mainly by HPA axis, but can be stimulated by sympathetic nervous system (catecholamines) -mineralocorticoid: synthesized in response to signals of immediate stress, regulation mainly by secretion of peptides by kidney
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        |  | 
        
        | Term 
 
        | regulation of aldosterone synthesis |  | Definition 
 
        | -juxtaglomerular apparatus in kidney senses Na+/K+ levels, blood volume, norepinephrine -can stimulate the production of renin
 -ACTH only weakly stimulates aldosterone synthesis in zona glomerular cells
 -high plasma K+ levels can directly simulate aldosterone synthesis/secretion through ion channel
 -angiotension II acts through GPCR and PLC/PKC
 |  | 
        |  | 
        
        | Term 
 
        | target cells of mineralocorticoids |  | Definition 
 
        | -kidney, salivary glands, bladder: water and electrolyte balance, aldosterone enhances the reabsorption of Na+ and the excretion of K+ in the distal renal tubules and collecting ducts (Na+, K+ ATPase), only controls approx 2% of total Na+, but is essential for survival -cardiovascular tissues: high aldosterone levels after MI, may contribute to organ damage
 |  | 
        |  | 
        
        | Term 
 
        | contrasting modes of action of stress hormones: epinephrine and cortisol |  | Definition 
 
        | epinephrine: binds to beta-adrenergic receptor (GPCR), initiates signal transduction cascade, induces immediate response, glycogen breakdown/glucose release -cortisol: binds to glucocorticoid receptor (nuclear hormone receptor), regulates gene transcription, and thus translation/protein production, induces long term, persistant biological response, induces gluconeogenic enzymes
 |  | 
        |  | 
        
        | Term 
 
        | regulation of GC synthesis: the HPA axis |  | Definition 
 
        | -secretion regulated by tropins -corticotropin releasing hormone (CRH)- 41 amino acids
 -adrenocorticotropic hormone-ACTH (corticotropin)-39 amino acids
 -therapeutic ramifications of the HPA axis
 |  | 
        |  | 
        
        | Term 
 
        | mechanism of ACTH activation |  | Definition 
 
        | G-protein coupled receptor --> adenylate cyclase -->PKA-->cholesteryl ester hydrolysis 
 overproduction of ACTH --> hypercorticoidism --> Cushing's syndrome
 |  | 
        |  | 
        
        | Term 
 
        | target cells of glucocorticoids |  | Definition 
 
        | -liver, muscle, adipose tissue: increase glycogen stores and glucose levels -immune system: anti-inflammatory, causes thymus apoptosis in children
 -vasculature: increased sensitivity to vasoactive agents
 |  | 
        |  | 
        
        | Term 
 
        | major regulatory roles-gluconeogenesis |  | Definition 
 
        | -primarily positive GRE action -upregulate expression of phsophoenolpyruvate carboxykinase (PEPCK)-rate limiting step in glucose production
 -upregulates expression of glucose 6-phosphatase
 -stimulates release of fatty acids and amino acids from tissues (gene?)
 -increases the activity of glucagon (insulin repressor)
 2. anti-inflammatory
 |  | 
        |  | 
        
        | Term 
 
        | major regulatory roles- anti-inflammatory |  | Definition 
 
        | -positive GREs: synthesis of lippcortin, inhibitor of phospholipase A2, prevents arachadonic acid release, synthesis of IkB -negative GRE action and interactions with other transcription factors: decreased expression of cytokine genes (IL-1, TNFa, and GM-CSF), decreased expression of PLA2
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | mineralocorticoid receptor (Type I corticosteroid receptor) -found in distal renal tubules of kidney
 -increase Na+, K+ ATPase activity
 -aldosterone has 800x more Na+ retention activity than cortisol (cortisol binds with equal affinity)
 glucocorticoid receptor (Type II corticosteroid receptor)
 -found in liver, muscle, bone, lymphocytes, pituitary
 
 -share same hormone response element
 |  | 
        |  | 
        
        | Term 
 
        | hormone response elements |  | Definition 
 
        | DBD's of activated dimers bind to specific DNA sequences called Hormone Responsive Elements, upstream of steroid responsive genes. binding alters rate of transcription |  | 
        |  | 
        
        | Term 
 
        | 3 possible effects on transcription |  | Definition 
 
        | -positive HRE: DNA binding increases transcription factor binding, accelerating transcription rate -negative HRE: DNA binding inhibits transcription factor binding, suppressing transcription
 -protein-protein interaction: steroid/receptor dimer binds to transcription factors, modulating their activity. DNA binding not essential
 |  | 
        |  | 
        
        | Term 
 
        | mechanism of repression- Nuclear Factor kappa beta (NFkB) |  | Definition 
 
        | 1. NFkB is a heterodimer- bound to an inhibitor protein IkB 2. immune cell activation removes IkB inhibition of NFkB and NFkB moves to the nucleus. turns on cytokine transcription
 |  | 
        |  | 
        
        | Term 
 
        | GR repression of NFkB action |  | Definition 
 
        | -liganded GR binds to NFkB, prevents binding of NFkB to its response element --> inhibition of cytokine transcription -similar behavior with AP-1 transcription factor
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