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Download MBBS Physiology Presentations 11 Adrenal Medullary Hormones Lecture Notes

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) 1st Year, 2nd Year, 3rd Year and Final year Physiology 11 Adrenal Medullary Hormones PPT-Powerpoint Presentations and lecture notes

This post was last modified on 08 April 2022

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Catecholamines:

Epinephrine
Nor-epinephrine
Dopamine

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Adrenal medulla is a sympathetic ganglion in

which the post ganglionic neurons have lost

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their axons and become secretory cells
Catecholamines

PNMT is found in brain and adrenal medulla

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Adrenal PNMT is induced by glucocorticoids

After hypophysectomy, epinephrine

concentration decreases

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In 21 -hydroxylase deficiency adrenal

medulla is dysplastic
Catecholamines

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95% dopamine and 70% Nor-epinephrine

and epinephrine is conjugated to sulfate

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On standing the levels of free nor-

epinephrine increases by 50-100%

After adrenalectomy, plasma nor-

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epinephrine levels remain unchanged but

free epinephrine level falls
Catecholamines are stored in granules with

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ATP

Granules also contain chromogranin A,

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opioid peptides

Adrenomedullin is also found
Regulation of catecholamines

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Reduced in sleep
Increased in emergency situations
W.B.Cannon called it " The emergency

function of sympathoadrenal system"

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Drugs
NE is increased by emotional stresses with

which the individual is familiar

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Epinephrine rises in stresses due to

unexpected situation

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Effects of Catecholamines

Increases glycogenolysis in liver and

skeletal muscles

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Increases insulin and glucagon secretion by

- adrenergic mechanisms

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Decreases insulin and glucagon secretion

by - adrenergic mechanisms

Increases FFA mobilization

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Increases plasma lactates
Stimulates metabolic rate
Effects of Catecholamines

NE and Epinephrine both increase rate and

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force of myocardial contraction

Increases myocardial excitability
Can lead to extrasystoles and arrythmias

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NE produces vasoconstriction
Epinephrine causes vasodilatation
Effects of Catecholamines

Catecholamines increase alertness

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Increases metabolic rate due to

vasoconstriction and lactate oxidation

When injected increases potassium levels

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and later decreases

Dopamine causes renal and mesenteric

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vasodilatation

Elsewhere DA causes vasoconstriction
DA has positive inotropic effect on heart
DA is useful in treatment of shock

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