Hormones play a very important role in the growth and development of the human body. They are also responsible for certain functions in the body. These hormones come under the Chemical Coordination And Integration of the Human Body. Adrenal Gland is also important as it releases certain important hormones. Adrenal Gland is one of the important topics of Biology which carries a weightage of 2-3% in NEET and 4-5% in CBSE and other Paramedical Exams.
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The adrenal glands are two small, triangular-shaped glands resting on top of each kidney. They help regulate several physiological activities by releasing several endocrine products, of which cortisol, adrenaline, and aldosterone are the most common. These hormones have functions associated with the management of stress, metabolic processes, blood pressure, and fluid balance. Because pathologies related to these glands either in the form of Cushing's syndrome or Addison's disease may profoundly affect the whole health status, it becomes very important to know and understand the details of their functioning and problems.
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The adrenal glands are located in superior relation to each kidney: one on the right and one on the left.
They are composed of two distinct regions: the outer adrenal cortex and the inner adrenal medulla.
Adrenal Cortex: The outer portion of each adrenal gland that produces steroid hormones.
Adrenal Medulla: The inner region responsible for producing catecholamines.
The parts of Adrenal Gland are:
Zona Glomerulosa: Produces mineralocorticoids, for example, aldosterone.
Zona Fasciculata: Produces glucocorticoids, for example, cortisol.
Zona Reticularis: Produces androgens.
The adrenal medulla produces catecholamines, for example, adrenaline and noradrenaline.
Read about the functions of the adrenal gland:
Cortisol: This hormone plays a role in managing stress, regulating metabolism, and controlling inflammation.
Aldosterone: This hormone regulates sodium-potassium balance and helps in maintaining blood pressure.
Androgens: These contribute to the development of secondary sexual characteristics and also affect libido.
Adrenaline: This elevates the heart rate, blood flow, and energy in response to stress.
Noradrenaline: This maintains the blood pressure and the fight-or-flight response to stress.
Read about Hormonal Control And Feedback Mechanism:
The role played by the HPA axis in the body's response to stress is very huge.
Firstly, it releases cortisol, and then the release of Adrenocorticotropic Hormone (ACTH) from the pituitary maintains homeostasis through negative feedback.
RAAS plays a very important role in blood pressure and fluid balance.
It is angiotensinogen that becomes converted into angiotensin II, which acts as a stimulus for aldosterone release and, therefore, regulates blood pressure and fluid retention.
The symptoms include excessive production of cortisol, often caused by a tumour of the pituitary gland or adrenal gland.
Weight gain, hypertension, diabetes, thinning skin.
Elevated levels of cortisol in blood and urine; imaging studies.
Surgery, radiation, and medication to reduce cortisol levels.
Insufficient cortisol and sometimes aldosterone production, often due to autoimmune destruction of the adrenal cortex.
Fatigue, weight loss, low blood pressure, and hyperpigmentation of the skin.
Low cortisol levels, ACTH stimulation test.
Hormone replacement therapy with cortisol and sometimes aldosterone.
Tumor of the adrenal medulla causing excess production of catecholamines.
Severe hypertension, headaches, sweating, and palpitations.
Elevated catecholamines in urine or blood, imaging studies.
Surgical removal of the tumour, and medication to manage symptoms.
Enzyme production genetic disorders within the adrenal cortex lead to a hormonal imbalance.
Premature puberty; Adrenal insufficiency.
Replacement of Hormones and symptom management.
Steroid Replacements: To be used in adrenal insufficiency, e.g., hydrocortisone, prednisone.
Antihypertensives: For hypertension, and also for some diseases like pheochromocytoma.
Adrenalectomy: Surgical removal of one or both adrenal glands.
It is almost always indicated in tumours and very severe adrenal disorders.
Dietary Adjustments: Sodium and potassium management, particularly in adrenal disorders.
Stress Management: Stress-combating techniques and therapies support one's well-being.
Conclusion
The adrenal glands play a crucial role in maintaining different physiological activities and in responding to various stresses. The study of anatomy, functions, and disorders associated with these glands is highly essential for the effective management of health. Further research and awareness bring better treatment and good quality of life to sufferers of disorders of the adrenal glands.
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During the preparation of the exam, there are different types of questions asked about Adrenal Gland in different forms. The table given below contains the different patterns of questions asked in different exams.
Exam Type | Types of Questions Asked | Weightage |
| 4% | |
| 2-4% | |
Paramedical |
| 3% |
It takes effort to remember everything in a single go. We made the entire problem easy. Some of the tricks regarding Adrenal Gland are given below which you can use to memorise the important points.
"SAM: Stress, Aldosterone, Metabolism"
S: Stress response
A: Aldosterone
M: Metabolism
"EN: Epinephrine, Norepinephrine"
E: Epinephrine
N: Norepinephrine
Disorders of the Adrenal Gland
"AAC: Addison’s, Adrenal Crisis, Cushing’s"
A: Addison’s disease
A: Adrenal Crisis
C: Cushing’s syndrome
Adrenal Hormone Regulation
"CRH-ACTH-C: Cortisol Release Hormones - ACTH - Cortisol"
CRH: Corticotropin-releasing hormone
ACTH: Adrenocorticotropic Hormone
C: Cortisol
"FAE: Fight, Adrenaline, Energy"
F: Fight-or-flight response
A: Adrenaline
E: Energy boost
The symptoms of adrenal gland-related problems are:
Metabolism symptoms: This includes problems like weight loss or gain, fatigue, high or low glucose levels, and weakness.
Immune system symptoms: sickness or infections
Blood pressure symptoms: Hypertension or hypotension
Symptoms of sexual characteristics include hair growth, acne, and a change in voice.
Some of the diseases that affect the adrenal cortex are listed below:
Adrenocortical carcinoma
Hyperaldosteronism
Congenital adrenal hyperplasia
Hypercortisolism
Conn’s syndrome
Adrenocortical carcinoma
Genetic mutations
Hyperaldosteronism
Autoimmune diseases
Addison's disease
Injury or infection to the adrenal gland
Adrenal tumours
The treatments available for adrenal gland disorders are given below:
Change in lifestyle: Changing the lifestyle of the individual and practising healthy habits helps reduce stress and strain, mainly on the adrenal glands.
Hormone replacement therapy: In this treatment, similar hormones are displaced to restore the normal functioning of hormones to a beneficial range.
Medication: It is a treatment in which medicines and drugs are used for the prevention of diseases related to the adrenal gland. This is mainly used when the body is producing more hormones than required.
Tumour and cancer treatments: This treatment is used to remove tumours and related diseases like cancer that are producing more hormones.
Plastic surgery: This treatment helps to repair the structures and shapes affected by these diseases and excess hormone levels.
The adrenal capsule is the protective layer of fat that covers the adrenal gland. It is not a part of the adrenal gland, but the function of the capsule layer is to protect the adrenal glands present on both sides of the body.
The importance of the adrenal glands is that they release the hormones that are responsible for the well-being of the body. It prepares the body for mobilisation and also releases sexual hormones, which are important for survival.
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