Adrenal gland presentations

2. ADRENAL MEDULLA
BY SYEDA RIDA
BS ZOOLOGY 7TH

3. INTRODUCTION
 Medulla is the inner part of the adrenal gland
 20% of the mass of the adrenal gland
 Made up of interlacing cords of calls knowns as chromaffin cells/
pheochrome cells/ chromophil cells
 They contain fine granules.

4.  Adrenal medulla is formed by two types of chromaffin
cells:
 Noradrenaline-secreting cells(10%)
 Adrenaline-secreting cells (90%)

6. HORMONES OF ADRENAL
MEDULLA
 They are the amines derived from catechol.
 So these hormones are called catecholamines.
 Catecholamines secreted by adrenal medulla are
1. Adrenaline or epinephrine
2. Noradrenaline or norepinephrine
3. Dopamine

7.  Plasma Level Of Catecholamines:
 Adrenaline: 3g/dl
 Noradrenaline: 30g/dl
 Dopamine: 3.5g/dl
 Half Life Of Catecholamines:
 Half life of catecholamines is about 2 minutes.

8. SYNTHESIS OF CATECHOLAMINES
 Synthesized from amino acid tyrosine in the chromaffin
cells of adrenal medulla
 These hormones are also synthesized from phenylalanine
 But phenylalanine has to be converted into tyrosine

9. STAGES OF SYNTHESIS OF
CATECHOLAMINES:
1. Formation of tyrosine from phenylalanine in the presence of
phenylalanine hydroxylase
2. Uptake of tyrosine from blood into chromaffin cells of adrenal
medulla by active transport
3. Conversion of tyrosine into dihydroxyphenylalanine (DOPA) by
hydroxylation in presence of tyrosine hydroxylase
4. Decarboxylation of DOPA into dopamine by DOPA decarboxylase

10. 5. Entry of dopamine into granules of chromaffin cells
6. hydroxylation of dopamine into noradrenaline by the enzyme
dopamine beta hydroxylase
7. release of noradrenaline from granules into cytoplasm
8. methylation of noradrenaline into adrenaline by the most important
enzyme called phenylethanolamine-N-methyltransferase (PNMT).
PNMT is present in chromaffin cells

12. METABOLISM OF
CATECHOLAMINES
 85% of noradrenaline is taken up by the sympathetic
adrenergic neurons.
 remaining 15% of adrenaline and adrenaline are
degraded.

13. STAGES OF METABOLISM OF
CATECHOLAMINES:
 Methoxylation of adrenaline into meta-adrenaline
 Methoxylation of noradrenaline into meta- noradrenaline
in the presence of catechol-O-methyltransferase (COMT)
 Meta-noradrenaline and meta-adrenaline are together
called metanephrines
 Oxidation of metanephrines into vanillylmandelic acid
(VMA) by monoamine oxidase (MAO)

15. REMOVAL OF CATECHOLAMINES
 Catecholamines are removed from body through urine in
three forms:
 15% as free adrenaline and free noradrenaline
 50% as free or conjugated meta-adrenaline and meta-
noradrenaline
 35% as vanillylmandelic acid (VMA)

16. ACTIONS OF ADRENALINE AND
NORADRENALINE:
 Adrenaline and noradrenaline stimulate the nervous
system
 Adrenaline has significant effects on metabolic functions
 Both adrenaline and noradrenaline have significant
effects on cardiovascular system

17. MODE OF ACTION OF ADRENALINE
AND NORADRENALINE ADRENERGIC
RECEPTORS:
 Actions of adrenaline and noradrenaline are executed by
binding with receptors called adrenergic receptors which
are present in the target organs.

18.  Adrenergic receptors are of two types
 Alpha-adrenergic receptors, which are subdivided into
alpha-1 and alpha-2 receptors
 Beta-adrenergic receptors, which are subdivided into beta-
1 and beta-2 receptors

19.  Circulating adrenaline and noradrenaline have similar effect of
sympathetic stimulation
 Effect of adrenal hormones is prolonged 10 times more than that of
sympathetic stimulation
 It is because of slow inactivation, slow degradation and slow
removal of these hormones
 Effects of adrenaline and noradrenaline on various target organs
depend upon the type of receptors present in the cells of the organs.

20.  Adrenaline acts through both alpha and beta receptors
equally
 Nor-adrenaline act mainly through alpha-receptors and
occasionally through beta receptors

21. EFFECT OF ADRENALINE ON
METABOLISM (VIA ALPHA BETA
RECEPTORS)
 Adrenaline influences the metabolic functions more than
noradrenaline
1. GENERAL METABOLISM:
 Adrenaline increases oxygen consumption and carbon dioxide
removal
 It increases basal metabolic rate so called calorigenic hormone

22. 2. CARBOHYDRATE METABOLISM:
 Adrenaline the blood glucose level by increasing the
glycogenolysis in liver and muscle
 so a large quantity of glucose enters the circulation

23. 3. FAT METABOLISM:
 Adrenaline causes mobilization of free fatty acids
from adipose tissues.
 Catecholamines need the presence of glucocorticoids for
this action

24. EFFECT ON BLOOD (VIA BETA
RECEPTORS)
 Adrenaline decreases blood coagulation time
 It increases RBC count in blood by contracting smooth muscles of
splenic capsule and releasing RBCs from spleen into circulation

25. EFFECT ON HEART (VIA BETA
RECEPTORS)
 Adrenaline has stronger effects on heart than
noradrenaline
 It increases overall activity of the heart i.e
1. Heart rate ( chronotropic effect)
2. Force of contraction (inotropic effect)
3. Excitability of heart muscle (bathmotropic effect)
4. Conductivity in heart muscle( dromotropic effect)

26. EFFECT ON BLOOD VESSELS(VIA
ALPHA AND BETA-2 RECEPTORS)
 Noradrenaline has strong effects on blood vessels
 It causes constriction of blood vessels throughout the body via
alpha receptors
 So it is called “general vasoconstrictor”
 Vasoconstrictor effect of noradrenaline increases total peripheral
resistance
 Adrenaline also causes constriction of blood vessels

27.  However it causes dilation of blood vessels in skeletal muscle,liver
and heart through beta-2 receptors
 So the total peripheral resistance is decreased by adrenaline
 Catecholamines need the presence of glucocorticoids for these
vascular effects

28. EFFECT ON BLOOD PRESSURE VIA
ALPHA AND BETA RECEPTORS
 Adrenaline increases systolic blood pressure by increasing the
force of contraction of the heart and cardiac output.
 But it increases diastolic blood pressure by reducing the total
peripheral resistance
 Noradrenaline increases diastolic pressure due to general
vasoconstrictor effect by increasing the total peripheral resistance

29.  It also increases the systolic blood pressure to a alight extent by
its action on heart
 The action of catecholamines on blood pressure needs the presence
of glucocorticoids
 Thus, hypersecretion of catecholamines leads to hypertension

30. EFFECT ON RESPIRATION (VIA BETA-2
RECEPTORS)
 Adrenaline increases rate and force of respiration
 Adrenaline injection produces apnea which is known as adrenaline
apnea
 It also causes bronchodilation

31. EFFECT ON SKIN (VIA ALPHA AND
BETA-2 RECEPTORS)
 Adrenaline causes contraction of arrector pili
 It also increases the secretion of sweat

32. EFFECT ON SKELETAL MUSCLE (VIA
ALPHA AND BETA-2 RECEPTORS)
 Adrenaline causes severe contraction and quick fatigue of
a skeleton muscle
 It increases glycogenolysis and release of glucose form
muscle into the blood.it also causes vasodilation in
skeleton muscle

33. EFFECT ON SMOOTH MUSCLE (VIA
ALPHA AND BETA-2 RECEPTORS)
 Catecholamines causes contraction of smooth muscle
in the following organs;
1. Splenic capsule
2. Sphincters of gastrointestinal[GI] tract
3. Arrector pili of skin
4. Gallbladder
5. Uterus
6. Dilator pupillae of iris
7. Nictitating membrane of cat

34.  Catecholamines causes relaxation of smooth muscle in the
following organs
1. Non-sphincteric part of GI tract (esophagus, stomach
and intestine)
2. Bronchioles
3. Urinary bladder

35. EFFECT ON CENTRAL NERVOUS
SYSTEM(VIA BETA RECEPTORS)
 Adrenaline increases the activity of brain
 Adrenaline secretion increases during “fight or flight
reaction” after exposure to stress
 It enhances the cortical arousal and other facilitatory
functions of central nervous system

36. OTHER EFFECT OF
CATECHOLAMINES
1. On salivary glands(via alpha and beta-2 receptors)
 Cause vasoconstriction in salivary gland, leading to mild increase
in salivary secretion
2. On sweats glands(via beta-2 receptors);
 Increase the secretion of apocrine sweats gland
3. On lacrimal glands(via alpha receptors)
 Increase the secretion of tears

37. 4. On ACTH secretion (via alpha receptors)
 Adrenaline increases ACTH secretion
5. On nerve fibers (via alpha receptors)
 Adrenaline decreases the latency of action potential in the nerve
fiber i.e electrical activity is accelerated
6. On renin secretion (via beta receptors)
 Increase the renin secretion from juxtaglomerular apparatus of the
kidney

39. REGULATION OF SECRETION OF
ADRENALINE AND NORADRENALINE
 Adrenaline and noradrenaline are secreted from adrenal medulla in
small quantities even during rest
 During stress conditions due to sympatho-adrenal discharge a
large quantity of catecholamines are secreted
 These hormones prepare the body for fight or flight reactions
 Catecholamines secretion increases during exposure to cold and
hypoglycemia also

41. DOPAMINE
 Secreted by adrenal medulla
 Also secreted by dopaminergic neurons in some areas of
brain particularly basal ganglia
 In brain this hormone acts as a neurotransmitter

42.  Injected dopamine produces the following effects
1. Vasoconstriction of releasing norepinephrine
2. Vasodilation in mesentery
3. Increase in heart rate via beta receptors
4. Increase in systolic blood pressure but does not effect
diastolic blood pressure

43. QUESTIONS
 Why is adrenal medulla not necessary for life?
 What activates adrenal medulla?
 Can you live without adrenal medulla?
 What controls adrenal medulla?
 What is the difference between adrenal medulla and adrenal cortex?
 What causes adrenal medulla to releases hormones?
 What is primarily produced in adrenal medulla?
 What is the name of cells producing the hormones in adrenal medulla?