The endocrine system communicates through hormones secreted directly into the bloodstream. Target cells have receptors that bind specific hormones, and similar cells group into target tissues. There are two types of hormones: protein/peptide hormones that cannot enter cells, and steroid hormones that can enter cells and affect DNA in the nucleus. Adrenaline is an example of a protein hormone that binds receptors to activate the enzyme adenyl cyclase, which converts ATP to cyclic AMP and causes effects inside the cell. The adrenal medulla releases adrenaline in response to stress, while the adrenal cortex produces steroid hormones involved in mineral balance and metabolism.