REM Sleep
STRESS
+
REGULATION OF ADRENAL
HORMONE SECRETION
+
-
-
HYPOTHALAMUS
CORTISOL
“ADDISON’S DISEASE”
DESTRUCTION OF THE
ADRENAL GLAND BY DISEASE
OR BY SURGICAL REMOVAL OF
THE GLAND.  THIS DISEASE IS
LETHAL IF NOT TREATED BY
HORMONE REPLACEMENT
THERAPY
+
CRH
-
PITUITARY
TRANSPORT IN BLOOD
BOUND STEROIDS (90%)
FREE STEROIDS (10%)
ACTH
CORTISOL IS NOT STORED
+
ADRENAL CORTEX
“ZONA FASCICULATA”
CHOLESTEROL *
STEROIDS
ACTH STIMULATES STEROID SYNTHESIS WITHIN
MINUTES DUE TO CHOLESTEROL ALREADY PRESENT
IN MITOCHONDRIAL INNER MEMBRANE
ANDROGEN
PRECURSORS