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Overview
Blood supply Although variations of the blood supply to the adrenal glands (and indeed the kidneys themselves) are common, there are usually three arteries that supply each adrenal gland: the superior, middle and inferior suprarenal (or adrenal) arteries. Each (left and right) superior suprarenal artery is a branch of the phrenic artery on that side of the body. The left and right phrenic arteries supply the diaphragm, and come off the aorta. The middle suprarenal artery is a branch directly off the aorta, while the inferior suprarenal artery branches from the aorta or the renal artery. Hormones The adrenal glands secrete steroids, including some sex hormones, and catecholamines. Steroids are synthesized and secreted by the adrenal cortex, while catecholamines are synthesized and secreted by chromaffin cells of the adrenal medulla. The principal steroids are aldosterone (a mineralocorticoid) and cortisol (a glucocorticoid). Aldosterone promotes sodium retention and potassium excretion and is therefore important in maintaining fluid balance and blood pressure. Cortisol on the other hand has a wide range of metabolic effects such as protein and fat breakdown that aim to elevate of blood glucose levels. Many sex hormones are secreted including testosterone and oestrogen. The sex hormone that is secreted by the adrenals that has the most influence is dehydroepiandrosterone (DHEA). It has virilising effects and is important in development and maintenance of pubic hair, axillary hair, pubertal growth spurts, and sex drive. The effects are only significant in females as the effects are masked by high testosterone levels in males. Catecholamines that the adrenal glands secrete are adrenaline and noradrenaline. Adrenaline has the more influential effects. The affects of adrenaline and noradrenaline have a wide range of affects. Adrenaline and noradrenaline secretion is stimulated directly by sympathetic neurons in response to stressors. The adrenal glands secrete other hormones as well. See also | ||||||||||||
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