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Addison Disease (cont.)

What is cortisol?

The hormone cortisol is normally produced by the adrenal glands. The adrenals are located just above the kidneys. Cortisol belongs to a class of hormones called glucocorticoids, which affect the normal function of almost every organ and tissue in the body. Cortisol's most important job is to help the body respond to stress. Among its other vital tasks, cortisol:

  • helps maintain blood pressure and heart function;
  • helps slow the immune system's inflammation response;
  • helps balance the effects of insulin in breaking down sugar for energy; and
  • helps regulate the metabolism of proteins, carbohydrates, and fats.

How is cortisol regulated?

Because cortisol is so vital to health, the amount of cortisol produced by the adrenals is precisely balanced. Like many other hormones, cortisol is regulated by control centers in the brain (hypothalamus and the pituitary gland, a bean-sized organ at the base of the brain).

First, the hypothalamus sends "releasing hormones" to the pituitary gland. The pituitary gland responds by secreting other hormones that regulate growth, thyroid and adrenal function, and sex hormones such as estrogen and testosterone.

One of the pituitary's main functions is to secrete ACTH (adrenocorticotropin), a hormone that stimulates the adrenal glands. When the adrenal glands receive the pituitary's ACTH signal, they respond by producing cortisol. Completing a "feedback" system, cortisol then signals the pituitary to lower secretion of ACTH.

What is aldosterone?

Aldosterone belongs to a class of hormones called mineralocorticoids, also produced by the adrenal glands. Aldosterone helps maintain blood pressure and water and salt balance in the body by helping the kidney retain sodium and excrete potassium. When aldosterone production falls too low, the kidneys are not able to regulate salt and water balance, causing blood volume and blood pressure to drop.



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