Adrenal gland

 

Adrenal Gland Anatomy

Functional Zonation (The “GFR” Layers)

Zone Product Regulation
Zona Glomerulosa Aldosterone RAAS (Angiotensin II) & K+
Zona Fasciculata Cortisol ACTH / CRH
Zona Reticularis Androgens (DHEA) ACTH

NEET PG “Must-Know” Pearls

  • Embryology: Cortex is from mesoderm; Medulla is from neural crest.
  • Medullary Physiology: Chromaffin cells are modified postganglionic sympathetic neurons. They secrete Epinephrine/Norepinephrine in response to preganglionic acetylcholine.
  • Enzyme Regulation: The enzyme PNMT (converts norepinephrine to epinephrine) is induced by high concentrations of cortisol received via the portal venous system from the cortex.
  • Blood Supply: Supplied by superior, middle, and inferior suprarenal arteries (branches of the inferior phrenic, abdominal aorta, and renal artery, respectively).