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Clinical Chemistry Blog Note 2-B Adrenocorticotropic hormone: Saturday, April 20, 2013



ADRENOCORTICOTROPIC HORMONE (ACTH, CORTICOTROPIN)





 





When I heard that my classmates and I are required to make blogs about Endocrinology specifically the hormones assigned to each of us… Gahh, I had some mixed emotions… I felt excited, happy, frustrated, stressed, pressured, precarious and unsure. How so? Honestly, as far as I remember, it’s been 6 months since the last time I wrote a blog. Hence because of this assignment that our beloved Clinical Chemistry professors gave us, it gave me an inspiration to be motivated again in making random blogs about life, love, friendship, etc. etc... What’s more challenging is that, this blog is not only about the abc’s and 123’s of life but it is about the endocrine system of the human body particularly the Adrenocorticotropic hormone. So yeah, I was very doubtful on how to start this blog; “Will I be able to finish this?” “Will I be an effective writer?” “How am I going to confer about it without making it difficult to be understood by other readers?” “How will I relate it?” These are just some of the things that I was thinking repeatedly. It was stressful for me indeed. Haha! But of course, I will never let any hesitations hinder me from doing things that I ought to do.

     Ok, to start off… Let me introduce you to a polypeptide hormone secreted by the anterior pituitary gland namely, the adrenocorticotropic hormone which is also known as corticotropin. The primary function of the ACTH is to stimulate the cortex of the adrenal gland to secrete glucocorticoids, mainly cortisol, and has little control over secretion of aldosterone, the other major steroid hormone from the adrenal cortex.








The pituitary gland is a small organ located beneath the brain. The pituitary gland produces substances (hormones) that enter the bloodstream and help control many processes of the body.
Illustration copyright 2000 by Nucleus Communications, Inc. All rights reserved. http://www.nucleusinc.com




 
The adrenal glands are located above your kidneys.





  Oh, yes. Let’s not forget about glucocorticoids, hormones secreted by the cortex of the adrenal gland, especially cortisol, which influence glucose metabolism. On the other hand, Cortisol steroid hormone released from the adrenal gland in response to ACTH. Cortisol is involved in the management of stress within the body. It’s both a hormonal and stress-related mechanism. When cortisol levels rise, ACTH levels normally fall. When cortisol levels fall, ACTH levels normally rise. ACTH is released in response to corticotropin-releasing hormone (CRH).  ACTH and cortisol levels change throughout the day; and ACTH is released in "bursts" so levels vary from minute to minute. So that only means that these two hormones, the ACTH and cortisol go hand in hand. Wow, sweet! 
Source: https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhM96TMN3Iz1oNg7zCVHqRJndqtyvWbLt80cAnhBQrzjQt8wHIWBItRo4VMmi7CpyTiGvbZMBJ2YCnjQQQRazxA53zI5z7vzMewCdzZknA_S7n4hvVap11DA8ImBvJHY9IfJ8L8TfFjBuPj/s1600/hand-in-hand.jpg







According to Bowen, ACTH release is stimulated by corticotropin-releasing factor (CRF), a secretion of the hypothalamus. Corticotropin-releasing hormone is secreted in response to many types of stress, which makes sense in view of the "stress management" functions of glucocorticoids. Corticotropin-releasing hormone itself is inhibited by glucocorticoids; making the ACTH secretion an excellent example of the regulation of a biological system by a negative-feedback mechanism. In short, almost immediately after a stressful event, the levels of the regulatory hormones ACTH and CRH increase, causing an immediate rise in cortisol levels.







Blah. Blah. Blahhhh.. Jeeeez! This is hard. I’m not that good at explaining things like these. Oh no! I can’t be a teacher L Hahaha. To be honest, even my own self feels that I am becoming boring. I do really wish I could be like my favorite professors. I admire them so much. *Sighhhh… I have a lot of things to do after making this blog... Need to review for Histopathology and Lab Management, plus household chores… Oh no (again)!! I’m stressed! So most probably my ACTH level is currently increased at this moment! I can’t take this! Hmmmm. I’ll just express it through a very simple poem that I personally made! J

I am so stressed,
but definitely not depressed
I am so desperate
 to finish this blog I need to create.

While I am home
Who would have thought that I’ll make a poem,
especially about this hormone?
And so here I am, sitting for hours, all alone.

Adrenocorticotropic is very epic
Isn’t it fantastic?
Naturally made by the gland, anterior pituitary
Without it, we won’t be healthy.

It targets the cells of Adrenal cortex
When taken intravenously, it may have side effects
like rapid gain of weight
and uneven heart rate.

ACTH is also called as corticotropin
It has also indirect effect of darkening the skin.
Cushing’s & Addison’s disease, when ACTH is increased
Adrenal tumor & hypopituitarism, when ACTH is decreased

Nevertheless, even life is stressful
I am thankful ACTH is very helpful
That’s why even under pressure,
I am still joyful for sure!

I am running out of words to say.
At least I know I’ll always be okay,
with these hormones all the way.
So good bye! Have a good day!








And to end this… Meet Pat! She’ll explain to you everything about Adrenocorticotropic hormone. Uhh.. But not really everything. Just the basics, the nice-to-know stuffs about ACTH for you my dear reader to further appreciate our friendly little hormone, ACTH. Hope you enjoy! 







Source: https://www.youtube.com/watch?v=06RaYiJwL7Y













Citations:
Pagana KD, Pagana TJ (2010). Mosby’s Manual of Diagnostic and Laboratory Tests, 4th ed. St. Louis: Mosby Elsevier.

Tortora, Gerard and Bryan Derrickson (2009). Principles of Anatomy and Physiology, 12th ed.

Columbia Electronic Encyclopedia, 6th Edition. Feb2013, p1-1. 1p.

Stewart PM, Krone NP. The adrenal cortex. In: Kronenberg HM, Melmed S, Polonsky KS, 

Larsen PR, eds. Williams Textbook of Endocrinology. 12th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 15.

Melmed S, Kleinberg D. Pituitary masses and tumors. In: Kronenberg HM, Melmed S, 

Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 12th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 9.

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