II. Physiology
- ACTH is a polypeptide synthesized and secreted by Basophil cells in the anterior pituitary
- Stimulation (releasing factors)
- Corticotropin Releasing Hormone (CRH, from Hypothalamus)
- Emotional or physical stress
- Sympathetic response to stress triggers hypothalamic release of CRH
- Inhibition by negative feedback loops
- Cortisol inhibits CRH release from Hypothalamus
- Cortisol inhibits ACTH release from pituitary
- Stimulation (releasing factors)
- Components
- Polypetide of 39 Amino Acids, encoded by the POMC gene in humans
- ACTH Effects (Adrenal Cortex stimulation)
- Cortisol release (Glucocorticoid, primary function)
- Other, less potent effects
- Aldosterone release (mineralcorticoid)
- Androgenic steroid release
III. Pathophysiology
- Cushing Disease
- Addison Disease
IV. References
- Goldberg (2014) Clinical Physiology, Medmaster, Miami, p. 132-46