Pharmacology for Dentistry

(Ben Green) #1

(Mode of Action of Drugs)


PharmacodynamicsPharmacodynamicsPharmacodynamicsPharmacodynamicsPharmacodynamicsPharmacodynamicsPharmacodynamicsPharmacodynamicsPharmacodynamicsPharmacodynamics


Chapter


1.4


Chapter


8.3 Glucocorticoids & Sex Hormones


Glucocorticoids & Sex


Hormones


GLUCOCORTICOIDS

As discussed in previous chapters,
secretion of adrenocortical steroids is
controlled by the pituitary release of
corticotrophin (ACTH). The adrenal
gland has two main parts, adrenal
medulla, which is responsible for the
release of catecholamines and adrenal
cortex which secretes glucocorticoids,


mineralocorticoids and sex hormones. The
glucocorticoids and mineralocorticoids are
twenty one carbon compounds having a
cyclopentanoperhydro-phenanthrene
nucleus. Both these hormones are
synthesised in the adrenal cortex from
cholesterol (see Fig. 8.3.1).
The important glucocorticoid secreted in
human being is hydrocortisone (10 mg/
day). They are listed in table 8.3.1.

Fig. 8.3.1: Biosynthesis of various steroid hormones.


Cholesterol

Pregnenolone

Progesterone 17 α-Hydroxy- Dehydroepiandro-
pregnenolone sterone
Desoxy-
corticosterone 17 α-Hydroxy- Androstenedione
progesterone
Corticosterone
Desoxyhydro- Testosterone
cortisone
Aldosterone
Hydrocortisone Estrogens































 





 




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