title: The hypothalamic-pituitary-adrenal axis.
abstract: Anterior pituitary corticotrophin cells secrete ACTH as part of a larger precursor molecule, pro-opiomelanocortin. Post-translational cleavage of this precursor yields three major peptides: ACTH, beta-LPH and N-POMC. Experiments both in vivo and in vitro suggest that N-POMC may act as a prohormone amplifier for ACTH-induced adrenal steroidogenesis and as regulator of adrenocortical cell growth. The secretion of POMC is under the control of CRF. These findings are discussed in relation to the pathophysiology of corticotrophinoma. The primary defect in this condition appears to reside at the level of the anterior pituitary cell and is readily amenable to treatment by trans-sphenoidal microsurgery. The estimation of plasma ACTH concentrations is proving useful in the monitoring of various clinical conditions including Addison's disease and congenital adrenal hyperplasia.
mesh_terms: D000302:Adrenal Cortex / Q000503:physiopathology; D000307:Adrenal Gland Diseases / Q000503:physiopathology; D000324:Adrenocorticotropic Hormone / Q000502:physiology; D002940:Circadian Rhythm; D003480:Cushing Syndrome / Q000503:physiopathology; D003907:Dexamethasone; D004723:Endorphins / Q000502:physiology; D005246:Feedback; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D007030:Hypothalamo-Hypophyseal System / Q000502:physiology*; D007231:Infant, Newborn; D008297:Male; D009489:Neurosecretion; D010908:Pituitary Hormones, Anterior / Q000235:genetics / Q000502:physiology; D010913:Pituitary-Adrenal System / Q000502:physiology*; D011333:Pro-Opiomelanocortin; D011498:Protein Precursors / Q000235:genetics / Q000502:physiology; D011627:Puberty; D001615:beta-Endorphin; D008083:beta-Lipotropin / Q000502:physiology
chemical_list: D004723:Endorphins; D010908:Pituitary Hormones, Anterior; D011498:Protein Precursors; D001615:beta-Endorphin; D011333:Pro-Opiomelanocortin; D003907:Dexamethasone; D000324:Adrenocorticotropic Hormone; D008083:beta-Lipotropin; D006854:Hydrocortisone