The quantitative measure of hormones secreted by the adrenal cortex, which includes critical steroid hormones like cortisol, aldosterone, and adrenal androgens such as DHEA. Assessing this output provides a direct clinical window into the functional status of the hypothalamic-pituitary-adrenal (HPA) axis, which is central to stress response and metabolic regulation. This metric is essential for understanding an individual’s capacity for systemic homeostasis.
Origin
The term is a compound of ‘adrenal,’ referring to the gland situated near the kidney, ‘cortical,’ pertaining to the outer layer (cortex) of the gland, and ‘output,’ signifying the resultant secretion. It is rooted firmly in the language of endocrinology and clinical physiology. This terminology directly relates to the glandular system responsible for producing vital glucocorticoids and mineralocorticoids.
Mechanism
The output is primarily regulated by the pituitary hormone ACTH, which stimulates the adrenal cortex to synthesize and release these steroid hormones from cholesterol precursors. Fluctuations in ACTH, often driven by psychological stressors and the natural circadian rhythm, dictate the final level of cortisol and other steroids released into the systemic circulation. This hormonal cascade is a fundamental homeostatic mechanism, directly influencing energy balance, inflammation, and blood pressure regulation.
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