Adrenal gland hormones

Last medical review:

As part of the endocrine system, the adrenal glands produce hormones. Hormones are substances that control specific body functions, such as metabolism, growth and reproduction. The hormones are made in the outer layer of the adrenal gland (called the adrenal cortex) and in the inner layer of the adrenal gland (called the adrenal medulla). Each adrenal gland has a covering (called the capsule).

Diagram of the inside of an adrenal gland
Diagram of the inside of an adrenal gland

Adrenal cortex hormones

The adrenal cortex produces several hormones. The most important are aldosterone (a mineralocorticoid), cortisol (a glucocorticoid), and androgens and estrogen (sex hormones).

Aldosterone helps the kidneys control the amount of salt in the blood and tissues of the body to help regulate blood pressure.

Cortisol helps the body manage and use carbohydrates, protein and fat. It also causes changes in metabolism to help the body manage stress, and it suppresses the immune system.

Androgens are male sex hormones. The adrenal glands of both men and women make androgens, but in different amounts. Androgens help the organs of the reproductive system grow, develop and function. Androgens also control the development of male physical traits such as a deep voice, body and facial hair growth, and body shape. Androgens are needed to make estrogen.

Estrogen is a female sex hormone. It controls female reproduction and sexual development, including the development of female characteristics such as the growth of breasts.

The adrenal cortex is made up of inner, middle and outer layers.

Aldosterone is produced in the outer layer.

Cortisol is produced in the middle layer.

Androgens and estrogen are produced in the inner layer.

Adrenal medulla hormones

The hormones produced by the adrenal medulla are called catecholamines. They act as hormones and as chemical messengers in the nervous system (called neurotransmitters). They manage the body's response to stress. The 2 important catecholamines are epinephrine and norepinephrine.

Epinephrine (adrenaline) is released during times of short-term stress such as sudden shock or fear. It increases your heart rate, blood pressure and blood sugar level.

Norepinephrine (noradrenaline) constricts blood vessels. Like epinephrine, it increases your heart rate, blood pressure and blood sugar level.

The adrenal medulla also produces the protein chromogranin A, which is stored and secreted with epinephrine and norepinephrine.

Expert review and references

  • Shereen Ezzat, MD, FRCPC, FACP
  • American Cancer Society. Adrenal Cancer. 2018. https://www.cancer.org/.
  • American Society of Clinical Oncology (ASCO). Cancer.net: Adrenal Gland Tumor. 2022.
  • American Society of Clinical Oncology (ASCO). Cancer.net: Pheochromocytoma and Paraganglioma. 2022.
  • Marcondes Lerario A, Mohan DR, Jolly S, Else T, Hammer GD. Adrenal tumours. DeVita VT Jr, Lawrence TS, Rosenberg S. eds. DeVita Hellman and Rosenberg's Cancer: Principles and Practice of Oncology. 12th ed. Philadelphia, PA: Wolters Kluwer; 2023: Kindle version, chapter 56, https://read.amazon.ca/?asin=B0BG3DPT4Q&language=en-CA.
  • Martini FH, Tallitsch RB, Nath JL. Human Anatomy. 9th ed. New York, NY: Pearson; 2018.
  • Stewart AA, Story ES. Adrenal neoplasms. Raghavan D, Ahluwalia MS, Blanke CD, et al, eds.. Textbook of Uncommon Cancer. 5th ed. Hoboken, NJ: Wiley Blackwell; 2017: Kindle version, 47, https://read.amazon.ca/?asin=B06XKD44V3&_encoding=UTF8&ref=dbs_p_ebk_r00_pbcb_rnvc00.

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