Principles of Anatomy and Physiology 14e with Atlas of the Skeleton Set (14th Edition)

Published by Wiley
ISBN 10: 1-11877-456-6
ISBN 13: 978-1-11877-456-4

Chapter 18 - The Endocrine System - Figure 18.17 - Page 641: 1

Answer

Treatment of a heart transplant patient with prednisone would result in the patient's CRH and ACTH levels being depressed below normal levels. Prednisone, a synthetic glucocorticoid would act by a negative feed back mechanism to depress the production of corticotropin releasing hormone (CRH) by the hypothalamus. The consequence of this decrease in CRH secretion would be a decline in adrenocorticotropin (ACTH) secretion by the corticotrophs of the anterior pituitary (AP).

Work Step by Step

Prednisone is a synthetic glucocorticoid that has the following effects: it depresses immune functions; it dampens inflammatory responses; it promotes resistance to stress. Treatment of a heart transplant patient with prednisone would cause the levels of the patient's corticotropin releasing hormone (CRH), and adrenocorticotropin hormone (ACTH) to be abnormally low. Prednisone would act by a negative feedback mechanism to depress the production of CRH by the hypothalamus; this would decrease the output of ACTH by the anterior pituitary (AP). The ultimate effect would be a down regulation of the synthesis of natural glucocorticoids by the adrenal cortex.
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