Mnemonic

Adrenal Cortex Zones

A mnemonic for the three zones of the adrenal cortex and their products.

Expansion

Glomerulosa makes aldosterone, fasciculata makes cortisol, reticularis makes androgens

Expansion

Cortex, from outside in, GFR:

  • Zona Glomerulosa - mineralocorticoids (aldosterone). Salt
  • Zona Fasciculata - glucocorticoids (cortisol). Sugar
  • Zona Reticularis - androgens (DHEA, androstenedione). Sex

Then the medulla, catecholamines (adrenaline, noradrenaline), from chromaffin cells that are modified postganglionic sympathetic neurones supplied directly by preganglionic fibres.

The embryological origins differ: the cortex is mesodermal and the medulla is neural crest. That is why a medullary tumour (phaeochromocytoma) behaves so differently from a cortical one, and why it fits into the multiple endocrine neoplasia syndromes.

Blood flows from cortex to medulla, so medullary chromaffin cells are bathed in high-cortisol blood, which is required to induce the enzyme converting noradrenaline to adrenaline.