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Kaplan Qbank USMLE



Author8 Posts
  #1

How does cushings syndrome result in salt and water retention (hypertension)--> potassium depletion --> hypokalemic alkalosis?

  #2

Bc at high dose corticosteroids have mineralo effects wink
GL

  #3

Thanks, is that due to 11- deoxycortisone?

  #4

At physiological concentrations the aldo receptor is protected by an enzyme that binds cortisol. At high cortisol concentrations this enzyme is saturated and cortisol can bind to the aldo receptor.
Liquorice competatively binds this enzyme thereby allowing cortisol (even at physioogical concs) to bind to the aldo receptor. This is clearly bad for hypertension since the liquorice contains salt AND activation of the receptor leads to salt retention.
Why doesn't aldo bind the protecting enzyme given its similar structure to cortisol? Because at physiological pH it exists in the hemiacetal formation.

  #5

Thanks, I didnt realize there was a connection between the two.

  #6

paraboxa wrote:
At physiological concentrations the aldo receptor is protected by an enzyme that binds cortisol. At high cortisol concentrations this enzyme is saturated and cortisol can bind to the aldo receptor.
Liquorice competatively binds this enzyme thereby allowing cortisol (even at physioogical concs) to bind to the aldo receptor. This is clearly bad for hypertension since the liquorice contains salt AND activation of the receptor leads to salt retention.
Why doesn't aldo bind the protecting enzyme given its similar structure to cortisol? Because at physiological pH it exists in the hemiacetal formation.



Reference PLZ


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

http://www.prep4usmle.com/forum/comments.php?id=4...

  #8

i know the relationship between Licorice n Cortisol but i wanted to knwo abt the Protective Enyme which prevents COrtisol binding to Aldo receptor




___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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