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Prognosis is usually good-to-excellent with adequate replacement (as needed) of glucocorticoids, mineralocorticoid, and sex steroid therapy, monitoring and follow-up. Anatomically, the adrenal gland can be divided into 3 zones, (1) the zona glomerulosa, which predominately produces mineralocorticoid, (2) the zona fasciculata, which predominately produces glucocorticoid, and (3) the zona reticularis, which predominantly produces androgens. Think of the zona glomerulosa and the zonae fasciculata and reticularis as 2 separate endocrine organs because they are under separate control. Aldosterone (mineralocorticoid) synthesis and secretion is regulated via the renin-angiotensin system, which is responsive to the state of electrolyte balance and the plasma volume. Aldosterone secretion is also directly stimulated by high serum potassium concentrations. By contrast, cortisol synthesis and secretion is regulated by adrenocorticotropic hormone (ACTH), which stimulates the enzyme P-450scc (20,22 desmolase), with subsequent increased production of all adrenal steroids in both the zona fasciculata and the zona reticularis (see image below). An 8-kilobase (kb) gene, HSD3B2 , located on the p11-13 region of chromosome 1 encodes 3-beta–hydroxysteroid dehydrogenase. [3] Two isoenzymes of 3-beta–hydroxysteroid dehydrogenase have been described, differing by only 23 amino acids. Apostas de futebol na banca aky.
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Consultado em 26 de fevereiro de 2012 . Cópia arquivada em 17 de junho de 2012 ↑ Prefeitura Municipal de Ribeirão Preto (2010). Relatório da Fase 1 do Inventário de Referências Culturais . Os gols foram de Giorgian De Arrascaeta jogar good fether cassino , Pedro e Fabrício Bruno (Flamengo); Gabriel Pec e Alex Teixeira (Vasco). pp. 46–47 ↑ A-Brasil. «Ribeirão Preto» . Consultado em 17 de junho de 2012 . 3Y jogar good fether cassino Gazeta Press. «Edifício Diederichsen vai se tornar um centro cultural em Ribeirão Preto». Baixar ebook aprendendo apostas esportivas grátis.Salah satunya dengan menyediakan layanan customer service profesional yang online 24 jam non-stop setiap hari melalui Live Chat, Whatsapp, dan Line.
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