TY - CHAP M1 - Book, Section TI - Chapter 23. Corticosteroids and Corticosteroid Antagonists A1 - Panus, Peter C. A1 - Jobst, Erin E. A1 - Masters, Susan B. A1 - Katzung, Bertram A1 - Tinsley, Suzanne L. A1 - Trevor, Anthony J. PY - 2009 T2 - Pharmacology for the Physical Therapist AB - The endogenous corticosteroids are produced by the adrenal cortex and are essential for life. As with the gonadal steroid hormones discussed in Chapter 22, corticosteroids are synthesized from cholesterol. They comprise two major physiologic and pharmacologic groups, glucocorticoids and mineralocorticoids (Figure 23–1). Glucocorticoids have important effects on intermediary metabolism, catabolism, immune responses, and inflammation. Mineralocorticoids regulate sodium and potassium transport in the collecting tubules of the kidney. A third group, the adrenal androgens (dehydroepiandrosterone [DHEA] and androstenedione) constitute the major endogenous precursors of estrogen in females in whom ovarian function is deficient or absent (e.g., postmenopausal) and in preadolescent males. Drugs that modulate the physiologic effects of endogenous corticosteroids either mimic the corticosteroids or inhibit corticosteroid synthesis or receptor interactions. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/20 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=6093458 ER -