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Adrenal hormones: two tissue compartments

Cortisol and adrenaline come from different adrenal tissues. Peripheral stress hormones cannot be read as a brain dopamine measurement.

Adrenal hormones: two tissue compartments

Scoped educational mechanism

Adrenal hormones: two tissue compartments. Cortisol and adrenaline come from different adrenal tissues.
Cortisol and adrenaline come from different adrenal tissues. Peripheral stress hormones cannot be read as a brain dopamine measurement.MJB ADHD · original vector reconstruction · Reviewed 2026-10-13

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The adrenal cortex makes cortisol through steroid biosynthesis, while medullary chromaffin cells make catecholamines through enzymes including DBH and PNMT. Their tissue origins, chemistry and regulation differ. The simplified lanes illustrate these distinctions, not the complete HPA or autonomic feedback networks. Blood catecholamine concentrations cannot be equated with transmitter levels at a brain synapse, and the diagram does not demonstrate a cortisol abnormality or a specific stress cause of ADHD.

  • Adrenal cortex → Cortisol synthesis: steroid pathway
  • Cortisol synthesis → Endocrine signalling: hormone action
  • Adrenal medulla → Adrenaline synthesis: DBH / PNMT
  • Adrenaline synthesis → Peripheral signalling: secretion

What the diagram shows

The adrenal cortex makes cortisol through steroid biosynthesis, while medullary chromaffin cells make catecholamines through enzymes including DBH and PNMT. Their tissue origins, chemistry and regulation differ. The simplified lanes illustrate these distinctions, not the complete HPA or autonomic feedback networks. Blood catecholamine concentrations cannot be equated with transmitter levels at a brain synapse, and the diagram does not demonstrate a cortisol abnormality or a specific stress cause of ADHD.

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