Adrenal medulla

Adrenal medulla
Medulla labeled at bottom right.
Details
Precursor	Neural crest
Artery	superior suprarenal artery, middle suprarenal artery, Inferior suprarenal artery
Vein	suprarenal veins
Nerve	celiac plexus, renal plexus
Lymph	lumbar glands
Identifiers
TA	A11.5.00.008
FMA	15633
Anatomical terminology []

The adrenal medulla (Latin: medulla glandulae suprarenalis) is part of the adrenal gland. It is located at the center of the gland, being surrounded by the adrenal cortex. It is the innermost part of the adrenal gland, consisting of cells that secrete epinephrine (adrenaline), norepinephrine (noradrenaline), and a small amount of dopamine in response to stimulation by sympathetic preganglionic neurons.

The adrenal medulla consists of irregularly shaped cells grouped around blood vessels. These cells are intimately connected with the sympathetic division of the autonomic nervous system (ANS). In fact, these adrenal medullary cells are modified postganglionic neurons, and preganglionic autonomic nerve fibers lead to them directly from the central nervous system. The adrenal medulla therefore affects available energy, heart rate, and metabolism. Recent research indicates that the adrenal medulla is under the control of the sensory and motor cortex rather than centres associated with the conscious mind as previously thought.

Rather than releasing a neurotransmitter, the cells of the adrenal medulla secrete hormones.

Composed mainly of hormone-producing chromaffin cells, the adrenal medulla is the principal site of the conversion of the amino acid tyrosine into the catecholamines epinephrine, norepinephrine, and dopamine.

Because the ANS, specifically the sympathetic division, exerts direct control over the chromaffin cells the hormone release can occur rather quickly. In response to stressors such as exercise or imminent danger, medullary cells release the catecholamines adrenaline and noradrenaline into the blood. Adrenaline composes about 85% of the released catecholamines, and noradrenaline the other 15%.