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Cortisol - Wikipedia
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id="toc-Metabolism_of_proteins_and_lipids-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Immune_response" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Immune_response"> <div class="vector-toc-text"> <span class="vector-toc-numb">1.2</span> <span>Immune response</span> </div> </a> <ul id="toc-Immune_response-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Other_effects" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Other_effects"> <div class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>Other effects</span> </div> </a> <button aria-controls="toc-Other_effects-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Other effects subsection</span> </button> <ul id="toc-Other_effects-sublist" class="vector-toc-list"> <li id="toc-Metabolism" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Metabolism"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1</span> <span>Metabolism</span> </div> </a> <ul id="toc-Metabolism-sublist" class="vector-toc-list"> <li id="toc-Glucose" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Glucose"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1.1</span> <span>Glucose</span> </div> </a> <ul id="toc-Glucose-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Bone_and_collagen" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Bone_and_collagen"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1.2</span> <span>Bone and collagen</span> </div> </a> <ul id="toc-Bone_and_collagen-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Amino_acid" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Amino_acid"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1.3</span> <span>Amino acid</span> </div> </a> <ul id="toc-Amino_acid-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Electrolyte_balance" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Electrolyte_balance"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.2</span> <span>Electrolyte balance</span> </div> </a> <ul id="toc-Electrolyte_balance-sublist" class="vector-toc-list"> <li id="toc-Sodium" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Sodium"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.2.1</span> <span>Sodium</span> </div> </a> <ul id="toc-Sodium-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Potassium" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Potassium"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.2.2</span> <span>Potassium</span> </div> </a> <ul id="toc-Potassium-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Stomach_and_kidneys" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Stomach_and_kidneys"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.3</span> <span>Stomach and kidneys</span> </div> </a> <ul id="toc-Stomach_and_kidneys-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Memory" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Memory"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.4</span> <span>Memory</span> </div> </a> <ul id="toc-Memory-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Diurnal_cycles" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Diurnal_cycles"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.5</span> <span>Diurnal cycles</span> </div> </a> <ul id="toc-Diurnal_cycles-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Stress" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Stress"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.6</span> <span>Stress</span> </div> </a> <ul id="toc-Stress-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Effects_during_pregnancy" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Effects_during_pregnancy"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.7</span> <span>Effects during pregnancy</span> </div> </a> <ul id="toc-Effects_during_pregnancy-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Cortisol_face" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Cortisol_face"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.8</span> <span>Cortisol face</span> </div> </a> <ul id="toc-Cortisol_face-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Synthesis_and_release" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Synthesis_and_release"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Synthesis and release</span> </div> </a> <ul id="toc-Synthesis_and_release-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Testing_of_individuals" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Testing_of_individuals"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Testing of individuals</span> </div> </a> <ul id="toc-Testing_of_individuals-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Disorders_of_cortisol_production" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Disorders_of_cortisol_production"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Disorders of cortisol production</span> </div> </a> <ul id="toc-Disorders_of_cortisol_production-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Regulation" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Regulation"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>Regulation</span> </div> </a> <button aria-controls="toc-Regulation-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Regulation subsection</span> </button> <ul id="toc-Regulation-sublist" class="vector-toc-list"> <li id="toc-Factors_increasing_cortisol_levels" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Factors_increasing_cortisol_levels"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.1</span> <span>Factors increasing cortisol levels</span> </div> </a> <ul id="toc-Factors_increasing_cortisol_levels-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Biochemistry" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Biochemistry"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>Biochemistry</span> </div> </a> <button aria-controls="toc-Biochemistry-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Biochemistry subsection</span> </button> <ul id="toc-Biochemistry-sublist" class="vector-toc-list"> <li id="toc-Biosynthesis" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Biosynthesis"> <div class="vector-toc-text"> <span class="vector-toc-numb">7.1</span> <span>Biosynthesis</span> </div> </a> <ul id="toc-Biosynthesis-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Metabolism_2" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Metabolism_2"> <div class="vector-toc-text"> <span class="vector-toc-numb">7.2</span> <span>Metabolism</span> </div> </a> <ul id="toc-Metabolism_2-sublist" class="vector-toc-list"> <li id="toc-11beta-hydroxysteroid_dehydrogenases" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#11beta-hydroxysteroid_dehydrogenases"> <div class="vector-toc-text"> <span class="vector-toc-numb">7.2.1</span> <span>11beta-hydroxysteroid dehydrogenases</span> </div> </a> <ul id="toc-11beta-hydroxysteroid_dehydrogenases-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-A-ring_reductases_(5alpha-_and_5beta-reductases)" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#A-ring_reductases_(5alpha-_and_5beta-reductases)"> <div class="vector-toc-text"> <span class="vector-toc-numb">7.2.2</span> <span>A-ring reductases (5alpha- and 5beta-reductases)</span> </div> </a> <ul id="toc-A-ring_reductases_(5alpha-_and_5beta-reductases)-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Cytochrome_P450,_family_3,_subfamily_A_monooxygenases" class="vector-toc-list-item vector-toc-level-3"> <a class="vector-toc-link" href="#Cytochrome_P450,_family_3,_subfamily_A_monooxygenases"> <div class="vector-toc-text"> <span class="vector-toc-numb">7.2.3</span> <span>Cytochrome P450, family 3, subfamily A monooxygenases</span> </div> </a> <ul id="toc-Cytochrome_P450,_family_3,_subfamily_A_monooxygenases-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> </ul> </li> <li id="toc-Chemistry" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Chemistry"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>Chemistry</span> </div> </a> <ul id="toc-Chemistry-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Animals" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#Animals"> <div class="vector-toc-text"> <span class="vector-toc-numb">9</span> <span>Animals</span> </div> </a> <ul id="toc-Animals-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-See_also" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#See_also"> <div class="vector-toc-text"> <span class="vector-toc-numb">10</span> <span>See also</span> </div> </a> <ul id="toc-See_also-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> <span class="vector-toc-numb">11</span> <span>References</span> </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-External_links" class="vector-toc-list-item vector-toc-level-1"> <a class="vector-toc-link" href="#External_links"> <div class="vector-toc-text"> <span class="vector-toc-numb">12</span> <span>External links</span> </div> </a> <ul id="toc-External_links-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" title="Table of Contents" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Toggle the table of contents" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">Toggle the table of contents</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Cortisol</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Go to an article in another language. Available in 63 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-63" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">63 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D9%83%D9%88%D8%B1%D8%AA%D9%8A%D8%B2%D9%88%D9%84" title="كورتيزول – Arabic" lang="ar" hreflang="ar" data-title="كورتيزول" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-az mw-list-item"><a href="https://az.wikipedia.org/wiki/Kortizol" title="Kortizol – Azerbaijani" lang="az" hreflang="az" data-title="Kortizol" data-language-autonym="Azərbaycanca" data-language-local-name="Azerbaijani" class="interlanguage-link-target"><span>Azərbaycanca</span></a></li><li class="interlanguage-link interwiki-azb mw-list-item"><a href="https://azb.wikipedia.org/wiki/%DA%A9%D9%88%D8%B1%D8%AA%DB%8C%D8%B2%D9%88%D9%84" title="کورتیزول – South Azerbaijani" lang="azb" hreflang="azb" data-title="کورتیزول" data-language-autonym="تۆرکجه" data-language-local-name="South Azerbaijani" class="interlanguage-link-target"><span>تۆرکجه</span></a></li><li class="interlanguage-link interwiki-bn mw-list-item"><a href="https://bn.wikipedia.org/wiki/%E0%A6%95%E0%A6%B0%E0%A7%8D%E0%A6%9F%E0%A6%BF%E0%A6%B8%E0%A6%B2" title="কর্টিসল – Bangla" lang="bn" hreflang="bn" data-title="কর্টিসল" data-language-autonym="বাংলা" data-language-local-name="Bangla" class="interlanguage-link-target"><span>বাংলা</span></a></li><li class="interlanguage-link interwiki-bg mw-list-item"><a href="https://bg.wikipedia.org/wiki/%D0%9A%D0%BE%D1%80%D1%82%D0%B8%D0%B7%D0%BE%D0%BB" title="Кортизол – Bulgarian" lang="bg" hreflang="bg" data-title="Кортизол" data-language-autonym="Български" data-language-local-name="Bulgarian" class="interlanguage-link-target"><span>Български</span></a></li><li class="interlanguage-link interwiki-bs mw-list-item"><a href="https://bs.wikipedia.org/wiki/Kortizol" title="Kortizol – Bosnian" lang="bs" hreflang="bs" data-title="Kortizol" data-language-autonym="Bosanski" data-language-local-name="Bosnian" class="interlanguage-link-target"><span>Bosanski</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Cortisol" title="Cortisol – Catalan" lang="ca" hreflang="ca" data-title="Cortisol" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-cv mw-list-item"><a href="https://cv.wikipedia.org/wiki/%D0%9A%D0%BE%D1%80%D1%82%D0%B8%D0%B7%D0%BE%D0%BB" title="Кортизол – Chuvash" lang="cv" hreflang="cv" data-title="Кортизол" data-language-autonym="Чӑвашла" data-language-local-name="Chuvash" class="interlanguage-link-target"><span>Чӑвашла</span></a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Kortizol" title="Kortizol – Czech" lang="cs" hreflang="cs" data-title="Kortizol" data-language-autonym="Čeština" data-language-local-name="Czech" class="interlanguage-link-target"><span>Čeština</span></a></li><li class="interlanguage-link interwiki-cy mw-list-item"><a href="https://cy.wikipedia.org/wiki/Cortisol" title="Cortisol – Welsh" lang="cy" hreflang="cy" data-title="Cortisol" data-language-autonym="Cymraeg" data-language-local-name="Welsh" class="interlanguage-link-target"><span>Cymraeg</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Cortisol" title="Cortisol – German" lang="de" hreflang="de" data-title="Cortisol" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-el mw-list-item"><a href="https://el.wikipedia.org/wiki/%CE%9A%CE%BF%CF%81%CF%84%CE%B9%CE%B6%CF%8C%CE%BB%CE%B7" title="Κορτιζόλη – Greek" lang="el" hreflang="el" data-title="Κορτιζόλη" data-language-autonym="Ελληνικά" data-language-local-name="Greek" class="interlanguage-link-target"><span>Ελληνικά</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Cortisol" title="Cortisol – Spanish" lang="es" hreflang="es" data-title="Cortisol" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-eo mw-list-item"><a href="https://eo.wikipedia.org/wiki/Kortizolo" title="Kortizolo – Esperanto" lang="eo" hreflang="eo" data-title="Kortizolo" data-language-autonym="Esperanto" data-language-local-name="Esperanto" class="interlanguage-link-target"><span>Esperanto</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Kortisol" title="Kortisol – Basque" lang="eu" hreflang="eu" data-title="Kortisol" data-language-autonym="Euskara" data-language-local-name="Basque" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%DA%A9%D9%88%D8%B1%D8%AA%DB%8C%D8%B2%D9%88%D9%84" title="کورتیزول – Persian" lang="fa" hreflang="fa" data-title="کورتیزول" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Cortisol" title="Cortisol – French" lang="fr" hreflang="fr" data-title="Cortisol" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ga mw-list-item"><a href="https://ga.wikipedia.org/wiki/Cortas%C3%B3l" title="Cortasól – Irish" lang="ga" hreflang="ga" data-title="Cortasól" data-language-autonym="Gaeilge" data-language-local-name="Irish" class="interlanguage-link-target"><span>Gaeilge</span></a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Cortisol" title="Cortisol – Galician" lang="gl" hreflang="gl" data-title="Cortisol" data-language-autonym="Galego" data-language-local-name="Galician" class="interlanguage-link-target"><span>Galego</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EC%BD%94%EB%A5%B4%ED%8B%B0%EC%86%94" title="코르티솔 – Korean" lang="ko" hreflang="ko" data-title="코르티솔" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-hy mw-list-item"><a href="https://hy.wikipedia.org/wiki/%D4%BF%D5%B8%D6%80%D5%BF%D5%AB%D5%A6%D5%B8%D5%AC" title="Կորտիզոլ – Armenian" lang="hy" hreflang="hy" data-title="Կորտիզոլ" data-language-autonym="Հայերեն" data-language-local-name="Armenian" class="interlanguage-link-target"><span>Հայերեն</span></a></li><li class="interlanguage-link interwiki-hr mw-list-item"><a href="https://hr.wikipedia.org/wiki/Kortizol" title="Kortizol – Croatian" lang="hr" hreflang="hr" data-title="Kortizol" data-language-autonym="Hrvatski" data-language-local-name="Croatian" class="interlanguage-link-target"><span>Hrvatski</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Kortisol" title="Kortisol – Indonesian" lang="id" hreflang="id" data-title="Kortisol" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesian" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-is mw-list-item"><a href="https://is.wikipedia.org/wiki/Kortis%C3%B3l" title="Kortisól – Icelandic" lang="is" hreflang="is" data-title="Kortisól" data-language-autonym="Íslenska" data-language-local-name="Icelandic" class="interlanguage-link-target"><span>Íslenska</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Cortisolo" title="Cortisolo – Italian" lang="it" hreflang="it" data-title="Cortisolo" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%A7%D7%95%D7%A8%D7%98%D7%99%D7%96%D7%95%D7%9C" title="קורטיזול – Hebrew" lang="he" hreflang="he" data-title="קורטיזול" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-jv mw-list-item"><a href="https://jv.wikipedia.org/wiki/Kortisol" title="Kortisol – Javanese" lang="jv" hreflang="jv" data-title="Kortisol" data-language-autonym="Jawa" data-language-local-name="Javanese" class="interlanguage-link-target"><span>Jawa</span></a></li><li class="interlanguage-link interwiki-ka mw-list-item"><a href="https://ka.wikipedia.org/wiki/%E1%83%99%E1%83%9D%E1%83%A0%E1%83%A2%E1%83%98%E1%83%96%E1%83%9D%E1%83%9A%E1%83%98" title="კორტიზოლი – Georgian" lang="ka" hreflang="ka" data-title="კორტიზოლი" data-language-autonym="ქართული" data-language-local-name="Georgian" class="interlanguage-link-target"><span>ქართული</span></a></li><li class="interlanguage-link interwiki-lo mw-list-item"><a href="https://lo.wikipedia.org/wiki/%E0%BA%84%E0%BB%8D%E0%BA%95%E0%BA%B4%E0%BB%82%E0%BA%8A%E0%BA%A5" title="ຄໍຕິໂຊລ – Lao" lang="lo" hreflang="lo" data-title="ຄໍຕິໂຊລ" data-language-autonym="ລາວ" data-language-local-name="Lao" class="interlanguage-link-target"><span>ລາວ</span></a></li><li class="interlanguage-link interwiki-la mw-list-item"><a href="https://la.wikipedia.org/wiki/Cortisolum" title="Cortisolum – Latin" lang="la" hreflang="la" data-title="Cortisolum" data-language-autonym="Latina" data-language-local-name="Latin" class="interlanguage-link-target"><span>Latina</span></a></li><li class="interlanguage-link interwiki-lv mw-list-item"><a href="https://lv.wikipedia.org/wiki/Kortizols" title="Kortizols – Latvian" lang="lv" hreflang="lv" data-title="Kortizols" data-language-autonym="Latviešu" data-language-local-name="Latvian" class="interlanguage-link-target"><span>Latviešu</span></a></li><li class="interlanguage-link interwiki-lt mw-list-item"><a href="https://lt.wikipedia.org/wiki/Kortizolis" title="Kortizolis – Lithuanian" lang="lt" hreflang="lt" data-title="Kortizolis" data-language-autonym="Lietuvių" data-language-local-name="Lithuanian" class="interlanguage-link-target"><span>Lietuvių</span></a></li><li class="interlanguage-link interwiki-mk mw-list-item"><a href="https://mk.wikipedia.org/wiki/%D0%9A%D0%BE%D1%80%D1%82%D0%B8%D0%B7%D0%BE%D0%BB" title="Кортизол – Macedonian" lang="mk" hreflang="mk" data-title="Кортизол" data-language-autonym="Македонски" data-language-local-name="Macedonian" class="interlanguage-link-target"><span>Македонски</span></a></li><li class="interlanguage-link interwiki-ms mw-list-item"><a href="https://ms.wikipedia.org/wiki/Kortisol" title="Kortisol – Malay" lang="ms" hreflang="ms" data-title="Kortisol" data-language-autonym="Bahasa Melayu" data-language-local-name="Malay" class="interlanguage-link-target"><span>Bahasa Melayu</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Cortisol" title="Cortisol – Dutch" lang="nl" hreflang="nl" data-title="Cortisol" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E3%82%B3%E3%83%AB%E3%83%81%E3%82%BE%E3%83%BC%E3%83%AB" title="コルチゾール – Japanese" lang="ja" hreflang="ja" data-title="コルチゾール" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-no mw-list-item"><a href="https://no.wikipedia.org/wiki/Kortisol" title="Kortisol – Norwegian Bokmål" lang="nb" hreflang="nb" data-title="Kortisol" data-language-autonym="Norsk bokmål" data-language-local-name="Norwegian Bokmål" class="interlanguage-link-target"><span>Norsk bokmål</span></a></li><li class="interlanguage-link interwiki-oc mw-list-item"><a href="https://oc.wikipedia.org/wiki/Cortis%C3%B2l" title="Cortisòl – Occitan" lang="oc" hreflang="oc" data-title="Cortisòl" data-language-autonym="Occitan" data-language-local-name="Occitan" class="interlanguage-link-target"><span>Occitan</span></a></li><li class="interlanguage-link interwiki-or mw-list-item"><a href="https://or.wikipedia.org/wiki/%E0%AC%95%E0%AC%B0%E0%AD%8D%E0%AC%9F%E0%AC%BF%E0%AC%B8%E0%AD%8B%E0%AC%B2" title="କର୍ଟିସୋଲ – Odia" lang="or" hreflang="or" data-title="କର୍ଟିସୋଲ" data-language-autonym="ଓଡ଼ିଆ" data-language-local-name="Odia" class="interlanguage-link-target"><span>ଓଡ଼ିଆ</span></a></li><li class="interlanguage-link interwiki-uz mw-list-item"><a href="https://uz.wikipedia.org/wiki/Gidrokortizon" title="Gidrokortizon – Uzbek" lang="uz" hreflang="uz" data-title="Gidrokortizon" data-language-autonym="Oʻzbekcha / ўзбекча" data-language-local-name="Uzbek" class="interlanguage-link-target"><span>Oʻzbekcha / ўзбекча</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Kortyzol" title="Kortyzol – Polish" lang="pl" hreflang="pl" data-title="Kortyzol" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Cortisol" title="Cortisol – Portuguese" lang="pt" hreflang="pt" data-title="Cortisol" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ro mw-list-item"><a href="https://ro.wikipedia.org/wiki/Cortizol" title="Cortizol – Romanian" lang="ro" hreflang="ro" data-title="Cortizol" data-language-autonym="Română" data-language-local-name="Romanian" class="interlanguage-link-target"><span>Română</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%9A%D0%BE%D1%80%D1%82%D0%B8%D0%B7%D0%BE%D0%BB" title="Кортизол – Russian" lang="ru" hreflang="ru" data-title="Кортизол" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-sco mw-list-item"><a href="https://sco.wikipedia.org/wiki/Cortisol" title="Cortisol – Scots" lang="sco" hreflang="sco" data-title="Cortisol" data-language-autonym="Scots" data-language-local-name="Scots" class="interlanguage-link-target"><span>Scots</span></a></li><li class="interlanguage-link interwiki-sq mw-list-item"><a href="https://sq.wikipedia.org/wiki/Kortizoli" title="Kortizoli – Albanian" lang="sq" hreflang="sq" data-title="Kortizoli" data-language-autonym="Shqip" data-language-local-name="Albanian" class="interlanguage-link-target"><span>Shqip</span></a></li><li class="interlanguage-link interwiki-simple mw-list-item"><a href="https://simple.wikipedia.org/wiki/Cortisol" title="Cortisol – Simple English" lang="en-simple" hreflang="en-simple" data-title="Cortisol" data-language-autonym="Simple English" data-language-local-name="Simple English" class="interlanguage-link-target"><span>Simple English</span></a></li><li class="interlanguage-link interwiki-sk mw-list-item"><a href="https://sk.wikipedia.org/wiki/Kortizol" title="Kortizol – Slovak" lang="sk" hreflang="sk" data-title="Kortizol" data-language-autonym="Slovenčina" data-language-local-name="Slovak" class="interlanguage-link-target"><span>Slovenčina</span></a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Kortizol" title="Kortizol – Slovenian" lang="sl" hreflang="sl" data-title="Kortizol" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-ckb mw-list-item"><a href="https://ckb.wikipedia.org/wiki/%DA%A9%DB%86%D8%B1%D8%AA%DB%8C%D8%B2%DB%86%DA%B5" title="کۆرتیزۆڵ – Central Kurdish" lang="ckb" hreflang="ckb" data-title="کۆرتیزۆڵ" data-language-autonym="کوردی" data-language-local-name="Central Kurdish" class="interlanguage-link-target"><span>کوردی</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/%D0%9A%D0%BE%D1%80%D1%82%D0%B8%D0%B7%D0%BE%D0%BB" title="Кортизол – Serbian" lang="sr" hreflang="sr" data-title="Кортизол" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-sh mw-list-item"><a href="https://sh.wikipedia.org/wiki/Kortizol" title="Kortizol – Serbo-Croatian" lang="sh" hreflang="sh" data-title="Kortizol" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="Serbo-Croatian" class="interlanguage-link-target"><span>Srpskohrvatski / српскохрватски</span></a></li><li class="interlanguage-link interwiki-su mw-list-item"><a href="https://su.wikipedia.org/wiki/Kortisol" title="Kortisol – Sundanese" lang="su" hreflang="su" data-title="Kortisol" data-language-autonym="Sunda" data-language-local-name="Sundanese" class="interlanguage-link-target"><span>Sunda</span></a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Kortisoli" title="Kortisoli – Finnish" lang="fi" hreflang="fi" data-title="Kortisoli" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target"><span>Suomi</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Kortisol" title="Kortisol – Swedish" lang="sv" hreflang="sv" data-title="Kortisol" data-language-autonym="Svenska" data-language-local-name="Swedish" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-ta mw-list-item"><a href="https://ta.wikipedia.org/wiki/%E0%AE%95%E0%AE%BE%E0%AE%B0%E0%AF%8D%E0%AE%9F%E0%AF%8D%E0%AE%9F%E0%AE%BF%E0%AE%9A%E0%AE%BE%E0%AE%B2%E0%AF%8D" title="கார்ட்டிசால் – Tamil" lang="ta" hreflang="ta" data-title="கார்ட்டிசால்" data-language-autonym="தமிழ்" data-language-local-name="Tamil" class="interlanguage-link-target"><span>தமிழ்</span></a></li><li class="interlanguage-link interwiki-te mw-list-item"><a href="https://te.wikipedia.org/wiki/%E0%B0%95%E0%B0%BE%E0%B0%B0%E0%B1%8D%E0%B0%9F%E0%B0%BF%E0%B0%B8%E0%B1%8B%E0%B0%B2%E0%B1%8D" title="కార్టిసోల్ – Telugu" lang="te" hreflang="te" data-title="కార్టిసోల్" data-language-autonym="తెలుగు" data-language-local-name="Telugu" class="interlanguage-link-target"><span>తెలుగు</span></a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Kortizol" title="Kortizol – Turkish" lang="tr" hreflang="tr" data-title="Kortizol" data-language-autonym="Türkçe" data-language-local-name="Turkish" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%9A%D0%BE%D1%80%D1%82%D0%B8%D0%B7%D0%BE%D0%BB" title="Кортизол – Ukrainian" lang="uk" hreflang="uk" data-title="Кортизол" data-language-autonym="Українська" data-language-local-name="Ukrainian" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a href="https://vi.wikipedia.org/wiki/Cortisol" title="Cortisol – Vietnamese" lang="vi" hreflang="vi" data-title="Cortisol" data-language-autonym="Tiếng Việt" data-language-local-name="Vietnamese" class="interlanguage-link-target"><span>Tiếng Việt</span></a></li><li class="interlanguage-link interwiki-wuu mw-list-item"><a href="https://wuu.wikipedia.org/wiki/%E7%9A%AE%E8%B4%A8%E9%86%87" title="皮质醇 – Wu" lang="wuu" hreflang="wuu" data-title="皮质醇" data-language-autonym="吴语" data-language-local-name="Wu" class="interlanguage-link-target"><span>吴语</span></a></li><li class="interlanguage-link interwiki-zh-yue mw-list-item"><a href="https://zh-yue.wikipedia.org/wiki/%E7%9A%AE%E8%B3%AA%E9%86%87" title="皮質醇 – Cantonese" lang="yue" hreflang="yue" data-title="皮質醇" data-language-autonym="粵語" data-language-local-name="Cantonese" class="interlanguage-link-target"><span>粵語</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E7%9A%AE%E8%B3%AA%E9%86%87" title="皮質醇 – Chinese" lang="zh" hreflang="zh" data-title="皮質醇" data-language-autonym="中文" data-language-local-name="Chinese" class="interlanguage-link-target"><span>中文</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit wb-langlinks-link"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q190875#sitelinks-wikipedia" title="Edit 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searchaux" style="display:none">Human natural glucocorticoid hormone</div> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">This article is about the natural hormone. For the medication, see <a href="/wiki/Hydrocortisone" title="Hydrocortisone">Hydrocortisone</a>.</div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Not to be confused with <a href="/wiki/Cortisone" title="Cortisone">cortisone</a>, a <a href="/wiki/Metabolite" title="Metabolite">metabolite</a> of cortisol, with a similar name, biosynthesis, and function.</div> <p> <style data-mw-deduplicate="TemplateStyles:r1268415487">.mw-parser-output .ib-chembox{border-collapse:collapse;text-align:left}.mw-parser-output .ib-chembox td,.mw-parser-output .ib-chembox th{border:1px solid #a2a9b1;width:40%}.mw-parser-output .ib-chembox td+td{width:60%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .ib-chembox figure:not(.skin-invert-image):not(.skin-invert):not(.bg-transparent){background:var(--background-color-inverted,#f8f9fa)}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .ib-chembox figure:not(.skin-invert-image):not(.skin-invert):not(.bg-transparent){background:var(--background-color-inverted,#f8f9fa)}}</style> </p> <table class="infobox ib-chembox"> <caption>Cortisol </caption> <tbody><tr> <td colspan="2" style="text-align:center; padding:2px;"><figure class="mw-halign-center skin-invert" typeof="mw:File"><a href="/wiki/File:Cortisol3.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/9/96/Cortisol3.svg/220px-Cortisol3.svg.png" decoding="async" width="220" height="177" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/9/96/Cortisol3.svg/330px-Cortisol3.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/9/96/Cortisol3.svg/440px-Cortisol3.svg.png 2x" data-file-width="512" data-file-height="413" /></a><figcaption></figcaption></figure> </td></tr> <tr> <td colspan="2" style="text-align:center; padding:2px;"><figure class="mw-halign-center" typeof="mw:File"><a href="/wiki/File:Cortisol-3D-balls.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/c/c0/Cortisol-3D-balls.png/220px-Cortisol-3D-balls.png" decoding="async" width="220" height="131" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/c/c0/Cortisol-3D-balls.png/330px-Cortisol-3D-balls.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/c/c0/Cortisol-3D-balls.png/440px-Cortisol-3D-balls.png 2x" data-file-width="1100" data-file-height="655" /></a><figcaption></figcaption></figure> </td></tr> <tr> <th colspan="2" style="background: #f8eaba;color:inherit; text-align: center;">Names </th></tr> <tr> <td colspan="2" style="text-align:left;"><a href="/wiki/Chemical_nomenclature" title="Chemical nomenclature">IUPAC name</a> <div style="max-width:22em; word-wrap:break-word; padding-left:1.7em;">11β,17α,21-Trihydroxypregn-4-ene-3,20-dione</div> </td></tr> <tr> <td colspan="2" style="text-align:left;"><a href="/wiki/Chemical_nomenclature#Systematic_name" title="Chemical nomenclature">Systematic IUPAC name</a> <div style="max-width:22em; word-wrap:break-word; padding-left:1.7em;"><div style="display: inline-block; line-height: 1.2em; padding: .1em 0; max-width:22em;">(1<i>R</i>,3a<i>S</i>,3b<i>S</i>,9a<i>R</i>,9b<i>S</i>,11a<i>S</i>)-1,10-Dihydroxy-1-(hydroxyacetyl)-9a,11a-dimethyl-1,2,3,3a,3b,4,5,8,9,9a,9b,10,11,11a-tetradecahydro-7<i>H</i>-cyclopenta[<i>a</i>]phenanthen-7-one</div></div> </td></tr> <tr> <th colspan="2" style="background: #f8eaba;color:inherit; text-align: center;">Identifiers </th></tr> <tr> <td><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;"><a href="/wiki/CAS_Registry_Number" title="CAS Registry Number">CAS Number</a></div> </td> <td><style data-mw-deduplicate="TemplateStyles:r1126788409">.mw-parser-output .plainlist ol,.mw-parser-output .plainlist ul{line-height:inherit;list-style:none;margin:0;padding:0}.mw-parser-output .plainlist ol li,.mw-parser-output .plainlist ul li{margin-bottom:0}</style><div class="plainlist"><ul><li><span title="commonchemistry.cas.org"><a rel="nofollow" class="external text" href="https://commonchemistry.cas.org/detail?cas_rn=50-23-7">50-23-7</a></span></li></ul></div> </td></tr> <tr> <td><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;">3D model (<a href="/wiki/JSmol" class="mw-redirect" title="JSmol">JSmol</a>)</div> </td> <td><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="chemapps.stolaf.edu (3D interactive model)"><a rel="nofollow" class="external text" href="https://chemapps.stolaf.edu/jmol/jmol.php?model=O%3DC4%5CC%3DC2%2F%5BC%40%5D%28%5BC%40H%5D1%5BC%40%40H%5D%28O%29C%5BC%40%40%5D3%28%5BC%40%40%5D%28O%29%28C%28%3DO%29CO%29CC%5BC%40H%5D3%5BC%40%40H%5D1CC2%29C%29%28C%29CC4">Interactive image</a></span></li></ul></div> </td></tr> <tr> <td><a href="/wiki/ChEBI" title="ChEBI">ChEBI</a> </td> <td><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/chebi/searchId.do?chebiId=17650">CHEBI:17650</a></span></li></ul></div> </td></tr> <tr> <td><a href="/wiki/ChEMBL" title="ChEMBL">ChEMBL</a> </td> <td><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/chembl/explore/compound/ChEMBL389621">ChEMBL389621</a></span></li></ul></div> </td></tr> <tr> <td><a href="/wiki/ChemSpider" title="ChemSpider">ChemSpider</a> </td> <td><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.chemspider.com"><a rel="nofollow" class="external text" href="https://www.chemspider.com/Chemical-Structure.5551.html">5551</a></span></li></ul></div> </td></tr> <tr> <td><a href="/wiki/DrugBank" title="DrugBank">DrugBank</a> </td> <td><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.drugbank.ca"><a rel="nofollow" class="external text" href="https://www.drugbank.ca/drugs/DB00741">DB00741</a></span></li></ul></div> </td></tr> <tr> <td><a href="/wiki/ECHA_InfoCard" class="mw-redirect" title="ECHA InfoCard"><span title="echa.europa.eu">ECHA InfoCard</span></a> </td> <td><a rel="nofollow" class="external text" href="https://echa.europa.eu/substance-information/-/substanceinfo/100.000.019">100.000.019</a> <span class="mw-valign-text-top noprint" typeof="mw:File/Frameless"><a href="https://www.wikidata.org/wiki/Q190875#P2566" title="Edit this at Wikidata"><img alt="Edit this at Wikidata" src="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/10px-OOjs_UI_icon_edit-ltr-progressive.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/15px-OOjs_UI_icon_edit-ltr-progressive.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png 2x" data-file-width="20" data-file-height="20" /></a></span> </td></tr> <tr> <td><a href="/wiki/KEGG" title="KEGG">KEGG</a> </td> <td><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.kegg.jp"><a rel="nofollow" class="external text" href="https://www.kegg.jp/entry/D00088">D00088</a></span></li></ul></div> </td></tr> <tr> <td><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;"><a href="/wiki/PubChem" title="PubChem">PubChem</a> <abbr title="Compound ID">CID</abbr></div> </td> <td><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="pubchem.ncbi.nlm.nih.gov"><a rel="nofollow" class="external text" href="https://pubchem.ncbi.nlm.nih.gov/compound/5754">5754</a></span></li></ul></div> </td></tr> <tr> <td><a href="/wiki/Unique_Ingredient_Identifier" title="Unique Ingredient Identifier">UNII</a> </td> <td><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="precision.fda.gov"><a rel="nofollow" class="external text" href="https://precision.fda.gov/uniisearch/srs/unii/WI4X0X7BPJ">WI4X0X7BPJ</a></span></li></ul></div> </td></tr> <tr> <td><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;"><a href="/wiki/CompTox_Chemicals_Dashboard" title="CompTox Chemicals Dashboard">CompTox Dashboard</a> <span style="font-weight:normal">(<abbr title="U.S. Environmental Protection Agency">EPA</abbr>)</span></div> </td> <td><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="comptox.epa.gov"><a rel="nofollow" class="external text" href="https://comptox.epa.gov/dashboard/chemical/details/DTXSID7020714">DTXSID7020714</a> <span class="mw-valign-text-top noprint" typeof="mw:File/Frameless"><a href="https://www.wikidata.org/wiki/Q190875#P3117" title="Edit this at Wikidata"><img alt="Edit this at Wikidata" src="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/10px-OOjs_UI_icon_edit-ltr-progressive.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/15px-OOjs_UI_icon_edit-ltr-progressive.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png 2x" data-file-width="20" data-file-height="20" /></a></span></span></li></ul></div> </td></tr> <tr> <td colspan="2"><div class="collapsible-list mw-collapsible mw-collapsed" style="text-align: left;"> <div style="line-height: 1.6em; font-weight: bold; text-align:left; font-weight:normal;"><div><a href="/wiki/International_Chemical_Identifier" title="International Chemical Identifier">InChI</a></div></div> <ul class="mw-collapsible-content" style="margin-top: 0; margin-bottom: 0; line-height: inherit; list-style: none; margin-left: 0; word-break:break-all;"><li style="line-height: inherit; margin: 0"><div style="border-top:1px solid #ccc; padding:0.2em 0 0.2em 1.5em; text-align:left;"><div style="word-wrap:break-word; text-indent:-1.5em; font-size:97%; line-height:120%;">InChI=1S/C21H30O5/c1-19-7-5-13(23)9-12(19)3-4-14-15-6-8-21(26,17(25)11-22)20(15,2)10-16(24)18(14)19/h9,14-16,18,22,24,26H,3-8,10-11H2,1-2H3/t14-,15-,16-,18+,19-,20-,21-/m0/s1</div><div style="word-wrap:break-word; text-indent:-1.5em; font-size:97%; line-height:120%;">Key: JYGXADMDTFJGBT-VWUMJDOOSA-N</div></div></li></ul> </div> </td></tr> <tr> <td colspan="2"><div class="collapsible-list mw-collapsible mw-collapsed" style="text-align: left;"> <div style="line-height: 1.6em; font-weight: bold; text-align:left; font-weight:normal;"><div><a href="/wiki/Simplified_molecular-input_line-entry_system" class="mw-redirect" title="Simplified molecular-input line-entry system">SMILES</a></div></div> <ul class="mw-collapsible-content" style="margin-top: 0; margin-bottom: 0; line-height: inherit; list-style: none; margin-left: 0; word-break:break-all;"><li style="line-height: inherit; margin: 0"><div style="border-top:1px solid #ccc; padding:0.2em 0 0.2em 1.6em; word-wrap:break-word; text-indent:-1.5em; text-align:left; font-size:97%; line-height:120%;">O=C4\C=C2/[C@]([C@H]1[C@@H](O)C[C@@]3([C@@](O)(C(=O)CO)CC[C@H]3[C@@H]1CC2)C)(C)CC4</div></li></ul> </div> </td></tr> <tr> <th colspan="2" style="background: #f8eaba;color:inherit; text-align: center;">Properties </th></tr> <tr> <td><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;"><a href="/wiki/Chemical_formula" title="Chemical formula">Chemical formula</a></div> </td> <td><span title="Carbon">C</span><sub>21</sub><span title="Hydrogen">H</span><sub>30</sub><span title="Oxygen">O</span><sub>5</sub> </td></tr> <tr> <td><a href="/wiki/Molar_mass" title="Molar mass">Molar mass</a> </td> <td>362.460 g/mol    </td></tr> <tr> <td colspan="2" style="text-align:left; background:#f8eaba; color:inherit; border:1px solid #a2a9b1;"><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;">Except where otherwise noted, data are given for materials in their <a href="/wiki/Standard_state" title="Standard state">standard state</a> (at 25 °C [77 °F], 100 kPa).</div> <div style="margin-top: 0.3em;"></div> <div style="margin-top: 0.3em; text-align: center;"><a href="/wiki/Wikipedia:Chemical_infobox#References" title="Wikipedia:Chemical infobox">Infobox references</a></div> </td></tr> </tbody></table><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Chemical compound</div> <p><b>Cortisol</b> is a <a href="/wiki/Steroid_hormone" title="Steroid hormone">steroid hormone</a> in the <a href="/wiki/Glucocorticoid" title="Glucocorticoid">glucocorticoid</a> class of hormones and a <a href="/wiki/Stress_hormone" title="Stress hormone">stress hormone</a>. When used as medication, it is known as <a href="/wiki/Hydrocortisone" title="Hydrocortisone">hydrocortisone</a>. </p><p>It is produced in many animals, mainly by the <i><a href="/wiki/Zona_fasciculata" title="Zona fasciculata">zona fasciculata</a></i> of the <a href="/wiki/Adrenal_cortex" title="Adrenal cortex">adrenal cortex</a> in an <a href="/wiki/Adrenal_gland" title="Adrenal gland">adrenal gland</a>.<sup id="cite_ref-light_1-0" class="reference"><a href="#cite_note-light-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> In other tissues, it is produced in lower quantities.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> By a <a href="/wiki/Circadian_rhythm" title="Circadian rhythm">diurnal cycle</a>, cortisol is released and increases in response to <a href="/wiki/Stress_(biology)" title="Stress (biology)">stress</a> and a low <a href="/wiki/Blood_sugar" class="mw-redirect" title="Blood sugar">blood-glucose concentration</a>.<sup id="cite_ref-light_1-1" class="reference"><a href="#cite_note-light-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> It functions to increase blood sugar through <a href="/wiki/Gluconeogenesis" title="Gluconeogenesis">gluconeogenesis</a>, suppress the <a href="/wiki/Immune_system" title="Immune system">immune system</a>, and aid in the <a href="/wiki/Metabolism" title="Metabolism">metabolism</a> of calories.<sup id="cite_ref-Marieb_3-0" class="reference"><a href="#cite_note-Marieb-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> It also decreases bone formation.<sup id="cite_ref-pmid6690287_4-0" class="reference"><a href="#cite_note-pmid6690287-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> These stated functions are carried out by cortisol binding to glucocorticoid or mineralocorticoid receptors inside a cell, which then bind to DNA to affect gene expression.<sup id="cite_ref-light_1-2" class="reference"><a href="#cite_note-light-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> </p> <style data-mw-deduplicate="TemplateStyles:r886046785">.mw-parser-output .toclimit-2 .toclevel-1 ul,.mw-parser-output .toclimit-3 .toclevel-2 ul,.mw-parser-output .toclimit-4 .toclevel-3 ul,.mw-parser-output .toclimit-5 .toclevel-4 ul,.mw-parser-output .toclimit-6 .toclevel-5 ul,.mw-parser-output .toclimit-7 .toclevel-6 ul{display:none}</style><div class="toclimit-3"><meta property="mw:PageProp/toc" /></div> <div class="mw-heading mw-heading2"><h2 id="Health_effects">Health effects</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=1" title="Edit section: Health effects"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Metabolic_response">Metabolic response</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=2" title="Edit section: Metabolic response"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading4"><h4 id="Metabolism_of_glucose">Metabolism of glucose</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=3" title="Edit section: Metabolism of glucose"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol plays a crucial role in regulating glucose metabolism and promotes <a href="/wiki/Gluconeogenesis" title="Gluconeogenesis">gluconeogenesis</a> (<a href="/wiki/Glucose" title="Glucose">glucose</a> synthesis) and <a href="/wiki/Glycogenesis" title="Glycogenesis">glycogenesis</a> (<a href="/wiki/Glycogen" title="Glycogen">glycogen</a> synthesis) in the liver and <a href="/wiki/Glycogenolysis" title="Glycogenolysis">glycogenolysis</a> (breakdown of <a href="/wiki/Glycogen" title="Glycogen">glycogen</a>) in skeletal muscle.<sup id="cite_ref-light_1-3" class="reference"><a href="#cite_note-light-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> It also increases blood glucose levels by reducing glucose uptake in muscle and <a href="/wiki/Adipose" class="mw-redirect" title="Adipose">adipose</a> tissue, decreasing protein synthesis, and increasing the breakdown of fats into fatty acids (lipolysis). All of these metabolic steps have the net effect of increasing blood glucose levels, which fuel the brain and other tissues during the fight-or-flight response. Cortisol is also responsible for releasing amino acids from muscle, providing a substrate for <a href="/wiki/Gluconeogenesis" title="Gluconeogenesis">gluconeogenesis</a>.<sup id="cite_ref-light_1-4" class="reference"><a href="#cite_note-light-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> Its impact is complex and diverse.<sup id="cite_ref-pmid11724664_6-0" class="reference"><a href="#cite_note-pmid11724664-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> </p><p>In general, cortisol stimulates <a href="/wiki/Gluconeogenesis" title="Gluconeogenesis">gluconeogenesis</a> (the synthesis of 'new' glucose from non-carbohydrate sources, which occurs mainly in the <a href="/wiki/Liver" title="Liver">liver</a>, but also in the <a href="/wiki/Kidney" title="Kidney">kidneys</a> and <a href="/wiki/Small_intestine" title="Small intestine">small intestine</a> under certain circumstances). The net effect is an increase in the concentration of glucose in the blood, further complemented by a decrease in the sensitivity of peripheral tissue to <a href="/wiki/Insulin" title="Insulin">insulin</a>, thus preventing this tissue from taking the glucose from the blood. Cortisol has a permissive effect on the actions of hormones that increase glucose production, such as <a href="/wiki/Glucagon" title="Glucagon">glucagon</a> and <a href="/wiki/Adrenaline" title="Adrenaline">adrenaline</a>.<sup id="cite_ref-:0_7-0" class="reference"><a href="#cite_note-:0-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> </p><p>Cortisol also plays an important, but indirect, role in liver and muscle <a href="/wiki/Glycogenolysis" title="Glycogenolysis">glycogenolysis</a> (the breaking down of <a href="/wiki/Glycogen" title="Glycogen">glycogen</a> to <a href="/wiki/Glucose-1-phosphate" class="mw-redirect" title="Glucose-1-phosphate">glucose-1-phosphate</a> and glucose) which occurs as a result of the action of glucagon and adrenaline. Additionally, cortisol facilitates the activation of <a href="/wiki/Glycogen_phosphorylase" title="Glycogen phosphorylase">glycogen phosphorylase</a>, which is necessary for adrenaline to have an effect on glycogenolysis.<sup id="cite_ref-Martin_2003_8-0" class="reference"><a href="#cite_note-Martin_2003-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid1905485_9-0" class="reference"><a href="#cite_note-pmid1905485-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> </p><p>It is paradoxical that cortisol promotes not only <a href="/wiki/Gluconeogenesis" title="Gluconeogenesis">gluconeogenesis</a> (biosynthesis of glucose molecules) in the liver, but also <a href="/wiki/Glycogenesis" title="Glycogenesis">glycogenesis</a> (<a href="/wiki/Polymerization" title="Polymerization">polymerization</a> of glucose molecules into <a href="/wiki/Glycogen" title="Glycogen">glycogen</a>): cortisol is thus better thought of as stimulating glucose/glycogen turnover in the liver.<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup> This is in contrast to cortisol's effect in the skeletal muscle where <a href="/wiki/Glycogenolysis" title="Glycogenolysis">glycogenolysis</a> (breakdown of glycogen into glucose molecules) is promoted indirectly through <a href="/wiki/Catecholamines" class="mw-redirect" title="Catecholamines">catecholamines</a>.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> In this way, cortisol and catecholamines work synergistically to promote the breakdown of muscle glycogen into glucose for use in the muscle tissue.<sup id="cite_ref-pmid10769296_12-0" class="reference"><a href="#cite_note-pmid10769296-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Metabolism_of_proteins_and_lipids">Metabolism of proteins and lipids</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=4" title="Edit section: Metabolism of proteins and lipids"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Elevated levels of cortisol, if prolonged, can lead to <a href="/wiki/Proteolysis" title="Proteolysis">proteolysis</a> (breakdown of proteins) and muscle wasting.<sup id="cite_ref-13" class="reference"><a href="#cite_note-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup> The reason for proteolysis is to provide the relevant tissue with a feedstock for gluconeogenesis; see <a href="/wiki/Glucogenic_amino_acid" title="Glucogenic amino acid">glucogenic amino acids</a>.<sup id="cite_ref-:0_7-1" class="reference"><a href="#cite_note-:0-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> The effects of cortisol on lipid metabolism are more complicated since <a href="/wiki/Lipogenesis" title="Lipogenesis">lipogenesis</a> is observed in patients with chronic, raised circulating glucocorticoid (i.e. cortisol) levels,<sup id="cite_ref-:0_7-2" class="reference"><a href="#cite_note-:0-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> although an acute increase in circulating cortisol promotes <a href="/wiki/Lipolysis" title="Lipolysis">lipolysis</a>.<sup id="cite_ref-pmid12067858_14-0" class="reference"><a href="#cite_note-pmid12067858-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup> The usual explanation to account for this apparent discrepancy is that the raised blood glucose concentration (through the action of cortisol) will stimulate <a href="/wiki/Insulin" title="Insulin">insulin</a> release. Insulin stimulates lipogenesis, so this is an indirect consequence of the raised cortisol concentration in the blood but it will only occur over a longer time scale. </p> <div class="mw-heading mw-heading3"><h3 id="Immune_response">Immune response</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=5" title="Edit section: Immune response"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol prevents the release of substances in the body that cause <a href="/wiki/Inflammation" title="Inflammation">inflammation</a>. It is used to treat conditions resulting from overactivity of the B-cell-mediated antibody response. Examples include inflammatory and <a href="/wiki/Rheumatoid" class="mw-redirect" title="Rheumatoid">rheumatoid</a> diseases, as well as <a href="/wiki/Allergy" title="Allergy">allergies</a>. Low-dose <a href="/wiki/Topical_hydrocortisone" title="Topical hydrocortisone">topical hydrocortisone</a>, available as a nonprescription medicine in some countries, is used to treat skin problems such as <a href="/wiki/Rashes" class="mw-redirect" title="Rashes">rashes</a> and <a href="/wiki/Eczema" class="mw-redirect" title="Eczema">eczema</a>. </p><p>Cortisol inhibits production of <a href="/wiki/Interleukin_12" title="Interleukin 12">interleukin 12</a> (IL-12), <a href="/wiki/Interferon_gamma" title="Interferon gamma">interferon gamma</a> (IFN-gamma), <a href="/wiki/IFN-%CE%B1" class="mw-redirect" title="IFN-α">IFN-alpha</a>, and <a href="/wiki/Tumor_necrosis_factor_alpha" class="mw-redirect" title="Tumor necrosis factor alpha">tumor necrosis factor alpha</a> (TNF-alpha) by <a href="/wiki/Antigen-presenting_cells" class="mw-redirect" title="Antigen-presenting cells">antigen-presenting cells</a> (APCs) and <a href="/wiki/T_helper_cell" title="T helper cell">T helper cells</a> (Th1 cells), but upregulates <a href="/wiki/Interleukin_4" title="Interleukin 4">interleukin 4</a>, <a href="/wiki/Interleukin_10" title="Interleukin 10">interleukin 10</a>, and <a href="/wiki/Interleukin_13" title="Interleukin 13">interleukin 13</a> by Th2 cells. This results in a shift toward a Th2 immune response rather than general immunosuppression. The activation of the stress system (and resulting increase in cortisol and Th2 shift) seen during an infection is believed to be a protective mechanism which prevents an over-activation of the inflammatory response.<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup> </p><p>Cortisol can weaken the activity of the <a href="/wiki/Immune_system" title="Immune system">immune system</a>. It prevents proliferation of T-cells by rendering the <a href="/wiki/Interleukin-2" class="mw-redirect" title="Interleukin-2">interleukin-2</a> producer <a href="/wiki/T-cell" class="mw-redirect" title="T-cell">T-cells</a> unresponsive to <a href="/wiki/Interleukin-1" class="mw-redirect" title="Interleukin-1">interleukin-1</a>, and unable to produce the T-cell growth factor IL-2. Cortisol downregulates the expression of the IL2 receptor IL-2R on the surface of the helper T-cell which is necessary to induce a Th1 'cellular' immune response, thus favoring a shift towards Th2 dominance and the release of the cytokines listed above which results in Th2 dominance and favors the 'humoral' B-cell mediated antibody immune response.<sup id="cite_ref-pmid6461917_16-0" class="reference"><a href="#cite_note-pmid6461917-16"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup> </p><p>Cortisol also has a negative-feedback effect on IL-1.<sup id="cite_ref-Besedovsky_1986_17-0" class="reference"><a href="#cite_note-Besedovsky_1986-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> The way this negative feedback works is that an immune stressor causes peripheral immune cells to release IL-1 and other <a href="/wiki/Cytokines" class="mw-redirect" title="Cytokines">cytokines</a> such as IL-6 and TNF-alpha. These cytokines stimulate the hypothalamus, causing it to release <a href="/wiki/Corticotropin-releasing_hormone" title="Corticotropin-releasing hormone">corticotropin-releasing hormone</a> (CRH). CRH in turn stimulates the production of <a href="/wiki/Adrenocorticotropic_hormone" title="Adrenocorticotropic hormone">adrenocorticotropic hormone</a> (ACTH) among other things in the adrenal gland, which (among other things) increases production of cortisol. Cortisol then closes the loop as it inhibits TNF-alpha production in immune cells and makes them less responsive to IL-1.<sup id="cite_ref-Tietz_2008_18-0" class="reference"><a href="#cite_note-Tietz_2008-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup> </p><p>Through this system, as long as an immune stressor is small, the response will be regulated to the correct level. Like a thermostat controlling a heater, the hypothalamus uses cortisol to turn off the heat once the production of cortisol matches the stress induced on the immune system. But in a severe infection or in a situation where the immune system is overly sensitized to an antigen (such as in <a href="/wiki/Allergic_reactions" class="mw-redirect" title="Allergic reactions">allergic reactions</a>) or there is a massive flood of antigens (as can happen with <a href="/wiki/Endotoxic" class="mw-redirect" title="Endotoxic">endotoxic</a> bacteria) the correct set point might never be reached. Also because of downregulation of Th1 immunity by cortisol and other <a href="/wiki/Cell_signaling" title="Cell signaling">signaling molecules</a>, certain types of infection, (notably <a href="/wiki/Mycobacterium_tuberculosis" title="Mycobacterium tuberculosis">Mycobacterium tuberculosis</a>) can trick the body into getting locked in the wrong mode of attack, using an antibody-mediated humoral response when a cellular response is needed. </p><p><a href="/wiki/Lymphocytes" class="mw-redirect" title="Lymphocytes">Lymphocytes</a> include the B-cell lymphocytes that are the antibody-producing cells of the body, and are thus the main agents of <a href="/wiki/Humoral_immunity" title="Humoral immunity">humoral immunity</a>. A larger number of lymphocytes in the lymph nodes, bone marrow, and skin means the body is increasing its humoral immune response. B-cell lymphocytes release antibodies into the bloodstream. These antibodies lower infection through three main pathways: neutralization, <a href="/wiki/Opsonin" title="Opsonin">opsonization</a>, and <a href="/wiki/Complement_system" title="Complement system">complement activation</a>. Antibodies neutralize pathogens by binding to surface adhering proteins, keeping pathogens from binding to host cells. In opsonization, antibodies bind to the pathogen and create a target for phagocytic immune cells to find and latch onto, allowing them to destroy the pathogen more easily. Finally antibodies can also activate complement molecules which can combine in various ways to promote opsonization or even act directly to lyse a bacteria. There are many different kinds of antibody and their production is highly complex, involving several types of lymphocyte, but in general lymphocytes and other antibody regulating and producing cells will migrate to the lymph nodes to aid in the release of these antibodies into the bloodstream.<sup id="cite_ref-Janeway_2012_19-0" class="reference"><a href="#cite_note-Janeway_2012-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> </p><p>Rapid administration of <a href="/wiki/Corticosterone" title="Corticosterone">corticosterone</a> (the endogenous type I and type II receptor agonist) or <a href="/wiki/RU28362" class="mw-redirect" title="RU28362">RU28362</a> (a specific type II receptor agonist) to <a href="/wiki/Adrenalectomy" title="Adrenalectomy">adrenalectomized</a> animals induced changes in leukocyte distribution. </p><p>On the other side of things, there are <a href="/wiki/Natural_killer_cell" title="Natural killer cell">natural killer cells</a>; these cells have the ability to take down larger in size threats like bacteria, parasites, and tumor cells. A separate study<sup id="cite_ref-pmid15654827_20-0" class="reference"><a href="#cite_note-pmid15654827-20"><span class="cite-bracket">[</span>20<span class="cite-bracket">]</span></a></sup> found that cortisol effectively disarmed natural killer cells, downregulating the expression of their natural cytotoxicity receptors. <a href="/wiki/Prolactin" title="Prolactin">Prolactin</a> has the opposite effect. It increases the expression of cytotoxicity receptors on natural killer cells, increasing their firepower.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2023)">citation needed</span></a></i>]</sup> </p><p>Cortisol stimulates many copper enzymes (often to 50% of their total potential), including <a href="/wiki/Lysyl_oxidase" title="Lysyl oxidase">lysyl oxidase</a>, an enzyme that cross-links <a href="/wiki/Collagen" title="Collagen">collagen</a> and <a href="/wiki/Elastin" title="Elastin">elastin</a>. Especially valuable for immune response is cortisol's stimulation of the <a href="/wiki/Superoxide_dismutase" title="Superoxide dismutase">superoxide dismutase</a>,<sup id="cite_ref-isbn0-12-642760-7_21-0" class="reference"><a href="#cite_note-isbn0-12-642760-7-21"><span class="cite-bracket">[</span>21<span class="cite-bracket">]</span></a></sup> since this copper enzyme is almost certainly used by the body to permit superoxides to poison bacteria. </p><p>Some viruses, such as <a href="/wiki/Influenza" title="Influenza">influenza</a> and <a href="/wiki/SARS-CoV-1" title="SARS-CoV-1">SARS-CoV-1</a> and <a href="/wiki/SARS-CoV-2" title="SARS-CoV-2">SARS-CoV-2</a>, are known to suppress the secretion of stress hormones to avoid the organism's immune response, thus avoiding the immune protection of the organism. These viruses suppress cortisol by producing a protein that mimics the human ACTH hormone but is incomplete and does not have hormonal activity. ACTH is a hormone that stimulates the adrenal gland to produce cortisol and other steroid hormones. However, the organism makes antibodies against this viral protein, and those antibodies also kill the human ACTH hormone, which leads to the suppression of adrenal gland function. Such adrenal suppression is a way for a virus to evade immune detection and elimination.<sup id="cite_ref-cancer2019_22-0" class="reference"><a href="#cite_note-cancer2019-22"><span class="cite-bracket">[</span>22<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid32346813_23-0" class="reference"><a href="#cite_note-pmid32346813-23"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid15488660_24-0" class="reference"><a href="#cite_note-pmid15488660-24"><span class="cite-bracket">[</span>24<span class="cite-bracket">]</span></a></sup> This viral strategy can have severe consequences for the host (human that is infected by the virus), as cortisol is essential for regulating various physiological processes, such as metabolism, blood pressure, inflammation, and immune response. A lack of cortisol can result in a condition called adrenal insufficiency, which can cause symptoms such as fatigue, weight loss, low blood pressure, nausea, vomiting, and abdominal pain. Adrenal insufficiency can also impair the ability of the host to cope with stress and infections, as cortisol helps to mobilize energy sources, increase heart rate, and downregulate non-essential metabolic processes during stress. Therefore, by suppressing cortisol production, some viruses can escape the immune system and weaken the host's overall health and resilience.<sup id="cite_ref-pmid18461094_25-0" class="reference"><a href="#cite_note-pmid18461094-25"><span class="cite-bracket">[</span>25<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid32346813_23-1" class="reference"><a href="#cite_note-pmid32346813-23"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid15488660_24-1" class="reference"><a href="#cite_note-pmid15488660-24"><span class="cite-bracket">[</span>24<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Other_effects">Other effects</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=6" title="Edit section: Other effects"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Metabolism">Metabolism</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=7" title="Edit section: Metabolism"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading4"><h4 id="Glucose">Glucose</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=8" title="Edit section: Glucose"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol counteracts <a href="/wiki/Insulin" title="Insulin">insulin</a>, contributes to <a href="/wiki/Hyperglycemia" title="Hyperglycemia">hyperglycemia</a> by stimulating <a href="/wiki/Gluconeogenesis" title="Gluconeogenesis">gluconeogenesis</a> and inhibits the peripheral use of glucose (<a href="/wiki/Insulin_resistance" title="Insulin resistance">insulin resistance</a>)<sup id="cite_ref-pmid33995272_26-0" class="reference"><a href="#cite_note-pmid33995272-26"><span class="cite-bracket">[</span>26<span class="cite-bracket">]</span></a></sup> by decreasing the translocation of <a href="/wiki/Glucose_transporter" title="Glucose transporter">glucose transporters</a> (especially <a href="/wiki/GLUT4" title="GLUT4">GLUT4</a>) to the cell membrane.<sup id="cite_ref-light_1-5" class="reference"><a href="#cite_note-light-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-isbn0-07-144578-1_27-0" class="reference"><a href="#cite_note-isbn0-07-144578-1-27"><span class="cite-bracket">[</span>27<span class="cite-bracket">]</span></a></sup> Cortisol also increases glycogen synthesis (glycogenesis) in the liver, storing glucose in easily accessible form.<sup id="cite_ref-isbn0-323-05371-8_28-0" class="reference"><a href="#cite_note-isbn0-323-05371-8-28"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Bone_and_collagen">Bone and collagen</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=9" title="Edit section: Bone and collagen"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol reduces bone formation,<sup id="cite_ref-pmid6690287_4-1" class="reference"><a href="#cite_note-pmid6690287-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> favoring long-term development of <a href="/wiki/Osteoporosis" title="Osteoporosis">osteoporosis</a> (progressive bone disease). The mechanism behind this is two-fold: cortisol stimulates the production of <a href="/wiki/RANKL" title="RANKL">RANKL</a> by <a href="/wiki/Osteoblast" title="Osteoblast">osteoblasts</a> which stimulates, through binding to <a href="/wiki/RANK" title="RANK">RANK</a> receptors, the activity of <a href="/wiki/Osteoclast" title="Osteoclast">osteoclasts</a> – cells responsible for calcium resorption from bone – and also inhibits the production of <a href="/wiki/Osteoprotegerin" title="Osteoprotegerin">osteoprotegerin</a> (OPG) which acts as a decoy receptor and captures some RANKL before it can activate the osteoclasts through RANK.<sup id="cite_ref-:0_7-3" class="reference"><a href="#cite_note-:0-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup> In other words, when RANKL binds to OPG, no response occurs as opposed to the binding to RANK which leads to the activation of osteoclasts. </p><p>It transports <a href="/wiki/Potassium" title="Potassium">potassium</a> out of cells in exchange for an equal number of <a href="/wiki/Sodium" title="Sodium">sodium</a> ions (see above).<sup id="cite_ref-pmid13233328_29-0" class="reference"><a href="#cite_note-pmid13233328-29"><span class="cite-bracket">[</span>29<span class="cite-bracket">]</span></a></sup> This can trigger the <a href="/wiki/Hyperkalemia" title="Hyperkalemia">hyperkalemia</a> of <a href="/wiki/Shock_(circulatory)#Other_proposed_types_of_shock" title="Shock (circulatory)">metabolic shock</a> from surgery. Cortisol also reduces <a href="/wiki/Calcium" title="Calcium">calcium</a> absorption in the intestine.<sup id="cite_ref-pmid346457_30-0" class="reference"><a href="#cite_note-pmid346457-30"><span class="cite-bracket">[</span>30<span class="cite-bracket">]</span></a></sup> Cortisol <a href="/wiki/Downregulation_and_upregulation" title="Downregulation and upregulation">down-regulates</a> the synthesis of <a href="/wiki/Collagen" title="Collagen">collagen</a>.<sup id="cite_ref-pmid3062759_31-0" class="reference"><a href="#cite_note-pmid3062759-31"><span class="cite-bracket">[</span>31<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Amino_acid">Amino acid</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=10" title="Edit section: Amino acid"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol raises the free amino acids in the serum by inhibiting collagen formation, decreasing amino acid uptake by muscle, and inhibiting protein synthesis.<sup id="cite_ref-Manchester_1964_32-0" class="reference"><a href="#cite_note-Manchester_1964-32"><span class="cite-bracket">[</span>32<span class="cite-bracket">]</span></a></sup> Cortisol (as opticortinol) may inversely inhibit <a href="/wiki/IgA" class="mw-redirect" title="IgA">IgA</a> precursor cells in the intestines of calves.<sup id="cite_ref-pmid4207041_33-0" class="reference"><a href="#cite_note-pmid4207041-33"><span class="cite-bracket">[</span>33<span class="cite-bracket">]</span></a></sup> Cortisol also inhibits IgA in serum, as it does <a href="/wiki/IgM" class="mw-redirect" title="IgM">IgM</a>; however, it is not shown to inhibit <a href="/wiki/IgE" class="mw-redirect" title="IgE">IgE</a>.<sup id="cite_ref-pmid712020_34-0" class="reference"><a href="#cite_note-pmid712020-34"><span class="cite-bracket">[</span>34<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Electrolyte_balance">Electrolyte balance</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=11" title="Edit section: Electrolyte balance"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol increases glomerular filtration rate,<sup id="cite_ref-pmid27344357_35-0" class="reference"><a href="#cite_note-pmid27344357-35"><span class="cite-bracket">[</span>35<span class="cite-bracket">]</span></a></sup> and renal plasma flow from the kidneys thus increasing phosphate excretion,<sup id="cite_ref-pmid3351211_36-0" class="reference"><a href="#cite_note-pmid3351211-36"><span class="cite-bracket">[</span>36<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid24715567_37-0" class="reference"><a href="#cite_note-pmid24715567-37"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup> as well as increasing sodium and water retention and potassium excretion by acting on <a href="/wiki/Mineralocorticoid_receptor" title="Mineralocorticoid receptor">mineralocorticoid receptors</a>. It also increases sodium and water absorption and potassium excretion in the intestines.<sup id="cite_ref-38" class="reference"><a href="#cite_note-38"><span class="cite-bracket">[</span>38<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Sodium">Sodium</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=12" title="Edit section: Sodium"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol promotes sodium absorption through the small intestine of mammals.<sup id="cite_ref-pmid7323700_39-0" class="reference"><a href="#cite_note-pmid7323700-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> Sodium depletion, however, does not affect cortisol levels<sup id="cite_ref-pmid592808_40-0" class="reference"><a href="#cite_note-pmid592808-40"><span class="cite-bracket">[</span>40<span class="cite-bracket">]</span></a></sup> so cortisol cannot be used to regulate serum sodium. Cortisol's original purpose may have been sodium transport. This hypothesis is supported by the fact that freshwater fish use cortisol to stimulate sodium inward, while saltwater fish have a cortisol-based system for expelling excess sodium.<sup id="cite_ref-isbn0-471-06266-9_41-0" class="reference"><a href="#cite_note-isbn0-471-06266-9-41"><span class="cite-bracket">[</span>41<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading4"><h4 id="Potassium">Potassium</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=13" title="Edit section: Potassium"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>A sodium load augments the intense potassium excretion by cortisol. <a href="/wiki/Corticosterone" title="Corticosterone">Corticosterone</a> is comparable to cortisol in this case.<sup id="cite_ref-Muller_O'Connor_42-0" class="reference"><a href="#cite_note-Muller_O'Connor-42"><span class="cite-bracket">[</span>42<span class="cite-bracket">]</span></a></sup> For potassium to move out of the cell, cortisol moves an equal number of sodium ions into the cell.<sup id="cite_ref-pmid13233328_29-1" class="reference"><a href="#cite_note-pmid13233328-29"><span class="cite-bracket">[</span>29<span class="cite-bracket">]</span></a></sup> This should make <a href="/wiki/PH" title="PH">pH</a> regulation much easier (unlike the normal potassium-deficiency situation, in which two sodium ions move in for each three potassium ions that move out—closer to the <a href="/wiki/Deoxycorticosterone" title="Deoxycorticosterone">deoxycorticosterone</a> effect). </p> <div class="mw-heading mw-heading3"><h3 id="Stomach_and_kidneys">Stomach and kidneys</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=14" title="Edit section: Stomach and kidneys"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol stimulates gastric-acid secretion.<sup id="cite_ref-Soffer_1961_43-0" class="reference"><a href="#cite_note-Soffer_1961-43"><span class="cite-bracket">[</span>43<span class="cite-bracket">]</span></a></sup> Cortisol's only direct effect on the hydrogen-ion excretion of the kidneys is to stimulate the excretion of ammonium ions by deactivating the renal glutaminase enzyme.<sup id="cite_ref-Kokshchuk_1979_44-0" class="reference"><a href="#cite_note-Kokshchuk_1979-44"><span class="cite-bracket">[</span>44<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Memory">Memory</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=15" title="Edit section: Memory"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol works with <a href="/wiki/Adrenaline" title="Adrenaline">adrenaline</a> (epinephrine) to create <a href="/wiki/Memory" title="Memory">memories</a> of short-term emotional events; this is the proposed mechanism for storage of <a href="/wiki/Flashbulb_memory" title="Flashbulb memory">flash bulb memories</a>, and may originate as a means to remember what to avoid in the future.<sup id="cite_ref-The_Doctors'_Medical_Library_45-0" class="reference"><a href="#cite_note-The_Doctors'_Medical_Library-45"><span class="cite-bracket">[</span>45<span class="cite-bracket">]</span></a></sup> However, long-term exposure to cortisol damages cells in the <a href="/wiki/Hippocampus" title="Hippocampus">hippocampus</a>;<sup id="cite_ref-pmid19320982_46-0" class="reference"><a href="#cite_note-pmid19320982-46"><span class="cite-bracket">[</span>46<span class="cite-bracket">]</span></a></sup> this damage results in impaired learning. </p> <div class="mw-heading mw-heading3"><h3 id="Diurnal_cycles">Diurnal cycles</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=16" title="Edit section: Diurnal cycles"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Change_in_plasma_cortisol_cycle_over_24_hours.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/5/55/Change_in_plasma_cortisol_cycle_over_24_hours.jpg/220px-Change_in_plasma_cortisol_cycle_over_24_hours.jpg" decoding="async" width="220" height="156" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/5/55/Change_in_plasma_cortisol_cycle_over_24_hours.jpg/330px-Change_in_plasma_cortisol_cycle_over_24_hours.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/5/55/Change_in_plasma_cortisol_cycle_over_24_hours.jpg/440px-Change_in_plasma_cortisol_cycle_over_24_hours.jpg 2x" data-file-width="2494" data-file-height="1770" /></a><figcaption>Change in plasma cortisol cycle (mcg/dL) over 24 hours</figcaption></figure> <p><a href="/wiki/Circadian_rhythm" title="Circadian rhythm">Diurnal cycles</a> of cortisol levels are found in humans.<sup id="cite_ref-Martin_2003_8-1" class="reference"><a href="#cite_note-Martin_2003-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Stress">Stress</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=17" title="Edit section: Stress"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Sustained <a href="/wiki/Stress_(biology)" title="Stress (biology)">stress</a> can lead to high levels of circulating cortisol (regarded as one of the more important of the several "stress hormones").<sup id="cite_ref-47" class="reference"><a href="#cite_note-47"><span class="cite-bracket">[</span>47<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Effects_during_pregnancy">Effects during pregnancy</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=18" title="Edit section: Effects during pregnancy"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>During human pregnancy, increased fetal production of cortisol between weeks 30 and 32 initiates production of fetal lung <a href="/wiki/Pulmonary_surfactant" title="Pulmonary surfactant">pulmonary surfactant</a> to promote maturation of the lungs. In fetal lambs, glucocorticoids (principally cortisol) increase after about day 130, with lung surfactant increasing greatly, in response, by about day 135,<sup id="cite_ref-pmid2573_48-0" class="reference"><a href="#cite_note-pmid2573-48"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup> and although lamb fetal cortisol is mostly of maternal origin during the first 122 days, 88% or more is of fetal origin by day 136 of gestation.<sup id="cite_ref-pmid7130892_49-0" class="reference"><a href="#cite_note-pmid7130892-49"><span class="cite-bracket">[</span>49<span class="cite-bracket">]</span></a></sup> Although the timing of fetal cortisol concentration elevation in sheep may vary somewhat, it averages about 11.8 days before the onset of labor.<sup id="cite_ref-pmid7379742_50-0" class="reference"><a href="#cite_note-pmid7379742-50"><span class="cite-bracket">[</span>50<span class="cite-bracket">]</span></a></sup> In several livestock species (e.g. cattle, sheep, goats, and pigs), the surge of fetal cortisol late in gestation triggers the onset of parturition by removing the progesterone block of cervical dilation and <a href="/wiki/Myometrium#Excitation-contraction" title="Myometrium">myometrial contraction</a>. The mechanisms yielding this effect on progesterone differ among species. In the sheep, where progesterone sufficient for maintaining pregnancy is produced by the placenta after about day 70 of gestation,<sup id="cite_ref-pmid6933207_51-0" class="reference"><a href="#cite_note-pmid6933207-51"><span class="cite-bracket">[</span>51<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid10972299_52-0" class="reference"><a href="#cite_note-pmid10972299-52"><span class="cite-bracket">[</span>52<span class="cite-bracket">]</span></a></sup> the prepartum fetal cortisol surge induces placental enzymatic conversion of progesterone to estrogen. (The elevated level of estrogen stimulates prostaglandin secretion and <a href="/wiki/Oxytocin" title="Oxytocin">oxytocin</a> receptor development.) </p><p>Exposure of fetuses to cortisol during gestation can have a variety of developmental outcomes, including alterations in prenatal and postnatal growth patterns. In <a href="/wiki/Marmoset" title="Marmoset">marmosets</a>, a species of New World primates, pregnant females have varying levels of cortisol during gestation, both within and between females. Infants born to mothers with high gestational cortisol during the first trimester of pregnancy had lower rates of growth in body mass indices than infants born to mothers with low gestational cortisol (about 20% lower). However, postnatal growth rates in these high-cortisol infants were more rapid than low-cortisol infants later in postnatal periods, and complete catch-up in growth had occurred by 540 days of age. These results suggest that gestational exposure to cortisol in fetuses has important potential fetal programming effects on both pre and postnatal growth in primates.<sup id="cite_ref-53" class="reference"><a href="#cite_note-53"><span class="cite-bracket">[</span>53<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Cortisol_face">Cortisol face</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=19" title="Edit section: Cortisol face"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">See also: <a href="/wiki/Moon_face" title="Moon face">Moon face</a></div> <p>Increased cortisol levels may lead to facial swelling and bloating, creating a round and puffy appearance, referred to as "cortisol face."<sup id="cite_ref-54" class="reference"><a href="#cite_note-54"><span class="cite-bracket">[</span>54<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-55" class="reference"><a href="#cite_note-55"><span class="cite-bracket">[</span>55<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-56" class="reference"><a href="#cite_note-56"><span class="cite-bracket">[</span>56<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Synthesis_and_release">Synthesis and release</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=20" title="Edit section: Synthesis and release"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol is produced in the human body by the <a href="/wiki/Adrenal_gland" title="Adrenal gland">adrenal gland</a>'s <a href="/wiki/Zona_fasciculata" title="Zona fasciculata">zona fasciculata</a>, the second of three layers comprising the <a href="/wiki/Adrenal_cortex" title="Adrenal cortex">adrenal cortex</a>.<sup id="cite_ref-light_1-6" class="reference"><a href="#cite_note-light-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> This cortex forms the outer "bark" of each adrenal gland, situated atop the kidneys. The release of cortisol is controlled by the hypothalamus of a brain. Secretion of <a href="/wiki/Corticotropin-releasing_hormone" title="Corticotropin-releasing hormone">corticotropin-releasing hormone</a> by the hypothalamus triggers cells in its neighboring anterior pituitary to secrete <a href="/wiki/Adrenocorticotropic_hormone" title="Adrenocorticotropic hormone">adrenocorticotropic hormone</a> (ACTH) into the vascular system, through which blood carries it to the adrenal cortex.<sup id="cite_ref-light_1-7" class="reference"><a href="#cite_note-light-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> ACTH stimulates the synthesis of cortisol and other glucocorticoids, mineralocorticoid aldosterone, and <a href="/wiki/Dehydroepiandrosterone" title="Dehydroepiandrosterone">dehydroepiandrosterone</a>.<sup id="cite_ref-light_1-8" class="reference"><a href="#cite_note-light-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Testing_of_individuals">Testing of individuals</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=21" title="Edit section: Testing of individuals"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Normal values indicated in the following tables pertain to humans (normal levels vary among species). Measured cortisol levels, and therefore reference ranges, depend on the sample type, analytical method used, and factors such as age and sex. Test results should, therefore, always be interpreted using the reference range from the laboratory that produced the result.<sup id="cite_ref-pmid31012054_57-0" class="reference"><a href="#cite_note-pmid31012054-57"><span class="cite-bracket">[</span>57<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid31161807_58-0" class="reference"><a href="#cite_note-pmid31161807-58"><span class="cite-bracket">[</span>58<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid37501014_59-0" class="reference"><a href="#cite_note-pmid37501014-59"><span class="cite-bracket">[</span>59<span class="cite-bracket">]</span></a></sup> An individual's cortisol levels can be detected in blood, serum, urine, saliva, and sweat.<sup id="cite_ref-60" class="reference"><a href="#cite_note-60"><span class="cite-bracket">[</span>60<span class="cite-bracket">]</span></a></sup> </p> <table class="wikitable"> <caption><a href="/wiki/Reference_ranges_for_blood_plasma" class="mw-redirect" title="Reference ranges for blood plasma">Reference ranges for blood plasma</a> content of free cortisol </caption> <tbody><tr> <th>Time</th> <th>Lower limit</th> <th>Upper limit</th> <th>Unit </th></tr> <tr> <td rowspan="2">09:00 am</td> <td>140<sup id="cite_ref-goodhope_61-0" class="reference"><a href="#cite_note-goodhope-61"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid16909051_62-0" class="reference"><a href="#cite_note-pmid16909051-62"><span class="cite-bracket">[</span>62<span class="cite-bracket">]</span></a></sup></td> <td>700<sup id="cite_ref-goodhope_61-1" class="reference"><a href="#cite_note-goodhope-61"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup></td> <td>nmol/L </td></tr> <tr> <td>5<sup id="cite_ref-cortisol-derived_63-0" class="reference"><a href="#cite_note-cortisol-derived-63"><span class="cite-bracket">[</span>63<span class="cite-bracket">]</span></a></sup></td> <td>25<sup id="cite_ref-cortisol-derived_63-1" class="reference"><a href="#cite_note-cortisol-derived-63"><span class="cite-bracket">[</span>63<span class="cite-bracket">]</span></a></sup></td> <td>μg/dL </td></tr> <tr> <td rowspan="2">Midnight</td> <td>80<sup id="cite_ref-goodhope_61-2" class="reference"><a href="#cite_note-goodhope-61"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup></td> <td>350<sup id="cite_ref-goodhope_61-3" class="reference"><a href="#cite_note-goodhope-61"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup></td> <td>nmol/L </td></tr> <tr> <td>2.9<sup id="cite_ref-cortisol-derived_63-2" class="reference"><a href="#cite_note-cortisol-derived-63"><span class="cite-bracket">[</span>63<span class="cite-bracket">]</span></a></sup></td> <td>13<sup id="cite_ref-cortisol-derived_63-3" class="reference"><a href="#cite_note-cortisol-derived-63"><span class="cite-bracket">[</span>63<span class="cite-bracket">]</span></a></sup></td> <td>μg/dL </td></tr></tbody></table> <p>Using the molecular weight of 362.460 g/mole, the conversion factor from μg/dL to nmol/L is approximately 27.6;<sup id="cite_ref-pmid31381072_64-0" class="reference"><a href="#cite_note-pmid31381072-64"><span class="cite-bracket">[</span>64<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid7700725_65-0" class="reference"><a href="#cite_note-pmid7700725-65"><span class="cite-bracket">[</span>65<span class="cite-bracket">]</span></a></sup> thus, 10 μg/dL is about 276 nmol/L. </p> <table class="wikitable"> <caption><a href="/wiki/Reference_range" title="Reference range">Reference ranges</a> for <a href="/wiki/Urinalysis" title="Urinalysis">urinalysis</a> of free cortisol (urinary free cortisol or UFC) </caption> <tbody><tr> <th>Lower limit</th> <th>Upper limit</th> <th>Unit </th></tr> <tr> <td>28<sup id="cite_ref-cortisol-mass_66-0" class="reference"><a href="#cite_note-cortisol-mass-66"><span class="cite-bracket">[</span>66<span class="cite-bracket">]</span></a></sup> or 30<sup id="cite_ref-Gorges1999_67-0" class="reference"><a href="#cite_note-Gorges1999-67"><span class="cite-bracket">[</span>67<span class="cite-bracket">]</span></a></sup></td> <td>280<sup id="cite_ref-cortisol-mass_66-1" class="reference"><a href="#cite_note-cortisol-mass-66"><span class="cite-bracket">[</span>66<span class="cite-bracket">]</span></a></sup> or 490<sup id="cite_ref-Gorges1999_67-1" class="reference"><a href="#cite_note-Gorges1999-67"><span class="cite-bracket">[</span>67<span class="cite-bracket">]</span></a></sup></td> <td><a href="/wiki/Nanomole" class="mw-redirect" title="Nanomole">nmol</a>/24h </td></tr> <tr> <td>10<sup id="cite_ref-medlineplus_68-0" class="reference"><a href="#cite_note-medlineplus-68"><span class="cite-bracket">[</span>68<span class="cite-bracket">]</span></a></sup> or 11<sup id="cite_ref-cortisol-molar_69-0" class="reference"><a href="#cite_note-cortisol-molar-69"><span class="cite-bracket">[</span>69<span class="cite-bracket">]</span></a></sup></td> <td>100<sup id="cite_ref-medlineplus_68-1" class="reference"><a href="#cite_note-medlineplus-68"><span class="cite-bracket">[</span>68<span class="cite-bracket">]</span></a></sup> or 176<sup id="cite_ref-cortisol-molar_69-1" class="reference"><a href="#cite_note-cortisol-molar-69"><span class="cite-bracket">[</span>69<span class="cite-bracket">]</span></a></sup></td> <td><a href="/wiki/Microgram" title="Microgram">μg</a>/24 h </td></tr></tbody></table> <p>Cortisol follows a <a href="/wiki/Circadian_rhythm" title="Circadian rhythm">circadian rhythm</a>, and to accurately measure cortisol levels is best to test four times per day through saliva. An individual may have normal total cortisol but have a lower than normal level during a certain period of the day and a higher than normal level during a different period. Therefore, some scholars question the clinical utility of cortisol measurement.<sup id="cite_ref-pmid33792492_70-0" class="reference"><a href="#cite_note-pmid33792492-70"><span class="cite-bracket">[</span>70<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid24275191_71-0" class="reference"><a href="#cite_note-pmid24275191-71"><span class="cite-bracket">[</span>71<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid18227002_72-0" class="reference"><a href="#cite_note-pmid18227002-72"><span class="cite-bracket">[</span>72<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid24356273_73-0" class="reference"><a href="#cite_note-pmid24356273-73"><span class="cite-bracket">[</span>73<span class="cite-bracket">]</span></a></sup> </p><p>Cortisol is lipophilic, and is transported bound to <a href="/wiki/Transcortin" title="Transcortin">transcortin</a> (also known as corticosteroid-binding globulin (CBG)) and <a href="/wiki/Albumin" title="Albumin">albumin</a>, while only a small part of the total serum cortisol is unbound and has biological activity.<sup id="cite_ref-pmid29194043_74-0" class="reference"><a href="#cite_note-pmid29194043-74"><span class="cite-bracket">[</span>74<span class="cite-bracket">]</span></a></sup> This binding of cortisol to transcortin is accomplished through hydrophobic interactions in which cortisol binds in a 1:1 ratio.<sup id="cite_ref-75" class="reference"><a href="#cite_note-75"><span class="cite-bracket">[</span>75<span class="cite-bracket">]</span></a></sup> Serum cortisol assays measures total cortisol, and its results may be misleading for patients with altered serum protein concentrations. The salivary cortisol test avoids this problem because only free cortisol can pass through the <a href="/wiki/Blood-saliva_barrier" class="mw-redirect" title="Blood-saliva barrier">blood-saliva barrier</a>.<sup id="cite_ref-pmid30904918_76-0" class="reference"><a href="#cite_note-pmid30904918-76"><span class="cite-bracket">[</span>76<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid21371536_77-0" class="reference"><a href="#cite_note-pmid21371536-77"><span class="cite-bracket">[</span>77<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid34684123_78-0" class="reference"><a href="#cite_note-pmid34684123-78"><span class="cite-bracket">[</span>78<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid19632788_79-0" class="reference"><a href="#cite_note-pmid19632788-79"><span class="cite-bracket">[</span>79<span class="cite-bracket">]</span></a></sup> Transcortin particles are too large to pass through this barrier,<sup id="cite_ref-80" class="reference"><a href="#cite_note-80"><span class="cite-bracket">[</span>80<span class="cite-bracket">]</span></a></sup> that consists of epithelial cell layers of the oral mucosa and salivary glands.<sup id="cite_ref-pmid32842479_81-0" class="reference"><a href="#cite_note-pmid32842479-81"><span class="cite-bracket">[</span>81<span class="cite-bracket">]</span></a></sup> </p><p>Cortisol may be incorporated into hair from blood, sweat, and <a href="/wiki/Sebaceous_gland" title="Sebaceous gland">sebum</a>. A 3 centimeter segment of scalp hair can represent 3 months of hair growth, although growth rates can vary in different regions of the scalp. Cortisol in hair is a reliable indicator of chronic cortisol exposure.<sup id="cite_ref-pmid25560699_82-0" class="reference"><a href="#cite_note-pmid25560699-82"><span class="cite-bracket">[</span>82<span class="cite-bracket">]</span></a></sup> </p><p>Automated <a href="/wiki/Immunoassay" title="Immunoassay">immunoassays</a> lack specificity and show significant cross-reactivity due to interactions with structural analogs of cortisol, and show differences between assays. <a href="/wiki/Liquid_chromatography%E2%80%93mass_spectrometry" title="Liquid chromatography–mass spectrometry">Liquid chromatography-tandem mass spectrometry</a> (LC-MS/MS) can improve specificity and sensitivity.<sup id="cite_ref-pmid28068807_83-0" class="reference"><a href="#cite_note-pmid28068807-83"><span class="cite-bracket">[</span>83<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Disorders_of_cortisol_production">Disorders of cortisol production</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=22" title="Edit section: Disorders of cortisol production"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Some medical disorders are related to abnormal cortisol production, such as: </p> <ul><li>Primary hypercortisolism (<a href="/wiki/Cushing%27s_syndrome" title="Cushing's syndrome">Cushing's syndrome</a>): excessive levels of cortisol<sup id="cite_ref-84" class="reference"><a href="#cite_note-84"><span class="cite-bracket">[</span>84<span class="cite-bracket">]</span></a></sup> <ul><li>Secondary hypercortisolism (pituitary tumor resulting in <a href="/wiki/Cushing%27s_disease" title="Cushing's disease">Cushing's disease</a>,<sup id="cite_ref-NIH2008_85-0" class="reference"><a href="#cite_note-NIH2008-85"><span class="cite-bracket">[</span>85<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-86" class="reference"><a href="#cite_note-86"><span class="cite-bracket">[</span>86<span class="cite-bracket">]</span></a></sup> <a href="/wiki/Pseudo-Cushing%27s_syndrome" title="Pseudo-Cushing's syndrome">pseudo-Cushing's syndrome</a>)</li></ul></li> <li>Primary <a href="/wiki/Adrenal_insufficiency" title="Adrenal insufficiency">hypocortisolism</a> (<a href="/wiki/Addison%27s_disease" title="Addison's disease">Addison's disease</a>, <a href="/wiki/Nelson%27s_syndrome" title="Nelson's syndrome">Nelson's syndrome</a>): insufficient levels of cortisol <ul><li>Secondary hypocortisolism (pituitary tumor, <a href="/wiki/Sheehan%27s_syndrome" title="Sheehan's syndrome">Sheehan's syndrome</a>)</li></ul></li></ul> <div class="mw-heading mw-heading2"><h2 id="Regulation">Regulation</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=23" title="Edit section: Regulation"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The primary control of cortisol is the <a href="/wiki/Pituitary" class="mw-redirect" title="Pituitary">pituitary</a> gland peptide, ACTH, which probably controls cortisol by controlling the movement of calcium into the cortisol-secreting target cells.<sup id="cite_ref-87" class="reference"><a href="#cite_note-87"><span class="cite-bracket">[</span>87<span class="cite-bracket">]</span></a></sup> ACTH is in turn controlled by the hypothalamic peptide corticotropin-releasing hormone (CRH), which is under nervous control. CRH acts synergistically with <a href="/wiki/Arginine_vasopressin" class="mw-redirect" title="Arginine vasopressin">arginine vasopressin</a>, <a href="/wiki/Angiotensin_II" class="mw-redirect" title="Angiotensin II">angiotensin II</a>, and <a href="/wiki/Epinephrine" class="mw-redirect" title="Epinephrine">epinephrine</a>.<sup id="cite_ref-pmid3015567_88-0" class="reference"><a href="#cite_note-pmid3015567-88"><span class="cite-bracket">[</span>88<span class="cite-bracket">]</span></a></sup> (In swine, which do not produce arginine vasopressin, lysine vasopressin acts synergistically with CRH.<sup id="cite_ref-pmid8385088_89-0" class="reference"><a href="#cite_note-pmid8385088-89"><span class="cite-bracket">[</span>89<span class="cite-bracket">]</span></a></sup>) </p><p>When activated macrophages start to secrete IL-1, which synergistically with CRH increases ACTH,<sup id="cite_ref-Besedovsky_1986_17-1" class="reference"><a href="#cite_note-Besedovsky_1986-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup> T-cells also secrete glucosteroid response modifying factor (GRMF), as well as IL-1; both increase the amount of cortisol required to inhibit almost all the immune cells.<sup id="cite_ref-pmid6228602_90-0" class="reference"><a href="#cite_note-pmid6228602-90"><span class="cite-bracket">[</span>90<span class="cite-bracket">]</span></a></sup> Immune cells then assume their own regulation, but at a higher cortisol setpoint. The increase in cortisol in diarrheic calves is minimal over healthy calves, however, and falls over time.<sup id="cite_ref-91" class="reference"><a href="#cite_note-91"><span class="cite-bracket">[</span>91<span class="cite-bracket">]</span></a></sup> The cells do not lose all their fight-or-flight override because of interleukin-1's synergism with CRH. Cortisol even has a negative feedback effect on interleukin-1<sup id="cite_ref-Besedovsky_1986_17-2" class="reference"><a href="#cite_note-Besedovsky_1986-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup>—especially useful to treat diseases that force the hypothalamus to secrete too much CRH, such as those caused by endotoxic bacteria. The suppressor immune cells are not affected by GRMF,<sup id="cite_ref-pmid6228602_90-1" class="reference"><a href="#cite_note-pmid6228602-90"><span class="cite-bracket">[</span>90<span class="cite-bracket">]</span></a></sup> so the immune cells' effective setpoint may be even higher than the setpoint for physiological processes. GRMF affects primarily the liver (rather than the kidneys) for some physiological processes.<sup id="cite_ref-pmid3084123_92-0" class="reference"><a href="#cite_note-pmid3084123-92"><span class="cite-bracket">[</span>92<span class="cite-bracket">]</span></a></sup> </p><p>High-potassium media (which stimulates aldosterone secretion <i>in vitro</i>) also stimulate cortisol secretion from the fasciculata zone of canine adrenals<sup id="cite_ref-93" class="reference"><a href="#cite_note-93"><span class="cite-bracket">[</span>93<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Ameer_Saadallah_Al_–_Zacko_94-0" class="reference"><a href="#cite_note-Ameer_Saadallah_Al_–_Zacko-94"><span class="cite-bracket">[</span>94<span class="cite-bracket">]</span></a></sup> — unlike corticosterone, upon which potassium has no effect.<sup id="cite_ref-pmid168026_95-0" class="reference"><a href="#cite_note-pmid168026-95"><span class="cite-bracket">[</span>95<span class="cite-bracket">]</span></a></sup> </p><p>Potassium loading also increases ACTH and cortisol in humans.<sup id="cite_ref-pmid6283190_96-0" class="reference"><a href="#cite_note-pmid6283190-96"><span class="cite-bracket">[</span>96<span class="cite-bracket">]</span></a></sup> This is probably the reason why potassium deficiency causes cortisol to decline (as mentioned) and causes a decrease in conversion of <a href="/wiki/11-deoxycortisol" class="mw-redirect" title="11-deoxycortisol">11-deoxycortisol</a> to cortisol.<sup id="cite_ref-Bauman_Muller_1972_97-0" class="reference"><a href="#cite_note-Bauman_Muller_1972-97"><span class="cite-bracket">[</span>97<span class="cite-bracket">]</span></a></sup> This may also have a role in rheumatoid-arthritis pain; cell potassium is always low in RA.<sup id="cite_ref-LaCelle_1964_98-0" class="reference"><a href="#cite_note-LaCelle_1964-98"><span class="cite-bracket">[</span>98<span class="cite-bracket">]</span></a></sup> </p><p>Ascorbic acid presence, particularly in high doses has also been shown to mediate response to psychological stress and speed the decrease of the levels of circulating cortisol in the body post-stress. This can be evidenced through a decrease in systolic and diastolic blood pressures and decreased salivary cortisol levels after treatment with ascorbic acid.<sup id="cite_ref-pmid11862365_99-0" class="reference"><a href="#cite_note-pmid11862365-99"><span class="cite-bracket">[</span>99<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Factors_increasing_cortisol_levels">Factors increasing cortisol levels</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=24" title="Edit section: Factors increasing cortisol levels"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li>Viral infections increase cortisol levels through activation of the <a href="/wiki/Hypothalamic-pituitary-adrenal_axis" class="mw-redirect" title="Hypothalamic-pituitary-adrenal axis">HPA axis</a> by cytokines.<sup id="cite_ref-100" class="reference"><a href="#cite_note-100"><span class="cite-bracket">[</span>100<span class="cite-bracket">]</span></a></sup></li> <li>Intense (high <a href="/wiki/VO2_max" title="VO2 max">VO<sub>2</sub> max</a>) or prolonged <a href="/wiki/Aerobic_exercise" title="Aerobic exercise">aerobic exercise</a> transiently increases cortisol levels to increase gluconeogenesis and maintain blood glucose;<sup id="cite_ref-pmid10190775_101-0" class="reference"><a href="#cite_note-pmid10190775-101"><span class="cite-bracket">[</span>101<span class="cite-bracket">]</span></a></sup> however, cortisol declines to normal levels after eating (i.e., restoring a neutral <a href="/wiki/Energy_balance_(biology)" class="mw-redirect" title="Energy balance (biology)">energy balance</a>).<sup id="cite_ref-Exercise_neuroendocrine_effects_102-0" class="reference"><a href="#cite_note-Exercise_neuroendocrine_effects-102"><span class="cite-bracket">[</span>102<span class="cite-bracket">]</span></a></sup></li> <li>Severe trauma or stressful events can elevate cortisol levels in the blood for prolonged periods.<sup id="cite_ref-isbn0-495-11657-2_103-0" class="reference"><a href="#cite_note-isbn0-495-11657-2-103"><span class="cite-bracket">[</span>103<span class="cite-bracket">]</span></a></sup></li> <li><a href="/wiki/Low-carbohydrate_diet" title="Low-carbohydrate diet">Low-carbohydrate diets</a> cause a short-term increase in resting cortisol (≈3 weeks), and increase the cortisol response to <a href="/wiki/Aerobic_exercise" title="Aerobic exercise">aerobic exercise</a> in the short- and long-term.<sup id="cite_ref-104" class="reference"><a href="#cite_note-104"><span class="cite-bracket">[</span>104<span class="cite-bracket">]</span></a></sup></li> <li>Increase in the concentration of ghrelin, the hunger stimulating hormone, increases levels of cortisol.<sup id="cite_ref-105" class="reference"><a href="#cite_note-105"><span class="cite-bracket">[</span>105<span class="cite-bracket">]</span></a></sup></li></ul> <div class="mw-heading mw-heading2"><h2 id="Biochemistry">Biochemistry</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=25" title="Edit section: Biochemistry"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Biosynthesis">Biosynthesis</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=26" title="Edit section: Biosynthesis"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Steroidogenesis.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/1/13/Steroidogenesis.svg/400px-Steroidogenesis.svg.png" decoding="async" width="400" height="355" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/1/13/Steroidogenesis.svg/600px-Steroidogenesis.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/1/13/Steroidogenesis.svg/800px-Steroidogenesis.svg.png 2x" data-file-width="1245" data-file-height="1105" /></a><figcaption><a href="/wiki/Steroidogenesis" class="mw-redirect" title="Steroidogenesis">Steroidogenesis</a>, showing cortisol at right<sup id="cite_ref-HäggströmRichfield2014_106-0" class="reference"><a href="#cite_note-HäggströmRichfield2014-106"><span class="cite-bracket">[</span>106<span class="cite-bracket">]</span></a></sup></figcaption></figure> <p>Cortisol is synthesized from <a href="/wiki/Cholesterol" title="Cholesterol">cholesterol</a>. Synthesis takes place in the <a href="/wiki/Zona_fasciculata" title="Zona fasciculata">zona fasciculata</a> of an <a href="/wiki/Adrenal_cortex" title="Adrenal cortex">adrenal cortex</a>.<sup id="cite_ref-107" class="reference"><a href="#cite_note-107"><span class="cite-bracket">[</span>107<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-yyy_108-0" class="reference"><a href="#cite_note-yyy-108"><span class="cite-bracket">[</span>108<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid15583024_109-0" class="reference"><a href="#cite_note-pmid15583024-109"><span class="cite-bracket">[</span>109<span class="cite-bracket">]</span></a></sup> </p><p>The name "cortisol" is derived from the word 'cortex'. Cortex means "the outer layer"—a reference to the adrenal cortex, the part of the adrenal gland where cortisol is produced.<sup id="cite_ref-etymonline_110-0" class="reference"><a href="#cite_note-etymonline-110"><span class="cite-bracket">[</span>110<span class="cite-bracket">]</span></a></sup> </p><p>While the adrenal cortex in humans also produces <a href="/wiki/Aldosterone" title="Aldosterone">aldosterone</a> in the <a href="/wiki/Zona_glomerulosa" title="Zona glomerulosa">zona glomerulosa</a> and some <a href="/wiki/Sex_hormone" title="Sex hormone">sex hormones</a> in the <a href="/wiki/Zona_reticularis" title="Zona reticularis">zona reticularis</a>, cortisol is its main secretion in humans and several other species.<sup id="cite_ref-yyy_108-1" class="reference"><a href="#cite_note-yyy-108"><span class="cite-bracket">[</span>108<span class="cite-bracket">]</span></a></sup> In cattle, corticosterone levels may approach<sup id="cite_ref-pmid5062063_111-0" class="reference"><a href="#cite_note-pmid5062063-111"><span class="cite-bracket">[</span>111<span class="cite-bracket">]</span></a></sup> or exceed<sup id="cite_ref-Martin_2003_8-2" class="reference"><a href="#cite_note-Martin_2003-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup> cortisol levels.<sup id="cite_ref-112" class="reference"><a href="#cite_note-112"><span class="cite-bracket">[</span>112<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-113" class="reference"><a href="#cite_note-113"><span class="cite-bracket">[</span>113<span class="cite-bracket">]</span></a></sup> In humans, the medulla of the adrenal gland lies under its cortex, mainly secreting the catecholamines adrenaline (epinephrine) and noradrenaline (norepinephrine) under sympathetic stimulation.<sup id="cite_ref-114" class="reference"><a href="#cite_note-114"><span class="cite-bracket">[</span>114<span class="cite-bracket">]</span></a></sup> </p><p>Synthesis of cortisol in the adrenal gland is stimulated by the <a href="/wiki/Anterior_pituitary" title="Anterior pituitary">anterior lobe</a> of the <a href="/wiki/Pituitary_gland" title="Pituitary gland">pituitary gland</a> with ACTH; ACTH production is, in turn, stimulated by CRH, which is released by the hypothalamus. ACTH increases the concentration of cholesterol in the inner mitochondrial membrane, via regulation of the steroidogenic acute regulatory protein. It also stimulates the main rate-limiting step in cortisol synthesis, in which cholesterol is converted to pregnenolone and catalyzed by Cytochrome P450SCC (<a href="/wiki/Side-chain_cleavage_enzyme" class="mw-redirect" title="Side-chain cleavage enzyme">side-chain cleavage enzyme</a>).<sup id="cite_ref-Margioris_Tsatsanis_2011_115-0" class="reference"><a href="#cite_note-Margioris_Tsatsanis_2011-115"><span class="cite-bracket">[</span>115<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Metabolism_2">Metabolism</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=27" title="Edit section: Metabolism"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading4"><h4 id="11beta-hydroxysteroid_dehydrogenases">11beta-hydroxysteroid dehydrogenases</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=28" title="Edit section: 11beta-hydroxysteroid dehydrogenases"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol is metabolized reversibly to <a href="/wiki/Cortisone" title="Cortisone">cortisone</a><sup id="cite_ref-pmid10487705_116-0" class="reference"><a href="#cite_note-pmid10487705-116"><span class="cite-bracket">[</span>116<span class="cite-bracket">]</span></a></sup> by the <a href="/wiki/11-beta_hydroxysteroid_dehydrogenase" class="mw-redirect" title="11-beta hydroxysteroid dehydrogenase">11-beta hydroxysteroid dehydrogenase</a> system (11-beta HSD), which consists of two enzymes: <a href="/wiki/11-beta_HSD1" class="mw-redirect" title="11-beta HSD1">11-beta HSD1</a> and <a href="/wiki/11-beta_HSD2" class="mw-redirect" title="11-beta HSD2">11-beta HSD2</a>. The metabolism of cortisol to cortisone involves oxidation of the hydroxyl group at the 11-beta position.<sup id="cite_ref-117" class="reference"><a href="#cite_note-117"><span class="cite-bracket">[</span>117<span class="cite-bracket">]</span></a></sup> </p> <ul><li>11-beta HSD1 uses the cofactor NADPH to convert biologically inert cortisone to biologically active cortisol</li> <li>11-beta HSD2 uses the cofactor NAD+ to convert cortisol to cortisone</li></ul> <p>Overall, the net effect is that 11-beta HSD1 serves to increase the local concentrations of biologically active cortisol in a given tissue; 11-beta HSD2 serves to decrease local concentrations of biologically active cortisol. If hexose-6-phosphate dehydrogenase (H6PDH) is present, the equilibrium can favor the activity of 11-beta HSD1. H6PDH regenerates NADPH, which increases the activity of 11-beta HSD1, and decreases the activity of 11-beta HSD2.<sup id="cite_ref-118" class="reference"><a href="#cite_note-118"><span class="cite-bracket">[</span>118<span class="cite-bracket">]</span></a></sup> </p><p>An alteration in <a href="/wiki/11%CE%B2-hydroxysteroid_dehydrogenase_type_1" class="mw-redirect" title="11β-hydroxysteroid dehydrogenase type 1">11-beta HSD1</a> has been suggested to play a role in the <a href="/wiki/Pathogenesis" title="Pathogenesis">pathogenesis</a> of <a href="/wiki/Obesity" title="Obesity">obesity</a>, <a href="/wiki/Hypertension" title="Hypertension">hypertension</a>, and <a href="/wiki/Insulin_resistance" title="Insulin resistance">insulin resistance</a> known as <a href="/wiki/Metabolic_syndrome" title="Metabolic syndrome">metabolic syndrome</a>.<sup id="cite_ref-pmid15466942_119-0" class="reference"><a href="#cite_note-pmid15466942-119"><span class="cite-bracket">[</span>119<span class="cite-bracket">]</span></a></sup> </p><p>An alteration in <a href="/wiki/Corticosteroid_11-beta-dehydrogenase_isozyme_2" title="Corticosteroid 11-beta-dehydrogenase isozyme 2">11-beta HSD2</a> has been implicated in <a href="/wiki/Essential_hypertension" title="Essential hypertension">essential hypertension</a> and is known to lead to the <a href="/wiki/Syndrome_of_apparent_mineralocorticoid_excess" class="mw-redirect" title="Syndrome of apparent mineralocorticoid excess">syndrome of apparent mineralocorticoid excess</a> (SAME). </p> <div class="mw-heading mw-heading4"><h4 id="A-ring_reductases_(5alpha-_and_5beta-reductases)"><span id="A-ring_reductases_.285alpha-_and_5beta-reductases.29"></span>A-ring reductases (5alpha- and 5beta-reductases)</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=29" title="Edit section: A-ring reductases (5alpha- and 5beta-reductases)"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol is also metabolized irreversibly into 5-alpha tetrahydrocortisol (5-alpha THF) and 5-beta tetrahydrocortisol (5-beta THF), reactions for which <a href="/wiki/5-alpha_reductase" class="mw-redirect" title="5-alpha reductase">5-alpha reductase</a> and 5-beta-reductase are the <a href="/wiki/Rate-determining_step" title="Rate-determining step">rate-limiting factors</a>, respectively. 5-Beta reductase is also the rate-limiting factor in the conversion of cortisone to <a href="/wiki/Tetrahydrocortisone" title="Tetrahydrocortisone">tetrahydrocortisone</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">[<i><a href="/wiki/Wikipedia:Identifying_reliable_sources_(medicine)" title="Wikipedia:Identifying reliable sources (medicine)"><span title="Material near this tag needs references to reliable medical sources. (April 2024)">medical citation needed</span></a></i>]</sup> </p> <div class="mw-heading mw-heading4"><h4 id="Cytochrome_P450,_family_3,_subfamily_A_monooxygenases"><span id="Cytochrome_P450.2C_family_3.2C_subfamily_A_monooxygenases"></span>Cytochrome P450, family 3, subfamily A monooxygenases</h4><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=30" title="Edit section: Cytochrome P450, family 3, subfamily A monooxygenases"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol is also metabolized irreversibly into <a href="/wiki/6%CE%B2-Hydroxycortisol" title="6β-Hydroxycortisol">6β-hydroxycortisol</a> by cytochrome p450-3A monooxygenases, mainly, <a href="/wiki/CYP3A4" title="CYP3A4">CYP3A4</a>.<sup id="cite_ref-120" class="reference"><a href="#cite_note-120"><span class="cite-bracket">[</span>120<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid11798083_121-0" class="reference"><a href="#cite_note-pmid11798083-121"><span class="cite-bracket">[</span>121<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid10487705_116-1" class="reference"><a href="#cite_note-pmid10487705-116"><span class="cite-bracket">[</span>116<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid34402388_122-0" class="reference"><a href="#cite_note-pmid34402388-122"><span class="cite-bracket">[</span>122<span class="cite-bracket">]</span></a></sup> Drugs that induce CYP3A4 may accelerate cortisol clearance.<sup id="cite_ref-pmid34633961_123-0" class="reference"><a href="#cite_note-pmid34633961-123"><span class="cite-bracket">[</span>123<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Chemistry">Chemistry</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=31" title="Edit section: Chemistry"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Cortisol is a <a href="/wiki/Natural_product" title="Natural product">naturally occurring</a> <a href="/wiki/Pregnane" title="Pregnane">pregnane</a> <a href="/wiki/Corticosteroid" title="Corticosteroid">corticosteroid</a> and is also known as <b>11β,17α,21-trihydroxypregn-4-ene-3,20-dione</b>. </p> <div class="mw-heading mw-heading2"><h2 id="Animals">Animals</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=32" title="Edit section: Animals"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In animals, cortisol is often used as an indicator of stress and can be measured in blood,<sup id="cite_ref-Staaveren_124-0" class="reference"><a href="#cite_note-Staaveren-124"><span class="cite-bracket">[</span>124<span class="cite-bracket">]</span></a></sup> saliva,<sup id="cite_ref-Staaveren_124-1" class="reference"><a href="#cite_note-Staaveren-124"><span class="cite-bracket">[</span>124<span class="cite-bracket">]</span></a></sup> urine,<sup id="cite_ref-Schalke_125-0" class="reference"><a href="#cite_note-Schalke-125"><span class="cite-bracket">[</span>125<span class="cite-bracket">]</span></a></sup> hair,<sup id="cite_ref-Accorsi_126-0" class="reference"><a href="#cite_note-Accorsi-126"><span class="cite-bracket">[</span>126<span class="cite-bracket">]</span></a></sup> and faeces.<sup id="cite_ref-Accorsi_126-1" class="reference"><a href="#cite_note-Accorsi-126"><span class="cite-bracket">[</span>126<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Messmann_127-0" class="reference"><a href="#cite_note-Messmann-127"><span class="cite-bracket">[</span>127<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=33" title="Edit section: See also"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/Cortisone" title="Cortisone">Cortisone</a>, a hormone</li> <li><a href="/wiki/Cortisol_awakening_response" title="Cortisol awakening response">Cortisol awakening response</a></li> <li><a href="/wiki/List_of_corticosteroids" title="List of corticosteroids">List of corticosteroids</a></li> <li><a href="/wiki/Membrane_glucocorticoid_receptor" title="Membrane glucocorticoid receptor">Membrane glucocorticoid receptor</a></li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cortisol&action=edit&section=34" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist reflist-columns references-column-width" style="column-width: 30em;"> <ol class="references"> <li id="cite_note-light-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-light_1-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-light_1-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-light_1-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-light_1-3"><sup><i><b>d</b></i></sup></a> <a href="#cite_ref-light_1-4"><sup><i><b>e</b></i></sup></a> <a href="#cite_ref-light_1-5"><sup><i><b>f</b></i></sup></a> <a href="#cite_ref-light_1-6"><sup><i><b>g</b></i></sup></a> <a href="#cite_ref-light_1-7"><sup><i><b>h</b></i></sup></a> <a href="#cite_ref-light_1-8"><sup><i><b>i</b></i></sup></a></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFLightmanBirnieConway-Campbell2020" class="citation journal cs1">Lightman SL, Birnie MT, Conway-Campbell 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title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.jtitle=Journal+of+Endocrinological+Investigation&rft.atitle=Diagnosis+of+Cushing%27s+syndrome%3A+re-evaluation+of+midnight+plasma+cortisol+vs+urinary+free+cortisol+and+low-dose+dexamethasone+suppression+test+in+a+large+patient+group&rft.volume=22&rft.issue=4&rft.pages=%3Cspan+class%3D%22nowrap%22%3E241-%3C%2Fspan%3E9&rft.date=1999-04&rft_id=https%3A%2F%2Fapi.semanticscholar.org%2FCorpusID%3A1239611%23id-name%3DS2CID&rft_id=info%3Apmid%2F10342356&rft_id=info%3Adoi%2F10.1007%2Fbf03343551&rft.aulast=G%C3%B6rges&rft.aufirst=R&rft.au=Knappe%2C+G&rft.au=Gerl%2C+H&rft.au=Ventz%2C+M&rft.au=Stahl%2C+F&rfr_id=info%3Asid%2Fen.wikipedia.org%3ACortisol" class="Z3988"></span></span> </li> <li id="cite_note-medlineplus-68"><span class="mw-cite-backlink">^ <a href="#cite_ref-medlineplus_68-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-medlineplus_68-1"><sup><i><b>b</b></i></sup></a></span> <span 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href="/wiki/Hypothalamic%E2%80%93pituitary_hormone" title="Hypothalamic–pituitary hormone">Hypothalamic–<br />pituitary</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Hypothalamus" title="Hypothalamus">Hypothalamus</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Gonadotropin-releasing_hormone" title="Gonadotropin-releasing hormone">GnRH</a></li> <li><a href="/wiki/Thyrotropin-releasing_hormone" title="Thyrotropin-releasing hormone">TRH</a></li> <li><a href="/wiki/Dopamine" title="Dopamine">Dopamine</a></li> <li><a href="/wiki/Corticotropin-releasing_hormone" title="Corticotropin-releasing hormone">CRH</a></li> <li><a href="/wiki/Growth_hormone%E2%80%93releasing_hormone" title="Growth hormone–releasing hormone">GHRH</a></li> <li><a href="/wiki/Somatostatin" title="Somatostatin">Somatostatin (GHIH)</a></li> <li><a href="/wiki/Melanin_concentrating_hormone" class="mw-redirect" title="Melanin concentrating hormone">MCH</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Posterior_pituitary" title="Posterior pituitary">Posterior pituitary</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Oxytocin" title="Oxytocin">Oxytocin</a></li> <li><a href="/wiki/Vasopressin" title="Vasopressin">Vasopressin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Anterior_pituitary" title="Anterior pituitary">Anterior pituitary</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Follicle-stimulating_hormone" title="Follicle-stimulating hormone">FSH</a></li> <li><a href="/wiki/Luteinizing_hormone" title="Luteinizing hormone">LH</a></li> <li><a href="/wiki/Thyroid-stimulating_hormone" title="Thyroid-stimulating hormone">TSH</a></li> <li><a href="/wiki/Prolactin" title="Prolactin">Prolactin</a></li> <li><a href="/wiki/Proopiomelanocortin" title="Proopiomelanocortin">POMC</a> <ul><li><a href="/wiki/Corticotropin-like_intermediate_peptide" title="Corticotropin-like intermediate peptide">CLIP</a></li> <li><a href="/wiki/Adrenocorticotropic_hormone" title="Adrenocorticotropic hormone">ACTH</a></li> <li><a href="/wiki/Melanocyte-stimulating_hormone" title="Melanocyte-stimulating hormone">MSH</a></li> <li><a href="/wiki/Endorphins" title="Endorphins">Endorphins</a></li> <li><a href="/wiki/Lipotropin" title="Lipotropin">Lipotropin</a></li></ul></li> <li><a href="/wiki/Growth_hormone" title="Growth hormone">GH</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Hypothalamic%E2%80%93pituitary%E2%80%93adrenal_axis" title="Hypothalamic–pituitary–adrenal axis">Adrenal axis</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Adrenal_gland#Adrenal_cortex" title="Adrenal gland">Adrenal cortex</a> <ul><li><a href="/wiki/Aldosterone" title="Aldosterone">Aldosterone</a></li> <li><a class="mw-selflink selflink">Cortisol</a></li> <li><a href="/wiki/Cortisone" title="Cortisone">Cortisone</a></li> <li><a href="/wiki/Dehydroepiandrosterone" title="Dehydroepiandrosterone">DHEA</a></li> <li><a href="/wiki/Dehydroepiandrosterone_sulfate" title="Dehydroepiandrosterone sulfate">DHEA-S</a></li> <li><a href="/wiki/Androstenedione" title="Androstenedione">Androstenedione</a></li></ul></li> <li><a href="/wiki/Adrenal_gland#Adrenal_medulla" title="Adrenal gland">Adrenal medulla</a> <ul><li><a href="/wiki/Adrenaline" title="Adrenaline">Adrenaline</a></li> <li><a href="/wiki/Norepinephrine" title="Norepinephrine">Norepinephrine</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Thyroid" title="Thyroid">Thyroid</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Thyroid_hormones" title="Thyroid hormones">Thyroid hormones</a> <ul><li><a href="/wiki/Triiodothyronine" title="Triiodothyronine">T<sub>3</sub></a></li> <li><a href="/wiki/Thyroxine" title="Thyroxine">T<sub>4</sub></a></li></ul></li> <li><a href="/wiki/Calcitonin" title="Calcitonin">Calcitonin</a></li> <li><a href="/wiki/Hypothalamic%E2%80%93pituitary%E2%80%93thyroid_axis" title="Hypothalamic–pituitary–thyroid axis">Thyroid axis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Parathyroid_gland" title="Parathyroid gland">Parathyroid</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Parathyroid_hormone" title="Parathyroid hormone">PTH</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Hypothalamic%E2%80%93pituitary%E2%80%93gonadal_axis" title="Hypothalamic–pituitary–gonadal axis">Gonadal axis</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Testicle" title="Testicle">Testis</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Testosterone" title="Testosterone">Testosterone</a></li> <li><a href="/wiki/Anti-M%C3%BCllerian_hormone" title="Anti-Müllerian hormone">AMH</a></li> <li><a href="/wiki/Activin_and_inhibin" title="Activin and inhibin">Inhibin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Ovary" title="Ovary">Ovary</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Estradiol" title="Estradiol">Estradiol</a></li> <li><a href="/wiki/Progesterone" title="Progesterone">Progesterone</a></li> <li><a href="/wiki/Activin_and_inhibin" title="Activin and inhibin">Activin</a></li> <li><a href="/wiki/Activin_and_inhibin" title="Activin and inhibin">Inhibin</a></li> <li><a href="/wiki/Relaxin" title="Relaxin">Relaxin</a></li> <li><a href="/wiki/Gonadotropin_surge-attenuating_factor" title="Gonadotropin surge-attenuating factor">GnSAF</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Placenta" title="Placenta">Placenta</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Human_chorionic_gonadotropin" title="Human chorionic gonadotropin">hCG</a></li> <li><a href="/wiki/Human_placental_lactogen" title="Human placental lactogen">HPL</a></li> <li><a href="/wiki/Estrogen" title="Estrogen">Estrogen</a></li> <li><a href="/wiki/Progesterone" title="Progesterone">Progesterone</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Pancreas" title="Pancreas">Pancreas</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Glucagon" title="Glucagon">Glucagon</a></li> <li><a href="/wiki/Insulin" title="Insulin">Insulin</a></li> <li><a href="/wiki/Amylin" title="Amylin">Amylin</a></li> <li><a href="/wiki/Somatostatin" title="Somatostatin">Somatostatin</a></li> <li><a href="/wiki/Pancreatic_polypeptide" title="Pancreatic polypeptide">Pancreatic polypeptide</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Pineal_gland" title="Pineal gland">Pineal gland</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Melatonin" title="Melatonin">Melatonin</a></li> <li><a href="/wiki/N,N-Dimethyltryptamine" title="N,N-Dimethyltryptamine">N,N-Dimethyltryptamine</a></li> <li><a href="/wiki/5-Methoxy-N,N-dimethyltryptamine" class="mw-redirect" title="5-Methoxy-N,N-dimethyltryptamine">5-Methoxy-N,N-dimethyltryptamine</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Thymus" title="Thymus">Thymus</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Thymosin" title="Thymosin">Thymosins</a> <ul><li><a href="/wiki/Thymosin_%CE%B11" title="Thymosin α1">Thymosin α1</a></li> <li><a href="/wiki/Beta_thymosin" class="mw-redirect" title="Beta thymosin">Beta thymosins</a></li></ul></li> <li><a href="/wiki/Thymopoietin" title="Thymopoietin">Thymopoietin</a></li> <li><a href="/wiki/Thymulin" title="Thymulin">Thymulin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Digestion" title="Digestion">Digestive system</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Stomach" title="Stomach">Stomach</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Gastrin" title="Gastrin">Gastrin</a></li> <li><a href="/wiki/Ghrelin" title="Ghrelin">Ghrelin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Duodenum" title="Duodenum">Duodenum</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cholecystokinin" title="Cholecystokinin">CCK</a></li> <li><a href="/wiki/Gastric_inhibitory_polypeptide" title="Gastric inhibitory polypeptide">GIP</a></li> <li><a href="/wiki/Secretin" title="Secretin">Secretin</a></li> <li><a href="/wiki/Motilin" title="Motilin">Motilin</a></li> <li><a href="/wiki/Vasoactive_intestinal_peptide" title="Vasoactive intestinal peptide">VIP</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Ileum" title="Ileum">Ileum</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Enteroglucagon" title="Enteroglucagon">Enteroglucagon</a></li> <li><a href="/wiki/Peptide_YY" title="Peptide YY">Peptide YY</a></li> <li><a href="/wiki/Glucagon-like_peptide-1" title="Glucagon-like peptide-1">GLP-1</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Liver" title="Liver">Liver</a>/other</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Insulin-like_growth_factor" title="Insulin-like growth factor">Insulin-like growth factor</a> <ul><li><a href="/wiki/Insulin-like_growth_factor_1" title="Insulin-like growth factor 1">IGF-1</a></li> <li><a href="/wiki/Insulin-like_growth_factor_2" title="Insulin-like growth factor 2">IGF-2</a></li></ul></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Adipose_tissue" title="Adipose tissue">Adipose tissue</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Leptin" title="Leptin">Leptin</a></li> <li><a href="/wiki/Adiponectin" title="Adiponectin">Adiponectin</a></li> <li><a href="/wiki/Resistin" title="Resistin">Resistin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Human_skeleton" title="Human skeleton">Skeleton</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Osteocalcin" title="Osteocalcin">Osteocalcin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Kidney" title="Kidney">Kidney</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Renin" title="Renin">Renin</a></li> <li><a href="/wiki/Erythropoietin" title="Erythropoietin">EPO</a></li> <li><a href="/wiki/Calcitriol" title="Calcitriol">Calcitriol</a></li> <li><a href="/wiki/Prostaglandin" title="Prostaglandin">Prostaglandin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Heart" title="Heart">Heart</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Natriuretic_peptide" title="Natriuretic peptide">Natriuretic peptide</a> <ul><li><a href="/wiki/Atrial_natriuretic_peptide" title="Atrial natriuretic peptide">ANP</a></li> <li><a href="/wiki/Brain_natriuretic_peptide_32" title="Brain natriuretic peptide 32">BNP</a></li></ul></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Endogenous_steroids141" style="padding:3px"><table class="nowraplinks mw-collapsible mw-collapsed navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Steroid_hormones" title="Template:Steroid hormones"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Steroid_hormones" title="Template talk:Steroid hormones"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Steroid_hormones" title="Special:EditPage/Template:Steroid hormones"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Endogenous_steroids141" style="font-size:114%;margin:0 4em"><a href="/wiki/Endogenous" class="mw-redirect" title="Endogenous">Endogenous</a> <a href="/wiki/Steroid" title="Steroid">steroids</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Precursor_(chemistry)" title="Precursor (chemistry)">Precursors</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cholesterol" title="Cholesterol">Cholesterol</a></li> <li><a href="/wiki/22R-Hydroxycholesterol" title="22R-Hydroxycholesterol">22<i>R</i>-Hydroxycholesterol</a></li> <li><a href="/wiki/20%CE%B1,22R-Dihydroxycholesterol" title="20α,22R-Dihydroxycholesterol">20α,22<i>R</i>-Dihydroxycholesterol</a></li> <li><a href="/wiki/Pregnenolone" title="Pregnenolone">Pregnenolone</a></li> <li><a href="/w/index.php?title=11%CE%B2-Hydroxypregnenolone&action=edit&redlink=1" class="new" title="11β-Hydroxypregnenolone (page does not exist)">11β-Hydroxypregnenolone</a></li> <li><a href="/wiki/17%CE%B1-Hydroxypregnenolone" title="17α-Hydroxypregnenolone">17α-Hydroxypregnenolone</a></li> <li><a href="/wiki/21-Hydroxypregnenolone" title="21-Hydroxypregnenolone">21-Hydroxypregnenolone</a></li> <li><a href="/w/index.php?title=17%CE%B1,21-Dihydroxypregnenolone&action=edit&redlink=1" class="new" title="17α,21-Dihydroxypregnenolone (page does not exist)">17α,21-Dihydroxypregnenolone</a></li> <li><a href="/w/index.php?title=11%CE%B2,17%CE%B1,21-Trihydroxypregnenolone&action=edit&redlink=1" class="new" title="11β,17α,21-Trihydroxypregnenolone (page does not exist)">11β,17α,21-Trihydroxypregnenolone</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Corticosteroid" title="Corticosteroid">Corticosteroids</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Glucocorticoid" title="Glucocorticoid">Glucocorticoids</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Tetrahydrocorticosterone" title="Tetrahydrocorticosterone">3α,5α-Tetrahydrocorticosterone</a></li> <li><a href="/wiki/5%CE%B1-Dihydrocorticosterone" title="5α-Dihydrocorticosterone">5α-Dihydrocorticosterone</a></li> <li><a href="/wiki/11-Deoxycorticosterone" title="11-Deoxycorticosterone">11-Deoxycorticosterone</a></li> <li><a href="/wiki/11-Deoxycortisol" title="11-Deoxycortisol">11-Deoxycortisol</a></li> <li><a href="/wiki/11-Ketoprogesterone" title="11-Ketoprogesterone">11-Ketoprogesterone</a></li> <li><a href="/wiki/21-Deoxycortisol" title="21-Deoxycortisol">21-Deoxycortisol</a></li> <li><a href="/wiki/21-Deoxycortisone" title="21-Deoxycortisone">21-Deoxycortisone</a></li> <li><a href="/wiki/Corticosterone" title="Corticosterone">Corticosterone</a></li> <li><a class="mw-selflink selflink">Cortisol</a></li> <li><a href="/wiki/Cortisone" title="Cortisone">Cortisone</a></li> <li><a href="/wiki/17%CE%B1-Hydroxypregnenolone" title="17α-Hydroxypregnenolone">17α-Hydroxypregnenolone</a></li> <li><a href="/wiki/17%CE%B1-Hydroxyprogesterone" title="17α-Hydroxyprogesterone">17α-Hydroxyprogesterone</a></li> <li><a href="/wiki/Pregnenolone" title="Pregnenolone">Pregnenolone</a></li> <li><a href="/wiki/Progesterone" title="Progesterone">Progesterone</a></li></ul> <ul><li><i>Metabolites:</i> <a href="/wiki/5%CE%B1-Dihydrocortisol" title="5α-Dihydrocortisol">5α-Dihydrocortisol</a></li> <li><a href="/w/index.php?title=3%CE%B1,5%CE%B1-Tetrahydrocortisol&action=edit&redlink=1" class="new" title="3α,5α-Tetrahydrocortisol (page does not exist)">3α,5α-Tetrahydrocortisol</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Mineralocorticoid" title="Mineralocorticoid">Mineralocorticoids</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/5%CE%B1-Dihydroaldosterone" title="5α-Dihydroaldosterone">5α-Dihydroaldosterone</a></li> <li><a href="/wiki/11-Dehydrocorticosterone" title="11-Dehydrocorticosterone">11-Dehydrocorticosterone (11-oxocorticosterone, 17-deoxycortisone)</a></li> <li><a href="/wiki/11-Deoxycortisol" title="11-Deoxycortisol">11-Deoxycortisol</a></li> <li><a href="/wiki/11-Deoxycorticosterone" title="11-Deoxycorticosterone">11-Deoxycorticosterone</a></li> <li><a href="/wiki/11%CE%B2-Hydroxyprogesterone" title="11β-Hydroxyprogesterone">11β-Hydroxyprogesterone (21-deoxycorticosterone)</a></li> <li><a href="/wiki/18-Hydroxy-11-deoxycorticosterone" title="18-Hydroxy-11-deoxycorticosterone">18-Hydroxy-11-deoxycorticosterone</a></li> <li><a href="/wiki/18-Hydroxycorticosterone" title="18-Hydroxycorticosterone">18-Hydroxycorticosterone</a></li> <li><a href="/w/index.php?title=18-Hydroxyprogesterone&action=edit&redlink=1" class="new" title="18-Hydroxyprogesterone (page does not exist)">18-Hydroxyprogesterone</a></li> <li><a href="/wiki/Aldosterone" title="Aldosterone">Aldosterone</a></li> <li><a href="/wiki/Corticosterone" title="Corticosterone">Corticosterone</a></li> <li><a class="mw-selflink selflink">Cortisol</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Sex_steroid" class="mw-redirect" title="Sex steroid">Sex steroids</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Androgen" title="Androgen">Androgens</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/11-Ketodihydrotestosterone" title="11-Ketodihydrotestosterone">11-Ketodihydrotestosterone</a></li> <li><a href="/wiki/11-Ketotestosterone" title="11-Ketotestosterone">11-Ketotestosterone</a></li> <li><a href="/wiki/7%CE%B2-Hydroxyepiandrosterone" title="7β-Hydroxyepiandrosterone">7β-Hydroxyepiandrosterone</a></li> <li><a href="/wiki/11%CE%B2-Hydroxyandrostenedione" title="11β-Hydroxyandrostenedione">11β-Hydroxyandrostenedione</a></li> <li><a href="/wiki/Adrenosterone" title="Adrenosterone">Adrenosterone (11-ketoandrostenedione)</a></li> <li><a href="/wiki/Androstenediol" title="Androstenediol">Androstenediol</a></li> <li><a href="/wiki/Androstenedione" title="Androstenedione">Androstenedione</a></li> <li><a href="/wiki/Androsterone" title="Androsterone">Androsterone</a></li> <li><a href="/wiki/Dehydroandrosterone" title="Dehydroandrosterone">Dehydroandrosterone</a></li> <li><a href="/wiki/Dehydroepiandrosterone" title="Dehydroepiandrosterone">DHEA</a></li> <li><a href="/wiki/Dehydroepiandrosterone_sulfate" title="Dehydroepiandrosterone sulfate">DHEA sulfate</a></li> <li><a href="/wiki/Dihydrotestosterone" title="Dihydrotestosterone">Dihydrotestosterone</a></li> <li><a href="/wiki/Epiandrosterone" title="Epiandrosterone">Epiandrosterone</a></li> <li><a href="/wiki/Epitestosterone" title="Epitestosterone">Epitestosterone</a></li> <li><a href="/wiki/16%CE%B1-Hydroxyandrostenedione" title="16α-Hydroxyandrostenedione">16α-Hydroxyandrostenedione</a></li> <li><a href="/wiki/16-Hydroxydehydroepiandrosterone" class="mw-redirect" title="16-Hydroxydehydroepiandrosterone">16α-Hydroxy-DHEA</a></li> <li><a href="/wiki/16-Hydroxydehydroepiandrosterone_sulfate" class="mw-redirect" title="16-Hydroxydehydroepiandrosterone sulfate">16α-Hydroxy-DHEA sulfate</a></li> <li><a href="/wiki/Testosterone" title="Testosterone">Testosterone</a></li></ul> <ul><li><i>Metabolites:</i> <a href="/wiki/3%CE%B1-Androstanediol" title="3α-Androstanediol">3α-Androstanediol</a></li> <li><a href="/wiki/3%CE%B1-Androstanediol_glucuronide" class="mw-redirect" title="3α-Androstanediol glucuronide">3α-Androstanediol glucuronide</a></li> <li><a href="/wiki/3%CE%B2-Androstanediol" title="3β-Androstanediol">3β-Androstanediol</a></li> <li><a href="/wiki/5%CE%B2-Dihydrotestosterone" title="5β-Dihydrotestosterone">5β-Dihydrotestosterone</a></li> <li><a href="/wiki/3%CE%B1-Etiocholanediol" title="3α-Etiocholanediol">3α-Etiocholanediol</a></li> <li><a href="/wiki/3%CE%B2-Etiocholanediol" title="3β-Etiocholanediol">3β-Etiocholanediol</a></li> <li><a href="/w/index.php?title=Androstanetriol&action=edit&redlink=1" class="new" title="Androstanetriol (page does not exist)">Androstanetriols</a></li> <li><a href="/wiki/Androstenediol_sulfate" title="Androstenediol sulfate">Androstenediol sulfate</a></li> <li><a href="/wiki/Androstenetriol" title="Androstenetriol">Androstenetriol</a></li> <li><a href="/wiki/Androsterone_glucuronide" title="Androsterone glucuronide">Androsterone glucuronide</a></li> <li><a href="/wiki/Androsterone_sulfate" title="Androsterone sulfate">Androsterone sulfate</a></li> <li><a href="/w/index.php?title=Dihydrotestosterone_glucuronide&action=edit&redlink=1" class="new" title="Dihydrotestosterone glucuronide (page does not exist)">Dihydrotestosterone glucuronide</a></li> <li><a href="/w/index.php?title=Dihydrotestosterone_sulfate&action=edit&redlink=1" class="new" title="Dihydrotestosterone sulfate (page does not exist)">Dihydrotestosterone sulfate</a></li> <li><a href="/wiki/Etiocholanedione" title="Etiocholanedione">Etiocholanedione</a></li> <li><a href="/wiki/Etiocholanolone" title="Etiocholanolone">Etiocholanolone</a></li> <li><a href="/wiki/Etiocholanolone_glucuronide" title="Etiocholanolone glucuronide">Etiocholanolone glucuronide</a></li> <li><a href="/wiki/Epietiocholanolone" title="Epietiocholanolone">Epietiocholanolone</a></li> <li><a href="/wiki/Testosterone_glucuronide" title="Testosterone glucuronide">Testosterone glucuronide</a></li> <li><a href="/wiki/Testosterone_sulfate" title="Testosterone sulfate">Testosterone sulfate</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Estrogen" title="Estrogen">Estrogens</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i>Estranes:</i> <a href="/wiki/Estetrol" title="Estetrol">Estetrol</a></li> <li><a href="/wiki/Estradiol" title="Estradiol">Estradiol</a></li> <li><a href="/wiki/Estrone" title="Estrone">Estrone</a></li> <li><a href="/wiki/Estriol" title="Estriol">Estriol</a></li> <li><a href="/wiki/17%CE%B1-Estradiol" title="17α-Estradiol">17α-Estradiol</a></li> <li><a href="/wiki/Epiestriol" title="Epiestriol">16β-Epiestriol (16β-hydroxyestradiol)</a></li> <li><a href="/wiki/17%CE%B1-Epiestriol" title="17α-Epiestriol">17α-Epiestriol (16α-hydroxy-17α-estradiol)</a></li> <li><a href="/wiki/16%CE%B2,17%CE%B1-Epiestriol" title="16β,17α-Epiestriol">16β,17α-Epiestriol (16β-hydroxy-17α-estradiol)</a></li> <li><a href="/wiki/2-Hydroxyestradiol" title="2-Hydroxyestradiol">2-Hydroxyestradiol</a></li> <li><a href="/wiki/2-Hydroxyestriol" title="2-Hydroxyestriol">2-Hydroxyestriol</a></li> <li><a href="/wiki/2-Hydroxyestrone" title="2-Hydroxyestrone">2-Hydroxyestrone</a></li> <li><a href="/wiki/4-Hydroxyestradiol" title="4-Hydroxyestradiol">4-Hydroxyestradiol</a></li> <li><a href="/wiki/4-Hydroxyestriol" title="4-Hydroxyestriol">4-Hydroxyestriol</a></li> <li><a href="/wiki/4-Hydroxyestrone" title="4-Hydroxyestrone">4-Hydroxyestrone</a></li> <li><a href="/wiki/4-Methoxyestradiol" title="4-Methoxyestradiol">4-Methoxyestradiol</a></li> <li><a href="/wiki/4-Methoxyestrone" title="4-Methoxyestrone">4-Methoxyestrone</a></li> <li><a href="/wiki/16%CE%B1-Hydroxyestrone" title="16α-Hydroxyestrone">16α-Hydroxyestrone</a></li> <li><a href="/wiki/16%CE%B2-Hydroxyestrone" title="16β-Hydroxyestrone">16β-Hydroxyestrone</a></li> <li><a href="/wiki/16-Ketoestradiol" title="16-Ketoestradiol">16-Ketoestradiol</a></li> <li><a href="/wiki/16-Ketoestrone" title="16-Ketoestrone">16-Ketoestrone</a></li></ul> <ul><li><i>Others:</i> <a href="/wiki/27-Hydroxycholesterol" title="27-Hydroxycholesterol">27-Hydroxycholesterol</a></li> <li><a href="/wiki/3%CE%B1-Androstanediol" title="3α-Androstanediol">3α-Androstanediol</a></li> <li><a href="/wiki/3%CE%B2-Androstanediol" title="3β-Androstanediol">3β-Androstanediol</a></li> <li><a href="/wiki/4-Androstenedione" class="mw-redirect" title="4-Androstenedione">4-Androstenedione</a></li> <li><a href="/wiki/5-Androstenediol" class="mw-redirect" title="5-Androstenediol">5-Androstenediol</a></li> <li><a href="/wiki/Dehydroepiandrosterone" title="Dehydroepiandrosterone">DHEA</a></li> <li><a href="/wiki/Dehydroepiandrosterone_sulfate" title="Dehydroepiandrosterone sulfate">DHEA sulfate</a></li> <li><a href="/wiki/7-Keto-DHEA" title="7-Keto-DHEA">7-Keto-DHEA</a></li> <li><a href="/wiki/7%CE%B1-Hydroxy-DHEA" title="7α-Hydroxy-DHEA">7α-Hydroxy-DHEA</a></li> <li><a href="/wiki/16-Hydroxydehydroepiandrosterone" class="mw-redirect" title="16-Hydroxydehydroepiandrosterone">16α-Hydroxy-DHEA</a></li></ul> <ul><li><i>Metabolites:</i> <a href="/wiki/2-Methoxyestradiol" title="2-Methoxyestradiol">2-Methoxyestradiol</a></li> <li><a href="/wiki/2-Methoxyestrone" title="2-Methoxyestrone">2-Methoxyestrone</a></li> <li><a href="/wiki/2-Methoxyestriol" title="2-Methoxyestriol">2-Methoxyestriol</a></li> <li><a href="/wiki/4-Methoxyestriol" title="4-Methoxyestriol">4-Methoxyestriol</a></li> <li><a href="/wiki/Estradiol_disulfate" title="Estradiol disulfate">Estradiol disulfate</a></li> <li><a href="/wiki/Estradiol_glucuronide" title="Estradiol glucuronide">Estradiol glucuronide</a></li> <li><a href="/wiki/Estradiol_3-glucuronide" title="Estradiol 3-glucuronide">Estradiol 3-glucuronide</a></li> <li><a href="/wiki/Estradiol_3-glucuronide_17%CE%B2-sulfate" title="Estradiol 3-glucuronide 17β-sulfate">Estradiol 3-glucuronide 17β-sulfate</a></li> <li><a href="/wiki/Estradiol_sulfate" title="Estradiol sulfate">Estradiol sulfate</a></li> <li><a href="/wiki/Estradiol_17%CE%B2-sulfate" title="Estradiol 17β-sulfate">Estradiol 17β-sulfate</a></li> <li><a href="/wiki/Estrone_glucuronide" title="Estrone glucuronide">Estrone glucuronide</a></li> <li><a href="/wiki/Estrone_sulfate" title="Estrone sulfate">Estrone sulfate</a></li> <li><a href="/wiki/Estriol_glucuronide" title="Estriol glucuronide">Estriol glucuronide</a></li> <li><a href="/wiki/Estriol_sulfate" title="Estriol sulfate">Estriol sulfate</a></li> <li><a href="/wiki/Lipoidal_estradiol" title="Lipoidal estradiol">Lipoidal estradiol</a> (e.g., <a href="/wiki/Estradiol_stearate" title="Estradiol stearate">estradiol stearate</a>, <a href="/wiki/Estradiol_palmitate" title="Estradiol palmitate">estradiol palmitate</a>)</li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Progestogen" title="Progestogen">Progestogens</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Progesterone" title="Progesterone">Progesterone</a></li> <li><a href="/wiki/16%CE%B1-Hydroxyprogesterone" title="16α-Hydroxyprogesterone">16α-Hydroxyprogesterone</a></li> <li><a href="/wiki/17%CE%B1-Hydroxyprogesterone" title="17α-Hydroxyprogesterone">17α-Hydroxyprogesterone</a></li> <li><a href="/wiki/20%CE%B1-Dihydroprogesterone" title="20α-Dihydroprogesterone">20α-Dihydroprogesterone</a></li> <li><a href="/wiki/20%CE%B2-Dihydroprogesterone" title="20β-Dihydroprogesterone">20β-Dihydroprogesterone</a></li> <li><a href="/wiki/5%CE%B1-Dihydroprogesterone" title="5α-Dihydroprogesterone">5α-Dihydroprogesterone</a></li> <li><a href="/wiki/11-Deoxycorticosterone" title="11-Deoxycorticosterone">11-Deoxycorticosterone</a></li> <li><a href="/wiki/Dihydrodeoxycorticosterone" title="Dihydrodeoxycorticosterone">5α-DHDOC</a></li></ul> <ul><li><i>Metabolites:</i> <a href="/wiki/Allopregnanediol" title="Allopregnanediol">Allopregnanediol</a></li> <li><a href="/wiki/Pregnanediol" title="Pregnanediol">Pregnanediol</a></li> <li><a href="/wiki/Pregnanediol_glucuronide" title="Pregnanediol glucuronide">Pregnanediol glucuronide</a></li> <li><a href="/wiki/Pregnanetriol" title="Pregnanetriol">Pregnanetriol</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Neuroactive_steroid" class="mw-redirect" title="Neuroactive steroid">Neurosteroids</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i>Cholestanes:</i> <a href="/wiki/24S-hydroxycholesterol" class="mw-redirect" title="24S-hydroxycholesterol">24<i>S</i>-Hydroxycholesterol</a></li> <li><a href="/wiki/Cholesterol" title="Cholesterol">Cholesterol</a></li></ul> <ul><li><i>Pregnanes:</i> <a href="/wiki/3%CE%B1-Dihydroprogesterone" title="3α-Dihydroprogesterone">3α-Dihydroprogesterone</a></li> <li><a href="/wiki/3%CE%B2-Dihydroprogesterone" title="3β-Dihydroprogesterone">3β-Dihydroprogesterone</a></li> <li><a href="/wiki/5%CE%B1-Dihydrocorticosterone" title="5α-Dihydrocorticosterone">5α-Dihydrocorticosterone</a></li> <li><a href="/wiki/5%CE%B1-Dihydroprogesterone" title="5α-Dihydroprogesterone">5α-Dihydroprogesterone</a></li> <li><a href="/wiki/5%CE%B2-Dihydroprogesterone" title="5β-Dihydroprogesterone">5β-Dihydroprogesterone</a></li> <li><a href="/wiki/Allopregnanolone" title="Allopregnanolone">Allopregnanolone</a></li> <li><a href="/wiki/Corticosterone" title="Corticosterone">Corticosterone</a></li> <li><a href="/wiki/Dihydrocorticosterone" class="mw-redirect" title="Dihydrocorticosterone">DHC</a></li> <li><a href="/wiki/Dihydrodeoxycorticosterone" title="Dihydrodeoxycorticosterone">DHDOC</a></li> <li><a href="/wiki/11-Deoxycorticosterone" title="11-Deoxycorticosterone">11-Deoxycorticosterone</a></li> <li><a href="/wiki/Epipregnanolone" title="Epipregnanolone">Epipregnanolone</a></li> <li><a href="/wiki/Isopregnanolone" title="Isopregnanolone">Isopregnanolone</a></li> <li><a href="/wiki/Pregnanolone" title="Pregnanolone">Pregnanolone</a></li> <li><a href="/wiki/Pregnenolone" title="Pregnenolone">Pregnenolone</a></li> <li><a href="/wiki/Pregnenolone_sulfate" title="Pregnenolone sulfate">Pregnenolone sulfate</a></li> <li><a href="/wiki/Progesterone" title="Progesterone">Progesterone</a></li> <li><a href="/wiki/Tetrahydrocorticosterone" title="Tetrahydrocorticosterone">THB</a></li> <li><a href="/wiki/Tetrahydrodeoxycorticosterone" title="Tetrahydrodeoxycorticosterone">THDOC</a></li></ul> <ul><li><i>Androstanes:</i> <a href="/wiki/3%CE%B1-Androstanediol" title="3α-Androstanediol">3α-Androstanediol</a></li> <li><a href="/wiki/3%CE%B1-Androstenol" class="mw-redirect" title="3α-Androstenol">3α-Androstenol</a></li> <li><a href="/wiki/7-Keto-DHEA" title="7-Keto-DHEA">7-Keto-DHEA</a></li> <li><a href="/wiki/7%CE%B1-Hydroxy-DHEA" title="7α-Hydroxy-DHEA">7α-Hydroxy-DHEA</a></li> <li><a href="/wiki/7%CE%B2-Hydroxy-DHEA" title="7β-Hydroxy-DHEA">7β-Hydroxy-DHEA</a></li> <li><a href="/wiki/7%CE%B1-Hydroxyepiandrosterone" title="7α-Hydroxyepiandrosterone">7α-Hydroxyepiandrosterone</a></li> <li><a href="/wiki/7%CE%B2-Hydroxyepiandrosterone" title="7β-Hydroxyepiandrosterone">7β-Hydroxyepiandrosterone</a></li> <li><a href="/wiki/Androsterone" title="Androsterone">Androsterone</a></li> <li><a href="/wiki/Dehydroepiandrosterone" title="Dehydroepiandrosterone">DHEA</a></li> <li><a href="/wiki/Dehydroepiandrosterone_sulfate" title="Dehydroepiandrosterone sulfate">DHEA sulfate</a></li> <li><a href="/wiki/Etiocholanolone" title="Etiocholanolone">Etiocholanolone</a></li></ul> <ul><li><b><a href="/wiki/Pheromone" title="Pheromone">Pheromones</a>:</b> <a href="/wiki/3%CE%B1-Androstenol" class="mw-redirect" title="3α-Androstenol">3α-Androstenol</a></li> <li><a href="/wiki/3%CE%B2-Androstenol" title="3β-Androstenol">3β-Androstenol</a></li> <li><a href="/wiki/Androstadienol" title="Androstadienol">Androstadienol</a></li> <li><a href="/wiki/Androstadienone" title="Androstadienone">Androstadienone</a></li> <li><a href="/wiki/Androstenone" title="Androstenone">Androstenone</a></li> <li><a href="/wiki/Androsterone" title="Androsterone">Androsterone</a></li> <li><a href="/wiki/Estratetraenol" title="Estratetraenol">Estratetraenol</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Others</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><b><a href="/wiki/Vitamin_D" title="Vitamin D">Vitamin D</a>:</b> <a href="/wiki/7-Dehydrocholesterol" title="7-Dehydrocholesterol">7-Dehydrocholesterol</a></li> <li><a href="/wiki/Calcifediol" title="Calcifediol">Calcidiol/Calcifediol</a></li> <li><a href="/wiki/Calcitriol" title="Calcitriol">Calcitriol</a></li> <li><a href="/wiki/Cholecalciferol" title="Cholecalciferol">Cholecalciferol</a></li></ul> <ul><li><b>Others:</b> <a href="/wiki/7%CE%B1-Hydroxycholesterol" title="7α-Hydroxycholesterol">7α-Hydroxycholesterol</a></li> <li><a href="/wiki/11%CE%B1-Hydroxyprogesterone" title="11α-Hydroxyprogesterone">11α-Hydroxyprogesterone</a></li> <li><a href="/wiki/11%CE%B2-Hydroxyprogesterone" title="11β-Hydroxyprogesterone">11β-Hydroxyprogesterone</a></li> <li><a href="/wiki/Cholesterol_sulfate" title="Cholesterol sulfate">Cholesterol sulfate</a></li></ul> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Glucocorticoid_receptor_modulators752" style="padding:3px"><table class="nowraplinks hlist mw-collapsible mw-collapsed navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Glucocorticoid_receptor_modulators" title="Template:Glucocorticoid receptor modulators"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Glucocorticoid_receptor_modulators" title="Template talk:Glucocorticoid receptor modulators"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Glucocorticoid_receptor_modulators" title="Special:EditPage/Template:Glucocorticoid receptor modulators"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Glucocorticoid_receptor_modulators752" style="font-size:114%;margin:0 4em"><a href="/wiki/Glucocorticoid_receptor" title="Glucocorticoid receptor">Glucocorticoid receptor</a> <a href="/wiki/Receptor_modulator" title="Receptor modulator">modulators</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align:center;"><a href="/wiki/Glucocorticoid_receptor" title="Glucocorticoid receptor"><abbr title="Glucocorticoid receptor">GR</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Glucocorticoid receptor</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:6em;;text-align:center"><a href="/wiki/Glucocorticoid" title="Glucocorticoid">Agonists</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><i>Cortisol-like and related (16-unsubstituted):</i> <a href="/wiki/Tetrahydrocorticosterone" title="Tetrahydrocorticosterone">3α,5α-Tetrahydrocorticosterone</a></li> <li><a href="/wiki/5%CE%B1-Dihydrocorticosterone" title="5α-Dihydrocorticosterone">5α-Dihydrocorticosterone</a></li> <li><a href="/wiki/9%CE%B1-Fluorocortisone" title="9α-Fluorocortisone">9α-Fluorocortisone (alfluorone)</a></li> <li><a href="/wiki/11-Dehydrocorticosterone" title="11-Dehydrocorticosterone">11-Dehydrocorticosterone (11-oxocorticosterone, 17-deoxycortisone)</a> <ul><li><a href="/w/index.php?title=11-Dehydrocorticosterone_acetate&action=edit&redlink=1" class="new" title="11-Dehydrocorticosterone acetate (page does not exist)">11-Dehydrocorticosterone acetate</a></li></ul></li> <li><a href="/wiki/11-Deoxycorticosterone" title="11-Deoxycorticosterone">11-Deoxycorticosterone (desoxycortone, deoxycortone, desoxycorticosterone)</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Desoxycortone_esters" title="List of corticosteroid esters">Desoxycortone esters</a></li></ul></li> <li><a href="/wiki/11-Deoxycortisol" title="11-Deoxycortisol">11-Deoxycortisol (cortodoxone, cortexolone)</a> <ul><li><a href="/wiki/Cortifen" title="Cortifen">Cortifen (cortiphen, kortifen)</a></li> <li><a href="/w/index.php?title=Cortodoxone_acetate&action=edit&redlink=1" class="new" title="Cortodoxone acetate (page does not exist)">Cortodoxone acetate</a></li></ul></li> <li><a href="/wiki/21-Deoxycortisol" title="21-Deoxycortisol">21-Deoxycortisol</a></li> <li><a href="/wiki/%CE%947-Prednisolone" title="Δ7-Prednisolone">Δ<sup>7</sup>-Prednisolone</a> <ul><li><a href="/w/index.php?title=%CE%947-Prednisolone_21-acetate&action=edit&redlink=1" class="new" title="Δ7-Prednisolone 21-acetate (page does not exist)">Δ<sup>7</sup>-Prednisolone 21-acetate</a></li></ul></li> <li><a href="/wiki/Amebucort" title="Amebucort">Amebucort</a></li> <li><a href="/wiki/Chloroprednisone" title="Chloroprednisone">Chloroprednisone</a> <ul><li><a href="/wiki/Chloroprednisone_acetate" title="Chloroprednisone acetate">Chloroprednisone acetate</a></li></ul></li> <li><a href="/wiki/Cloprednol" title="Cloprednol">Cloprednol</a> <ul><li><a href="/w/index.php?title=Cloprednol_acetate&action=edit&redlink=1" class="new" title="Cloprednol acetate (page does not exist)">Cloprednol acetate</a></li></ul></li> <li><a href="/wiki/Corticosterone" title="Corticosterone">Corticosterone</a> <ul><li><a href="/w/index.php?title=Corticosterone_acetate&action=edit&redlink=1" class="new" title="Corticosterone acetate (page does not exist)">Corticosterone acetate</a></li> <li><a href="/w/index.php?title=Corticosterone_benzoate&action=edit&redlink=1" class="new" title="Corticosterone benzoate (page does not exist)">Corticosterone benzoate</a></li></ul></li> <li><a class="mw-selflink selflink">Cortisol</a> (<a href="/wiki/Hydrocortisone" title="Hydrocortisone">hydrocortisone</a>) <ul><li><a href="/wiki/Benzodrocortisone" title="Benzodrocortisone">Benzodrocortisone (hydrocortisone benzoate)</a></li> <li><a href="/wiki/Hydrocortamate" title="Hydrocortamate">Hydrocortamate (hydrocortisone diethylaminoacetate)</a></li> <li><a href="/wiki/List_of_corticosteroid_esters#Hydrocortisone_esters" title="List of corticosteroid esters">Hydrocortisone esters</a></li></ul></li> <li><a href="/wiki/Cortisone" title="Cortisone">Cortisone</a> <ul><li><a href="/wiki/Cortisone_acetate" title="Cortisone acetate">Cortisone acetate</a></li></ul></li> <li><a href="/wiki/Deprodone" title="Deprodone">Deprodone</a> <ul><li><a href="/w/index.php?title=Deprodone_propionate&action=edit&redlink=1" class="new" title="Deprodone propionate (page does not exist)">Deprodone propionate</a></li></ul></li> <li><a href="/wiki/Dichlorisone" title="Dichlorisone">Dichlorisone</a> <ul><li><a href="/w/index.php?title=Dichlorisone_acetate&action=edit&redlink=1" class="new" title="Dichlorisone acetate (page does not exist)">Dichlorisone acetate</a></li> <li><a href="/w/index.php?title=Dichlorisone_diacetate&action=edit&redlink=1" class="new" title="Dichlorisone diacetate (page does not exist)">Dichlorisone diacetate</a></li></ul></li> <li><a href="/wiki/Difluprednate" title="Difluprednate">Difluprednate</a></li> <li><a href="/wiki/Endrisone" title="Endrisone">Endrisone (endrysone)</a></li> <li><a href="/wiki/Etiprednol" title="Etiprednol">Etiprednol</a> <ul><li><a href="/w/index.php?title=Etiprednol_dicloacetate&action=edit&redlink=1" class="new" title="Etiprednol dicloacetate (page does not exist)">Etiprednol dicloacetate (etiprednol dichloroacetate)</a></li></ul></li> <li><a href="/wiki/Fludrocortisone" title="Fludrocortisone">Fludrocortisone (fludrocortone)</a> <ul><li><a href="/wiki/Fludrocortisone_acetate" class="mw-redirect" title="Fludrocortisone acetate">Fludrocortisone acetate</a></li></ul></li> <li><a href="/wiki/Fluorometholone" title="Fluorometholone">Fluorometholone</a> <ul><li><a href="/wiki/Fluorometholone_acetate" title="Fluorometholone acetate">Fluorometholone acetate</a></li></ul></li> <li><a href="/wiki/Fluperolone" title="Fluperolone">Fluperolone</a> <ul><li><a href="/wiki/Fluperolone_acetate" title="Fluperolone acetate">Fluperolone acetate</a></li></ul></li> <li><a href="/wiki/Fluprednisolone" title="Fluprednisolone">Fluprednisolone</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Fluprednisolone_esters" title="List of corticosteroid esters">Fluprednisolone esters</a></li></ul></li> <li><a href="/wiki/Halopredone" title="Halopredone">Halopredone</a> <ul><li><a href="/w/index.php?title=Halopredone_acetate&action=edit&redlink=1" class="new" title="Halopredone acetate (page does not exist)">Halopredone acetate (halopredone diacetate)</a></li></ul></li> <li><a href="/wiki/Isoflupredone" title="Isoflupredone">Isoflupredone (9α-fluoroprednisolone)</a> <ul><li><a href="/w/index.php?title=Isoflupredone_acetate&action=edit&redlink=1" class="new" title="Isoflupredone acetate (page does not exist)">Isoflupredone acetate</a></li></ul></li> <li><a href="/wiki/Loteprednol" title="Loteprednol">Loteprednol</a></li> <li><a href="/wiki/Mazipredone" title="Mazipredone">Mazipredone (depersolone)</a></li> <li><a href="/wiki/Medrysone" title="Medrysone">Medrysone</a></li> <li><a href="/wiki/Methylprednisolone" title="Methylprednisolone">Methylprednisolone</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Methylprednisolone_esters" title="List of corticosteroid esters">Methylprednisolone esters</a></li></ul></li> <li><a href="/wiki/Prebediolone" class="mw-redirect" title="Prebediolone">Prebediolone</a> <ul><li><a href="/wiki/Prebediolone_acetate" title="Prebediolone acetate">Prebediolone acetate</a></li></ul></li> <li><a href="/wiki/Prednisolone" title="Prednisolone">Prednisolone</a> <ul><li><a href="/wiki/Prednazate" title="Prednazate">Prednazate</a></li> <li><a href="/wiki/Prednazoline" title="Prednazoline">Prednazoline</a></li> <li><a href="/wiki/Prednicarbate" title="Prednicarbate">Prednicarbate (prednisolone ethylcarbonate propionate)</a></li> <li><a href="/wiki/Prednimustine" title="Prednimustine">Prednimustine</a></li> <li><a href="/wiki/Prednisolamate" title="Prednisolamate">Prednisolamate (prednisolone diethylaminoacetate)</a></li> <li><a href="/wiki/List_of_corticosteroid_esters#Prednisolone_esters" title="List of corticosteroid esters">Prednisolone esters</a></li></ul></li> <li><a href="/wiki/Prednisone" title="Prednisone">Prednisone</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Prednisone_esters" title="List of corticosteroid esters">Prednisone esters</a></li></ul></li> <li><a href="/wiki/Pregnenolone" title="Pregnenolone">Pregnenolone</a> <ul><li><a href="/wiki/Pregnenolone_acetate" title="Pregnenolone acetate">Pregnenolone acetate</a></li> <li><a href="/wiki/Pregnenolone_succinate" title="Pregnenolone succinate">Pregnenolone succinate (pregnenolone hemisuccinate)</a></li></ul></li> <li><a href="/wiki/Resocortol" title="Resocortol">Resocortol</a></li> <li><a href="/wiki/Tipredane" title="Tipredane">Tipredane</a></li> <li><a href="/wiki/Tixocortol" title="Tixocortol">Tixocortol</a> <ul><li><a href="/wiki/Butixocort" title="Butixocort">Butixocort (tixocortol butyrate)</a> <ul><li><a href="/w/index.php?title=Butixocort_propionate&action=edit&redlink=1" class="new" title="Butixocort propionate (page does not exist)">Butixocort propionate</a></li></ul></li> <li><a href="/wiki/Tixocortol_pivalate" title="Tixocortol pivalate">Tixocortol pivalate</a></li></ul></li></ul> <ul><li><i>Methasones and related (16-substituted):</i> <a href="/wiki/16%CE%B1-Methyl-11-oxoprednisolone" title="16α-Methyl-11-oxoprednisolone">16α-Methyl-11-oxoprednisolone</a></li> <li><a href="/wiki/Alclometasone" title="Alclometasone">Alclometasone</a> <ul><li><a href="/wiki/Alclometasone_dipropionate" title="Alclometasone dipropionate">Alclometasone dipropionate</a></li></ul></li> <li><a href="/wiki/Amelometasone" title="Amelometasone">Amelometasone</a></li> <li><a href="/wiki/Beclometasone" title="Beclometasone">Beclometasone (beclomethasone)</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Beclometasone_esters" title="List of corticosteroid esters">Beclometasone esters</a></li></ul></li> <li><a href="/wiki/Betamethasone" title="Betamethasone">Betamethasone (betametasone)</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Betamethasone_esters" title="List of corticosteroid esters">Betamethasone esters</a></li> <li><a href="/wiki/Cortobenzolone" title="Cortobenzolone">Cortobenzolone (betamethasone salicylate)</a></li></ul></li> <li><a href="/wiki/Ciclometasone" title="Ciclometasone">Ciclometasone (ciclomethasone, cyclomethasone)</a></li> <li><a href="/wiki/Clobetasol" title="Clobetasol">Clobetasol</a> <ul><li><a href="/wiki/Clobetasol_propionate" title="Clobetasol propionate">Clobetasol propionate</a></li></ul></li> <li><a href="/wiki/Clobetasone" title="Clobetasone">Clobetasone</a> <ul><li><a href="/wiki/Clobetasone_butyrate" title="Clobetasone butyrate">Clobetasone butyrate</a></li></ul></li> <li><a href="/wiki/Clocortolone" title="Clocortolone">Clocortolone</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Clocortolone_esters" title="List of corticosteroid esters">Clocortolone esters</a></li></ul></li> <li><a href="/wiki/Cloticasone" title="Cloticasone">Cloticasone</a> <ul><li><a href="/w/index.php?title=Cloticasone_propionate&action=edit&redlink=1" class="new" title="Cloticasone propionate (page does not exist)">Cloticasone propionate</a></li></ul></li> <li><a href="/wiki/Cormetasone" title="Cormetasone">Cormetasone (cormethasone)</a> <ul><li><a href="/w/index.php?title=Cormetasone_acetate&action=edit&redlink=1" class="new" title="Cormetasone acetate (page does not exist)">Cormetasone acetate</a></li></ul></li> <li><a href="/wiki/Descinolone" title="Descinolone">Descinolone</a></li> <li><a href="/wiki/Desoximetasone" title="Desoximetasone">Desoximetasone (desoxymethasone)</a></li> <li><a href="/wiki/Dexamethasone" title="Dexamethasone">Dexamethasone (dexametasone)</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Dexamethasone_esters" title="List of corticosteroid esters">Dexamethasone esters</a></li></ul></li> <li><a href="/wiki/Diflorasone" title="Diflorasone">Diflorasone</a> <ul><li><a href="/wiki/Diflorasone_diacetate" title="Diflorasone diacetate">Diflorasone diacetate</a></li></ul></li> <li><a href="/wiki/Diflucortolone" title="Diflucortolone">Diflucortolone</a> <ul><li><a href="/w/index.php?title=Diflucortolone_pivalate&action=edit&redlink=1" class="new" title="Diflucortolone pivalate (page does not exist)">Diflucortolone pivalate</a></li> <li><a href="/wiki/Diflucortolone_valerate" title="Diflucortolone valerate">Diflucortolone valerate</a></li></ul></li> <li><a href="/wiki/Dimesone" title="Dimesone">Dimesone</a> <ul><li><a href="/w/index.php?title=Dimesone_acetate&action=edit&redlink=1" class="new" title="Dimesone acetate (page does not exist)">Dimesone acetate</a></li></ul></li> <li><a href="/wiki/Doxibetasol" title="Doxibetasol">Doxibetasol (doxybetasol)</a></li> <li><a href="/wiki/Fluclorolone" title="Fluclorolone">Fluclorolone</a></li> <li><a href="/wiki/Flumetasone" title="Flumetasone">Flumetasone (flumethasone)</a> <ul><li><a href="/w/index.php?title=Flumetasone_acetate&action=edit&redlink=1" class="new" title="Flumetasone acetate (page does not exist)">Flumetasone acetate</a></li> <li><a href="/wiki/Flumetasone_pivalate" title="Flumetasone pivalate">Flumetasone pivalate</a></li></ul></li> <li><a href="/wiki/Fluocinolone" title="Fluocinolone">Fluocinolone</a></li> <li><a href="/wiki/Fluocortin" title="Fluocortin">Fluocortin</a> <ul><li><a href="/wiki/Fluocortin_butyl" title="Fluocortin butyl">Fluocortin butyl (fluocortin butylate)</a></li></ul></li> <li><a href="/wiki/Fluocortolone" title="Fluocortolone">Fluocortolone</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Fluocortolone_esters" title="List of corticosteroid esters">Fluocortolone esters</a></li></ul></li> <li><a href="/wiki/Fluprednidene" title="Fluprednidene">Fluprednidene (fluprednylidene)</a> <ul><li><a href="/wiki/Fluprednidene_acetate" title="Fluprednidene acetate">Fluprednidene acetate</a></li></ul></li> <li>Fluticasone <ul><li><a href="/wiki/Fluticasone_furoate" title="Fluticasone furoate">Fluticasone furoate</a></li> <li><a href="/wiki/Fluticasone_propionate" title="Fluticasone propionate">Fluticasone propionate</a></li></ul></li> <li><a href="/wiki/Halocortolone" title="Halocortolone">Halocortolone</a></li> <li><a href="/wiki/Halometasone" title="Halometasone">Halometasone</a></li> <li><a href="/wiki/Icometasone" title="Icometasone">Icometasone</a> <ul><li><a href="/w/index.php?title=Icometasone_enbutate&action=edit&redlink=1" class="new" title="Icometasone enbutate (page does not exist)">Icometasone enbutate (icometasone butyrate acetate)</a></li></ul></li> <li><a href="/wiki/Isoprednidene" title="Isoprednidene">Isoprednidene</a></li> <li><a href="/wiki/Locicortolone" title="Locicortolone">Locicortolone (locicortone)</a> <ul><li><a href="/w/index.php?title=Locicortolone_dicibate&action=edit&redlink=1" class="new" title="Locicortolone dicibate (page does not exist)">Locicortolone dicibate (locicortone dicibate)</a></li></ul></li> <li><a href="/wiki/Meclorisone" title="Meclorisone">Meclorisone</a> <ul><li><a href="/w/index.php?title=Meclorisone_dibutyrate&action=edit&redlink=1" class="new" title="Meclorisone dibutyrate (page does not exist)">Meclorisone dibutyrate</a></li></ul></li> <li><a href="/wiki/Meprednisone" title="Meprednisone">Meprednisone (methylprednisone)</a> <ul><li><a href="/w/index.php?title=Meprednisone_acetate&action=edit&redlink=1" class="new" title="Meprednisone acetate (page does not exist)">Meprednisone acetate</a></li> <li><a href="/w/index.php?title=Meprednisone_hydrogen_succinate&action=edit&redlink=1" class="new" title="Meprednisone hydrogen succinate (page does not exist)">Meprednisone hydrogen succinate (methylprednisone hemisuccinate)</a></li></ul></li> <li><a href="/wiki/Mometasone" title="Mometasone">Mometasone</a> <ul><li><a href="/wiki/Mometasone_furoate" class="mw-redirect" title="Mometasone furoate">Mometasone furoate</a></li></ul></li> <li><a href="/wiki/Paramethasone" title="Paramethasone">Paramethasone</a> <ul><li><a href="/wiki/Paramethasone_acetate" title="Paramethasone acetate">Paramethasone acetate</a></li> <li><a href="/w/index.php?title=Paramethasone_disodium_phosphate&action=edit&redlink=1" class="new" title="Paramethasone disodium phosphate (page does not exist)">Paramethasone disodium phosphate</a></li> <li><a href="/w/index.php?title=Paramethasone_phosphate&action=edit&redlink=1" class="new" title="Paramethasone phosphate (page does not exist)">Paramethasone phosphate</a></li></ul></li> <li><a href="/wiki/Prednylidene" title="Prednylidene">Prednylidene</a> <ul><li><a href="/w/index.php?title=Prednylidene_diethylaminoacetate&action=edit&redlink=1" class="new" title="Prednylidene diethylaminoacetate (page does not exist)">Prednylidene diethylaminoacetate</a></li></ul></li> <li><a href="/wiki/Rimexolone" title="Rimexolone">Rimexolone</a></li> <li><a href="/wiki/Ticabesone" title="Ticabesone">Ticabesone</a> <ul><li><a href="/w/index.php?title=Ticabesone_propionate&action=edit&redlink=1" class="new" title="Ticabesone propionate (page does not exist)">Ticabesone propionate</a></li></ul></li> <li><a href="/wiki/Timobesone" title="Timobesone">Timobesone</a> <ul><li><a href="/w/index.php?title=Timobesone_acetate&action=edit&redlink=1" class="new" title="Timobesone acetate (page does not exist)">Timobesone acetate</a></li></ul></li> <li><a href="/wiki/Triamcinolone" title="Triamcinolone">Triamcinolone</a> <ul><li><a href="/wiki/Triamcinolone_diacetate" title="Triamcinolone diacetate">Triamcinolone diacetate</a></li></ul></li> <li><a href="/wiki/Ulobetasol" title="Ulobetasol">Ulobetasol (halobetasol)</a> <ul><li><a href="/wiki/Ulobetasol_propionate" title="Ulobetasol propionate">Ulobetasol propionate</a></li></ul></li> <li><a href="/wiki/Vamorolone" title="Vamorolone">Vamorolone</a></li></ul> <ul><li><i>Cyclic ketals (16,17-cyclized):</i> <a href="/wiki/Acrocinonide" title="Acrocinonide">Acrocinonide (triamcinolone acroleinide)</a></li> <li><a href="/wiki/Amcinafal" title="Amcinafal">Amcinafal (triamcinolone pentanonide)</a></li> <li><a href="/wiki/Amcinafide" title="Amcinafide">Amcinafide (triamcinolone acetophenide)</a></li> <li><a href="/wiki/Amcinonide" title="Amcinonide">Amcinonide (triamcinolone acetate cyclopentanonide)</a></li> <li><a href="/wiki/Budesonide" title="Budesonide">Budesonide</a></li> <li><a href="/wiki/Ciclesonide" title="Ciclesonide">Ciclesonide</a></li> <li><a href="/wiki/Cicortonide" title="Cicortonide">Cicortonide</a></li> <li><a href="/wiki/Deflazacort" title="Deflazacort">Deflazacort (azacort)</a></li> <li><a href="/wiki/Descinolone_acetonide" title="Descinolone acetonide">Descinolone acetonide</a></li> <li><a href="/wiki/Desonide" title="Desonide">Desonide (hydroxyprednisolone acetonide)</a> <ul><li><a href="/w/index.php?title=Desonide_disodium_phosphate&action=edit&redlink=1" class="new" title="Desonide disodium phosphate (page does not exist)">Desonide disodium phosphate</a></li> <li><a href="/w/index.php?title=Desonide_pivalate&action=edit&redlink=1" class="new" title="Desonide pivalate (page does not exist)">Desonide pivalate</a></li></ul></li> <li><a href="/wiki/Dexbudesonide" title="Dexbudesonide">Dexbudesonide</a></li> <li><a href="/wiki/Drocinonide" title="Drocinonide">Drocinonide</a> <ul><li><a href="/w/index.php?title=Drocinonide_phosphate&action=edit&redlink=1" class="new" title="Drocinonide phosphate (page does not exist)">Drocinonide phosphate</a></li></ul></li> <li><a href="/wiki/Fluazacort" title="Fluazacort">Fluazacort</a></li> <li><a href="/wiki/Fluclorolone_acetonide" title="Fluclorolone acetonide">Fluclorolone acetonide (flucloronide)</a></li> <li><a href="/wiki/Fludroxycortide" title="Fludroxycortide">Fludroxycortide (flurandrenolone, flurandrenolide)</a></li> <li><a href="/wiki/Flumoxonide" title="Flumoxonide">Flumoxonide</a></li> <li><a href="/wiki/Flunisolide" title="Flunisolide">Flunisolide</a> <ul><li><a href="/w/index.php?title=Flunisolide_acetate&action=edit&redlink=1" class="new" title="Flunisolide acetate (page does not exist)">Flunisolide acetate</a></li></ul></li> <li><a href="/wiki/Fluocinolone_acetonide" title="Fluocinolone acetonide">Fluocinolone acetonide</a> <ul><li><a href="/wiki/Ciprocinonide" title="Ciprocinonide">Ciprocinonide (fluocinolone acetonide cyclopropylcarboxylate)</a></li> <li><a href="/wiki/Fluocinonide" title="Fluocinonide">Fluocinonide (fluocinolide, fluocinolone acetonide acetate)</a></li> <li><a href="/wiki/Procinonide" title="Procinonide">Procinonide (fluocinolone acetonide propionate)</a></li></ul></li> <li><a href="/wiki/Formocortal" title="Formocortal">Formocortal</a></li> <li><a href="/wiki/Halcinonide" title="Halcinonide">Halcinonide</a></li> <li><a href="/wiki/Itrocinonide" title="Itrocinonide">Itrocinonide</a></li> <li><a href="/wiki/Rofleponide" title="Rofleponide">Rofleponide</a> <ul><li><a href="/wiki/Rofleponide_palmitate" class="mw-redirect" title="Rofleponide palmitate">Rofleponide palmitate</a></li></ul></li> <li><a href="/wiki/Tralonide" title="Tralonide">Tralonide</a></li> <li><a href="/wiki/Triamcinolone_acetonide" title="Triamcinolone acetonide">Triamcinolone acetonide</a> <ul><li><a href="/wiki/Flupamesone" title="Flupamesone">Flupamesone (triamcinolone acetonide metembonate)</a></li> <li><a href="/wiki/List_of_corticosteroid_esters#Triamcinolone_acetonide_esters" title="List of corticosteroid esters">Triamcinolone acetonide esters</a></li></ul></li> <li><a href="/wiki/Triamcinolone_aminobenzal_benzamidoisobutyrate" title="Triamcinolone aminobenzal benzamidoisobutyrate">Triamcinolone aminobenzal benzamidoisobutyrate (TBI-PAB)</a></li> <li><a href="/wiki/Triclonide" title="Triclonide">Triclonide</a></li></ul> <ul><li><i>Others/atypical (other expanded steroid ring systems, homosteroids, and non-pregnane steroids):</i> <a href="/wiki/Cortisuzol" title="Cortisuzol">Cortisuzol</a></li> <li><a href="/wiki/Cortivazol" title="Cortivazol">Cortivazol</a></li> <li><a href="/wiki/Domoprednate" title="Domoprednate">Domoprednate</a></li> <li><a href="/wiki/Naflocort" title="Naflocort">Naflocort</a></li> <li><a href="/wiki/Nicocortonide" title="Nicocortonide">Nicocortonide</a> <ul><li><a href="/w/index.php?title=Nicocortonide_acetate&action=edit&redlink=1" class="new" title="Nicocortonide acetate (page does not exist)">Nicocortonide acetate</a></li></ul></li> <li><a href="/wiki/Nivacortol" title="Nivacortol">Nivacortol (nivazol)</a></li> <li><a href="/wiki/Oxisopred" title="Oxisopred">Oxisopred</a></li> <li><a href="/w/index.php?title=RU-26988&action=edit&redlink=1" class="new" title="RU-26988 (page does not exist)">RU-26988</a></li> <li><a href="/wiki/RU-28362" title="RU-28362">RU-28362</a></li></ul> <ul><li><i>Non-corticosteroids with some glucocorticoid activity:</i> <a href="/wiki/15%CE%B2-Hydroxycyproterone_acetate" title="15β-Hydroxycyproterone acetate">15β-Hydroxycyproterone acetate</a></li> <li><a href="/wiki/17%CE%B1-Hydroxyprogesterone" title="17α-Hydroxyprogesterone">17α-Hydroxyprogesterone</a></li> <li><a href="/wiki/Bromoketoprogesterone" title="Bromoketoprogesterone">Bromoketoprogesterone</a></li> <li><a href="/wiki/Chlormadinone_acetate" title="Chlormadinone acetate">Chlormadinone acetate</a></li> <li><a href="/wiki/Cyproterone" title="Cyproterone">Cyproterone</a></li> <li><a href="/wiki/Cyproterone_acetate" title="Cyproterone acetate">Cyproterone acetate</a></li> <li><a href="/wiki/Danazol" title="Danazol">Danazol</a></li> <li><a href="/wiki/Delmadinone_acetate" title="Delmadinone acetate">Delmadinone acetate</a></li> <li><a href="/wiki/Desogestrel" title="Desogestrel">Desogestrel</a></li> <li><a href="/wiki/DU-41165" title="DU-41165">DU-41165</a></li> <li><a href="/wiki/Etonogestrel" title="Etonogestrel">Etonogestrel</a></li> <li><a href="/wiki/Flugestone" title="Flugestone">Flugestone</a></li> <li><a href="/wiki/Flugestone_acetate" title="Flugestone acetate">Flugestone acetate (flurogestone acetate)</a></li> <li><a href="/wiki/Fluoromedroxyprogesterone_acetate" title="Fluoromedroxyprogesterone acetate">Fluoromedroxyprogesterone acetate</a></li> <li><a href="/wiki/Fluoxymesterone" title="Fluoxymesterone">Fluoxymesterone</a></li> <li><a href="/wiki/Gestodene" title="Gestodene">Gestodene</a></li> <li><a href="/wiki/Medrogestone" title="Medrogestone">Medrogestone</a></li> <li><a href="/wiki/Medroxyprogesterone_acetate" title="Medroxyprogesterone acetate">Medroxyprogesterone acetate</a></li> <li><a href="/wiki/Megestrol_acetate" title="Megestrol acetate">Megestrol acetate</a></li> <li><a href="/wiki/Metribolone" title="Metribolone">Metribolone</a></li> <li><a href="/wiki/Norgestomet" title="Norgestomet">Norgestomet</a></li> <li><a href="/wiki/Osaterone_acetate" title="Osaterone acetate">Osaterone acetate</a></li> <li><a href="/wiki/Progesterone" title="Progesterone">Progesterone</a></li> <li><a href="/wiki/Promegestone" title="Promegestone">Promegestone</a></li> <li><a href="/wiki/RU-2309" title="RU-2309">RU-2309</a></li> <li><a href="/wiki/Quingestrone" title="Quingestrone">Quingestrone</a></li> <li><a href="/wiki/Segesterone_acetate" title="Segesterone acetate">Segesterone acetate (nestorone)</a></li> <li><a href="/wiki/Tetrahydrogestrinone" title="Tetrahydrogestrinone">Tetrahydrogestrinone</a></li></ul> <ul><li><i>Nonsteroidal glucocorticoids:</i> <a href="/wiki/AZD-5423" title="AZD-5423">AZD-5423</a></li> <li><a href="/w/index.php?title=GSK-9027&action=edit&redlink=1" class="new" title="GSK-9027 (page does not exist)">GSK-9027</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:6em;;text-align:center">Mixed<br />(<a href="/wiki/Selective_glucocorticoid_receptor_agonists" class="mw-redirect" title="Selective glucocorticoid receptor agonists"><abbr title="Selective glucocorticoid receptor agonists">SEGRMs</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Selective glucocorticoid receptor agonists</span>)</th><td class="navbox-list-with-group navbox-list navbox-even" style="padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Dagrocorat" title="Dagrocorat">Dagrocorat</a></li> <li><a href="/wiki/Fosdagrocorat" title="Fosdagrocorat">Fosdagrocorat</a></li> <li><a href="/wiki/Mapracorat" title="Mapracorat">Mapracorat</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:6em;;text-align:center"><a href="/wiki/Antiglucocorticoid" title="Antiglucocorticoid">Antagonists</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/7%CE%B1-Hydroxy-DHEA" title="7α-Hydroxy-DHEA">7α-Hydroxy-DHEA</a></li> <li><a href="/wiki/17%CE%B1-Methylprogesterone" title="17α-Methylprogesterone">17α-Methylprogesterone</a></li> <li><a href="/wiki/Aglepristone" title="Aglepristone">Aglepristone</a></li> <li><a href="/wiki/Asoprisnil" title="Asoprisnil">Asoprisnil</a></li> <li><a href="/wiki/Asoprisnil_ecamate" title="Asoprisnil ecamate">Asoprisnil ecamate</a></li> <li><a href="/w/index.php?title=C108297&action=edit&redlink=1" class="new" title="C108297 (page does not exist)">C108297</a></li> <li><a href="/w/index.php?title=C113176&action=edit&redlink=1" class="new" title="C113176 (page does not exist)">C113176</a></li> <li><a href="/w/index.php?title=CORT-108297&action=edit&redlink=1" class="new" title="CORT-108297 (page does not exist)">CORT-108297</a></li> <li><a href="/wiki/Cyproterone_acetate" title="Cyproterone acetate">Cyproterone acetate</a></li> <li><a href="/w/index.php?title=Dazucorilant&action=edit&redlink=1" class="new" title="Dazucorilant (page does not exist)">Dazucorilant</a></li> <li><a href="/w/index.php?title=Exicorilant&action=edit&redlink=1" class="new" title="Exicorilant (page does not exist)">Exicorilant (CORT-125281)</a></li> <li><a href="/wiki/Guggulsterone" title="Guggulsterone">Guggulsterone</a></li> <li><a href="/wiki/Ketoconazole" title="Ketoconazole">Ketoconazole</a></li> <li><a href="/wiki/Lilopristone" title="Lilopristone">Lilopristone</a></li> <li><a href="/w/index.php?title=LLY-2707&action=edit&redlink=1" class="new" title="LLY-2707 (page does not exist)">LLY-2707</a></li> <li><a href="/wiki/Metapristone" title="Metapristone">Metapristone (RU-42633)</a></li> <li><a href="/wiki/Miconazole" title="Miconazole">Miconazole</a></li> <li><a href="/wiki/Mifepristone" title="Mifepristone">Mifepristone (RU-486)</a></li> <li><a href="/wiki/Miricorilant" title="Miricorilant">Miricorilant (CORT-118335)</a></li> <li><a href="/wiki/Onapristone" title="Onapristone">Onapristone</a></li> <li><a href="/w/index.php?title=ORG-34116&action=edit&redlink=1" class="new" title="ORG-34116 (page does not exist)">ORG-34116</a></li> <li><a href="/w/index.php?title=ORG-34517&action=edit&redlink=1" class="new" title="ORG-34517 (page does not exist)">ORG-34517 (SCH-900636)</a></li> <li><a href="/w/index.php?title=Org_34850&action=edit&redlink=1" class="new" title="Org 34850 (page does not exist)">ORG-34850</a></li> <li><a href="/wiki/Pregnenolone_16%CE%B1-carbonitrile" title="Pregnenolone 16α-carbonitrile">Pregnenolone 16α-carbonitrile</a></li> <li><a href="/wiki/Relacorilant" title="Relacorilant">Relacorilant (CORT-125134)</a></li> <li><a href="/wiki/RTI_3021%E2%80%93012" class="mw-redirect" title="RTI 3021–012">RTI 3021–012</a></li> <li><a href="/w/index.php?title=RTI_3021%E2%80%93022&action=edit&redlink=1" class="new" title="RTI 3021–022 (page does not exist)">RTI 3021–022</a></li> <li><a href="/wiki/Telapristone" title="Telapristone">Telapristone</a></li> <li><a href="/wiki/Tibolone" title="Tibolone">Tibolone</a></li> <li><a href="/wiki/Toripristone" title="Toripristone">Toripristone</a></li> <li><a href="/wiki/Ulipristal_acetate" title="Ulipristal acetate">Ulipristal acetate</a></li> <li><a href="/w/index.php?title=Zavacorilant&action=edit&redlink=1" class="new" title="Zavacorilant (page does not exist)">Zavacorilant</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:6em;;text-align:center">Others</th><td class="navbox-list-with-group navbox-list navbox-even" style="padding:0"><div style="padding:0 0.25em"> <ul><li><i>Antisense oligonucleotides:</i> <a href="/wiki/IONIS-GCCRRx" title="IONIS-GCCRRx">IONIS-GCCR<sub>Rx</sub> (ISIS-426115)</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><td class="navbox-abovebelow" colspan="2"><div> <dl><dt>See also</dt> <dd><a href="/wiki/Template:Receptor_modulators" title="Template:Receptor modulators">Receptor/signaling modulators</a></dd> <dd><a href="/wiki/Template:Glucocorticoids_and_antiglucocorticoids" title="Template:Glucocorticoids and antiglucocorticoids">Glucocorticoids and antiglucocorticoids</a></dd> <dd><a href="/wiki/Template:Mineralocorticoid_receptor_modulators" title="Template:Mineralocorticoid receptor modulators">Mineralocorticoid receptor modulators</a></dd> <dd><a href="/wiki/List_of_corticosteroids" title="List of corticosteroids">List of corticosteroids</a></dd></dl> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"></div><div role="navigation" class="navbox" aria-labelledby="Mineralocorticoid_receptor_modulators767" style="padding:3px"><table class="nowraplinks hlist mw-collapsible mw-collapsed navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1239400231"><div class="navbar plainlinks hlist navbar-mini"><ul><li class="nv-view"><a href="/wiki/Template:Mineralocorticoid_receptor_modulators" title="Template:Mineralocorticoid receptor modulators"><abbr title="View this template">v</abbr></a></li><li class="nv-talk"><a href="/wiki/Template_talk:Mineralocorticoid_receptor_modulators" title="Template talk:Mineralocorticoid receptor modulators"><abbr title="Discuss this template">t</abbr></a></li><li class="nv-edit"><a href="/wiki/Special:EditPage/Template:Mineralocorticoid_receptor_modulators" title="Special:EditPage/Template:Mineralocorticoid receptor modulators"><abbr title="Edit this template">e</abbr></a></li></ul></div><div id="Mineralocorticoid_receptor_modulators767" style="font-size:114%;margin:0 4em"><a href="/wiki/Mineralocorticoid_receptor" title="Mineralocorticoid receptor">Mineralocorticoid receptor</a> <a href="/wiki/Receptor_modulator" title="Receptor modulator">modulators</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align:center;"><a href="/wiki/Mineralocorticoid_receptor" title="Mineralocorticoid receptor"><abbr title="Mineralocorticoid receptor">MR</abbr></a><span class="sr-only" style="border: 0; clip: rect(0, 0, 0, 0); clip-path: polygon(0px 0px, 0px 0px, 0px 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; white-space: nowrap;">Tooltip Mineralocorticoid receptor</span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:6em;;text-align:center">Agonists</th><td class="navbox-list-with-group navbox-list navbox-odd" style="padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/11-Dehydrocorticosterone" title="11-Dehydrocorticosterone">11-Dehydrocorticosterone (11-oxocorticosterone, 17-deoxycortisone)</a> <ul><li><a href="/w/index.php?title=11-Dehydrocorticosterone_acetate&action=edit&redlink=1" class="new" title="11-Dehydrocorticosterone acetate (page does not exist)">11-Dehydrocorticosterone acetate</a></li></ul></li> <li><a href="/wiki/11-Deoxycorticosterone" title="11-Deoxycorticosterone">11-Deoxycorticosterone (desoxycortone, deoxycortone, desoxycorticosterone)</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Desoxycortone_esters" title="List of corticosteroid esters">Desoxycortone esters</a></li></ul></li> <li><a href="/wiki/11-Deoxycortisol" title="11-Deoxycortisol">11-Deoxycortisol (cortodoxone, cortexolone)</a> <ul><li><a href="/wiki/Cortifen" title="Cortifen">Cortifen (cortiphen, kortifen)</a></li> <li><a href="/w/index.php?title=Cortodoxone_acetate&action=edit&redlink=1" class="new" title="Cortodoxone acetate (page does not exist)">Cortodoxone acetate</a></li></ul></li> <li><a href="/wiki/11%CE%B2-Hydroxyprogesterone" title="11β-Hydroxyprogesterone">11β-Hydroxyprogesterone</a></li> <li><a href="/w/index.php?title=16%CE%B1,18-Dihydroxy-11-deoxycorticosterone&action=edit&redlink=1" class="new" title="16α,18-Dihydroxy-11-deoxycorticosterone (page does not exist)">16α,18-Dihydroxy-11-deoxycorticosterone</a></li> <li><a href="/w/index.php?title=17%CE%B1-Hydroxyaldosterone&action=edit&redlink=1" class="new" title="17α-Hydroxyaldosterone (page does not exist)">17α-Hydroxyaldosterone</a></li> <li><a href="/wiki/18-Hydroxy-11-deoxycorticosterone" title="18-Hydroxy-11-deoxycorticosterone">18-Hydroxy-11-deoxycorticosterone</a></li> <li><a href="/wiki/19-Norprogesterone" title="19-Norprogesterone">19-Norprogesterone</a></li> <li><a href="/wiki/Aldosterone" title="Aldosterone">Aldosterone</a></li> <li><a href="/wiki/Corticosterone" title="Corticosterone">Corticosterone</a> <ul><li><a href="/w/index.php?title=Corticosterone_acetate&action=edit&redlink=1" class="new" title="Corticosterone acetate (page does not exist)">Corticosterone acetate</a></li> <li><a href="/w/index.php?title=Corticosterone_benzoate&action=edit&redlink=1" class="new" title="Corticosterone benzoate (page does not exist)">Corticosterone benzoate</a></li></ul></li> <li><a class="mw-selflink selflink">Cortisol</a> (<a href="/wiki/Hydrocortisone" title="Hydrocortisone">hydrocortisone</a>) <ul><li><a href="/wiki/Benzodrocortisone" title="Benzodrocortisone">Benzodrocortisone (hydrocortisone benzoate)</a></li> <li><a href="/wiki/Hydrocortamate" title="Hydrocortamate">Hydrocortamate (hydrocortisone diethylaminoacetate)</a></li> <li><a href="/wiki/List_of_corticosteroid_esters#Hydrocortisone_esters" title="List of corticosteroid esters">Hydrocortisone esters</a></li></ul></li> <li><a href="/wiki/Cortisone" title="Cortisone">Cortisone</a> <ul><li><a href="/wiki/Cortisone_acetate" title="Cortisone acetate">Cortisone acetate</a></li></ul></li> <li><a href="/wiki/Fludrocortisone" title="Fludrocortisone">Fludrocortisone (fludrocortone)</a> <ul><li><a href="/wiki/Fludrocortisone_acetate" class="mw-redirect" title="Fludrocortisone acetate">Fludrocortisone acetate</a></li></ul></li> <li><a href="/wiki/Mometasone" title="Mometasone">Mometasone</a> <ul><li><a href="/wiki/Mometasone_furoate" class="mw-redirect" title="Mometasone furoate">Mometasone furoate</a></li></ul></li> <li><a href="/wiki/Prednisolone" title="Prednisolone">Prednisolone</a> <ul><li><a href="/wiki/Prednazate" title="Prednazate">Prednazate</a></li> <li><a href="/wiki/Prednazoline" title="Prednazoline">Prednazoline</a></li> <li><a href="/wiki/Prednicarbate" title="Prednicarbate">Prednicarbate (prednisolone ethylcarbonate propionate)</a></li> <li><a href="/wiki/Prednimustine" title="Prednimustine">Prednimustine</a></li> <li><a href="/wiki/Prednisolamate" title="Prednisolamate">Prednisolamate (prednisolone diethylaminoacetate)</a></li> <li><a href="/wiki/List_of_corticosteroid_esters#Prednisolone_esters" title="List of corticosteroid esters">Prednisolone esters</a></li></ul></li> <li><a href="/wiki/Prednisone" title="Prednisone">Prednisone</a> <ul><li><a href="/wiki/List_of_corticosteroid_esters#Prednisone_esters" title="List of corticosteroid esters">Prednisone esters</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:6em;;text-align:center">Antagonists</th><td class="navbox-list-with-group navbox-list navbox-even" style="padding:0"><div style="padding:0 0.25em"> <ul><li><i>Steroidal:</i> <a href="/wiki/6%CE%B2-Hydroxy-7%CE%B1-thiomethylspironolactone" title="6β-Hydroxy-7α-thiomethylspironolactone">6β-Hydroxy-7α-thiomethylspironolactone</a></li> <li><a href="/w/index.php?title=7%CE%B1-Acetylthio-17%CE%B1-hydroxyprogesterone&action=edit&redlink=1" class="new" title="7α-Acetylthio-17α-hydroxyprogesterone (page does not exist)">7α-Acetylthio-17α-hydroxyprogesterone</a></li> <li><a href="/wiki/7%CE%B1-Thiomethylspironolactone" title="7α-Thiomethylspironolactone">7α-Thiomethylspironolactone (SC-26519)</a></li> <li><a href="/wiki/7%CE%B1-Thioprogesterone" title="7α-Thioprogesterone">7α-Thioprogesterone (SC-8365)</a></li> <li><a href="/wiki/7%CE%B1-Thiospironolactone" title="7α-Thiospironolactone">7α-Thiospironolactone (SC-24813)</a></li> <li><a href="/wiki/16%CE%B1-Hydroxyprogesterone" title="16α-Hydroxyprogesterone">16α-Hydroxyprogesterone</a></li> <li><a href="/wiki/17%CE%B1-Hydroxyprogesterone" title="17α-Hydroxyprogesterone">17α-Hydroxyprogesterone (hydroxyprogesterone)</a></li> <li><a href="/wiki/18-Deoxyaldosterone" title="18-Deoxyaldosterone">18-Deoxyaldosterone</a></li> <li><a href="/w/index.php?title=18,19-Dinorprogesterone&action=edit&redlink=1" class="new" title="18,19-Dinorprogesterone (page does not exist)">18,19-Dinorprogesterone</a></li> <li><a href="/wiki/Potassium_canrenoate" title="Potassium canrenoate">Canrenoate potassium (potassium canrenoate)</a></li> <li><a href="/wiki/Canrenoic_acid" title="Canrenoic acid">Canrenoic acid (canrenoate)</a></li> <li><a href="/wiki/Canrenone" title="Canrenone">Canrenone (canrenoate y-lactone)</a></li> <li><a href="/wiki/Dicirenone" title="Dicirenone">Dicirenone</a></li> <li><a href="/wiki/Dimethisterone" title="Dimethisterone">Dimethisterone</a></li> <li><a href="/wiki/Drospirenone" title="Drospirenone">Drospirenone</a></li> <li><a href="/wiki/Dydrogesterone" title="Dydrogesterone">Dydrogesterone</a></li> <li><a href="/wiki/Eplerenone" title="Eplerenone">Eplerenone</a></li> <li><a href="/wiki/Gestodene" title="Gestodene">Gestodene</a></li> <li><a href="/wiki/Guggulsterone" title="Guggulsterone">Guggulsterone</a></li> <li><a href="/wiki/Hydroxyprogesterone_caproate" title="Hydroxyprogesterone caproate">Hydroxyprogesterone caproate</a></li> <li><a href="/wiki/Medrogestone" title="Medrogestone">Medrogestone</a></li> <li><a href="/wiki/Mespirenone" title="Mespirenone">Mespirenone</a></li> <li><a href="/wiki/Metribolone" title="Metribolone">Metribolone</a></li> <li><a href="/wiki/Mexrenoate_potassium" title="Mexrenoate potassium">Mexrenoate potassium</a></li> <li><a href="/wiki/Mexrenoic_acid" title="Mexrenoic acid">Mexrenoic acid (mexrenoate)</a></li> <li><a href="/wiki/Mexrenone" title="Mexrenone">Mexrenone</a></li> <li><a href="/wiki/Oxprenoic_acid" title="Oxprenoic acid">Oxprenoic acid (oxprenoate)</a></li> <li><a href="/wiki/Oxprenoate_potassium" title="Oxprenoate potassium">Oxprenoate potassium (RU-28318)</a></li> <li><a href="/wiki/Pregnenolone" title="Pregnenolone">Pregnenolone</a></li> <li><a href="/wiki/Progesterone" title="Progesterone">Progesterone</a></li> <li><a href="/wiki/Prorenoate_potassium" title="Prorenoate potassium">Prorenoate potassium</a></li> <li><a href="/wiki/Prorenoic_acid" title="Prorenoic acid">Prorenoic acid (prorenoate)</a></li> <li><a href="/wiki/Prorenone" title="Prorenone">Prorenone</a></li> <li><a href="/w/index.php?title=RO-14-9012&action=edit&redlink=1" class="new" title="RO-14-9012 (page does not exist)">RO-14-9012</a></li> <li><a href="/w/index.php?title=RU-26752&action=edit&redlink=1" class="new" title="RU-26752 (page does not exist)">RU-26752</a></li> <li><a href="/wiki/SC-5233" title="SC-5233">SC-5233 (spirolactone)</a></li> <li><a href="/wiki/SC-8109" title="SC-8109">SC-8109</a></li> <li><a href="/w/index.php?title=SC-11927&action=edit&redlink=1" class="new" title="SC-11927 (page does not exist)">SC-11927 (CS-1)</a></li> <li><a href="/w/index.php?title=SC-19886&action=edit&redlink=1" class="new" title="SC-19886 (page does not exist)">SC-19886</a></li> <li><a href="/w/index.php?title=SC-27169&action=edit&redlink=1" class="new" title="SC-27169 (page does not exist)">SC-27169</a></li> <li><a href="/wiki/Spirorenone" title="Spirorenone">Spirorenone</a></li> <li><a href="/wiki/Spironolactone" title="Spironolactone">Spironolactone</a></li> <li><a href="/wiki/Spiroxasone" title="Spiroxasone">Spiroxasone</a></li> <li><a href="/wiki/Tibolone" title="Tibolone">Tibolone</a></li> <li><a href="/wiki/Trimegestone" title="Trimegestone">Trimegestone</a></li> <li><a href="/wiki/Vamorolone" title="Vamorolone">Vamorolone</a></li> <li><a href="/w/index.php?title=ZK-91587&action=edit&redlink=1" class="new" title="ZK-91587 (page does not exist)">ZK-91587</a></li> <li><a href="/w/index.php?title=ZK-97894&action=edit&redlink=1" class="new" title="ZK-97894 (page does not exist)">ZK-97894</a></li></ul> <ul><li><i>Nonsteroidal:</i> <a href="/wiki/Amlodipine" title="Amlodipine">Amlodipine</a></li> <li><a href="/wiki/Apararenone" title="Apararenone">Apararenone</a></li> <li><a href="/wiki/Benidipine" title="Benidipine">Benidipine</a></li> <li><a href="/w/index.php?title=BR-4628&action=edit&redlink=1" class="new" title="BR-4628 (page does not exist)">BR-4628</a></li> <li><a href="/wiki/Esaxerenone" title="Esaxerenone">Esaxerenone</a></li> <li><a href="/wiki/Felodipine" title="Felodipine">Felodipine</a></li> <li><a href="/wiki/Finerenone" title="Finerenone">Finerenone</a></li> <li><a href="/wiki/Miricorilant" title="Miricorilant">Miricorilant (CORT-118335)</a></li> <li><a href="/wiki/Nifedipine" title="Nifedipine">Nifedipine</a></li> <li><a href="/wiki/Nimodipine" title="Nimodipine">Nimodipine</a></li> <li><a href="/wiki/Nitrendipine" title="Nitrendipine">Nitrendipine</a></li> <li><a href="/wiki/Ocedurenone" title="Ocedurenone">Ocedurenone</a></li> <li><a href="/w/index.php?title=PF-03882845&action=edit&redlink=1" class="new" title="PF-03882845 (page does not exist)">PF-03882845</a></li> <li><a href="/w/index.php?title=SM-368229&action=edit&redlink=1" class="new" title="SM-368229 (page does not exist)">SM-368229</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><td class="navbox-abovebelow" colspan="2"><div> <dl><dt>See also</dt> <dd><a href="/wiki/Template:Receptor_modulators" title="Template:Receptor modulators">Receptor/signaling modulators</a></dd> <dd><a href="/wiki/Template:Mineralocorticoids_and_antimineralocorticoids" title="Template:Mineralocorticoids and antimineralocorticoids">Mineralocorticoids and antimineralocorticoids</a></dd> <dd><a href="/wiki/Template:Glucocorticoid_receptor_modulators" title="Template:Glucocorticoid receptor modulators">Glucocorticoid receptor modulators</a></dd> <dd><a href="/wiki/List_of_corticosteroids" title="List of corticosteroids">List of corticosteroids</a></dd></dl> </div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1129693374"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236075235"><style data-mw-deduplicate="TemplateStyles:r1038841319">.mw-parser-output .tooltip-dotted{border-bottom:1px dotted;cursor:help}</style><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1038841319"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1038841319"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1038841319"></div><div role="navigation" class="navbox authority-control" 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