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Adrenaline (Epinephrine): synthesis, significance, clinical relevance

5. Adrenaline (Epinephrine)

Synthesis:

Conversion from Noradrenaline:

  • Enzyme: Phenylethanolamine N-methyltransferase (PNMT).

  • Process: Noradrenaline is methylated to form adrenaline (epinephrine).

  • Cofactor Required: S-adenosylmethionine (SAMe) as a methyl donor.

  • Mechanism: The enzyme transfers a methyl group from SAMe to the amine group of noradrenaline, producing adrenaline.

Significance:

  • Acute Stress Response: Adrenaline enhances the body's fight-or-flight response by increasing heart rate, blood pressure, blood glucose levels, and airflow to the lungs, preparing the body for rapid action.

Clinical Relevance:

  • Emergency Situations: Adrenaline is crucial during acute stress or danger, helping the body respond quickly to threats.


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