Why is cortisol considered a vital biomarker, and what are the health implications of its abnormal levels?
Label:chem
Topic
Cortisol is a steroid hormone produced by the adrenal gland and plays a crucial role in regulating various bodily functions. Abnormal levels of cortisol can indicate underlying health issues impacting the hypothalamus-pituitary-adrenal axis.
Answer
Cortisol is considered a reliable biomarker because it is a steroid hormone that helps maintain glucose levels, blood pressure, and metabolism, and is also known as the "stress biomarker" due to its increased release during stressful events. Prolonged elevated levels of cortisol can lead to serious conditions like Cushing's syndrome, with symptoms including obesity, cardiovascular complications, osteoporosis, fat tissue deposits, and purple striae. Conversely, insufficient cortisol production may indicate damaged adrenal glands and lead to Addison's disease, characterized by severe hypotension, hypovolemia, unintentional weight loss, persistent vomiting, and fatigue.
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