Adrenocorticotropic hormone (ACTH), also known as corticotropin (INN, BAN) (brand names Acortan, ACTH, Acthar, Acton, Cortigel, Trofocortina), is a polypeptide tropic hormoneproduced and secreted by the anterior pituitary gland.
It is an important component of the hypothalamic-pituitary-adrenal axis and is often produced in response to biological stress (along with its precursor corticotropin-releasing hormone from the hypothalamus). Its principal effects are increased production and release of cortisol by the cortex of the adrenal gland. ACTH is also related to the circadian rhythm in many organisms. In addition to its endogenous role, ACTH is used clinically as a diagnostic agent in assessing adrenal function.
Deficiency of ACTH is a sign of secondary adrenal insufficiency (suppressed production of ACTH due to a impairment of the pituitary gland or hypothalamus, cf. hypopituitarism) or tertiary adrenal insufficiency (disease of the hypothalamus, with a decrease in the release of corticotropin releasing hormone CRH). Conversely, chronically elevated ACTH levels occur in primary adrenal insufficiency (e.g. Addison’s disease) when adrenal gland production of cortisol is chronically deficient. In Cushing’s disease a pituitary tumor is the cause of elevated ACTH (from the anterior pituitary) and an excess of cortisol (hypercortisolism) – this constellation of signs and symptoms is known as Cushing’s syndrome.