Dynamics of ACTH and cortisol secretion and implications for disease

SL Lightman, MT Birnie… - Endocrine …, 2020 - academic.oup.com
The past decade has seen several critical advances in our understanding of hypothalamic–
pituitary–adrenal (HPA) axis regulation. Homeostatic physiological circuits need to integrate …

Role of glucocorticoid negative feedback in the regulation of HPA axis pulsatility

JK Gjerstad, SL Lightman, F Spiga - Stress, 2018 - Taylor & Francis
The hypothalamic–pituitary–adrenal (HPA) axis is the major neuroendocrine axis regulating
homeostasis in mammals. Glucocorticoid hormones are rapidly synthesized and secreted …

A users guide to HPA axis research

RL Spencer, T Deak - Physiology & behavior, 2017 - Elsevier
Glucocorticoid hormones (cortisol and corticosterone-CORT) are the effector hormones of
the hypothalamic-pituitary-adrenal (HPA) axis neuroendocrine system. CORT is a systemic …

The functional and clinical significance of the 24-hour rhythm of circulating glucocorticoids

H Oster, E Challet, V Ott, E Arvat, ER de Kloet… - Endocrine …, 2017 - academic.oup.com
Adrenal glucocorticoids are major modulators of multiple functions, including energy
metabolism, stress responses, immunity, and cognition. The endogenous secretion of …

Adrenal insufficiency

S Hahner, RJ Ross, W Arlt, I Bancos… - Nature Reviews …, 2021 - nature.com
Adrenal insufficiency (AI) is a condition characterized by an absolute or relative deficiency of
adrenal cortisol production. Primary AI (PAI) is rare and is caused by direct adrenal failure …

High-resolution daily profiles of tissue adrenal steroids by portable automated collection

TJ Upton, E Zavala, P Methlie, O Kämpe… - Science translational …, 2023 - science.org
Rhythms are intrinsic to endocrine systems, and disruption of these hormone oscillations
occurs at very early stages of the disease. Because adrenal hormones are secreted with …

Anaesthesia, analgesia, and the surgical stress response

B Cusack, DJ Buggy - BJA education, 2020 - bjaed.org
The magnitude, invasiveness, and duration of surgery are central in determining the degree
of the body's integrated stress response. Major open vascular and abdominal surgery, joint …

Unraveling the time domains of corticosteroid hormone influences on brain activity: rapid, slow, and chronic modes

M Joëls, RA Sarabdjitsingh, H Karst, GE Gillies - Pharmacological reviews, 2012 - Elsevier
Brain cells are continuously exposed to corticosteroid hormones, although the levels vary
(eg, after stress). Corticosteroids alter neural activity via two receptor types …

POMC: the physiological power of hormone processing

E Harno, T Gali Ramamoorthy, AP Coll… - Physiological …, 2018 - journals.physiology.org
Pro-opiomelanocortin (POMC) is the archetypal polypeptide precursor of hormones and
neuropeptides. In this review, we examine the variability in the individual peptides produced …

A new model for the HPA axis explains dysregulation of stress hormones on the timescale of weeks

O Karin, M Raz, A Tendler, A Bar… - Molecular systems …, 2020 - embopress.org
Stress activates a complex network of hormones known as the hypothalamic–pituitary–
adrenal (HPA) axis. The HPA axis is dysregulated in chronic stress and psychiatric …