The precise, chronobiological pattern of hormone secretion from the adrenal glands, primarily cortisol and DHEA, over a 24-hour period. This rhythm dictates the body’s energy and stress response cycles, ensuring hormones are released in the correct order and magnitude throughout the day. Disruptions to this sequence, often seen in chronic stress, can severely impact metabolic function and overall vitality. Understanding this sequence is vital for assessing and supporting the hypothalamic-pituitary-adrenal (HPA) axis function.
Origin
This term is a clinical and functional endocrinology concept, combining the anatomical/physiological term “Adrenal Output” with the temporal precision of “Sequencing.” Its roots lie in the study of the HPA axis and the circadian rhythm of glucocorticoids like cortisol. Clinical practice utilizes sequencing analysis to diagnose and manage adrenal dysfunction patterns.
Mechanism
The suprachiasmatic nucleus (SCN) in the hypothalamus orchestrates this sequence by regulating the pulsatile release of ACTH, which then stimulates the adrenal cortex. Cortisol levels typically peak in the early morning to promote wakefulness and gradually decline throughout the day, reaching their nadir near midnight. DHEA often follows a similar, though less pronounced, diurnal pattern, and the ratio between these hormones at specific times is a key clinical marker, ensuring the body’s resources are allocated appropriately for daily activity and nightly repair.
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