The intricate homeostatic control mechanism governing the Hypothalamic-Pituitary-Adrenal (HPA) axis, primarily focusing on the negative feedback loop regulating cortisol secretion. Optimal regulation ensures appropriate physiological responses to stressors while preventing chronic glucocorticoid excess or deficiency. Understanding this is central to managing stress-related endocrinopathies.
Origin
Rooted deeply in classic endocrinology, this concept describes the HPA axis discovered through foundational studies on adrenal gland function and stress response physiology. The ‘regulation’ aspect emphasizes dynamic equilibrium.
Mechanism
Regulation operates via CRH release from the hypothalamus stimulating ACTH from the pituitary, which then prompts cortisol release from the adrenals. Elevated circulating cortisol then signals back to the hypothalamus and pituitary to suppress further signaling, thereby maintaining euthyroid-like balance in the stress response system. Disruptions often involve impaired negative feedback sensitivity.
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