The precise chronometric measurement of when the daily peak of the stress hormone cortisol occurs relative to an individual’s sleep-wake cycle, a critical component of the Hypothalamic-Pituitary-Adrenal (HPA) axis rhythm. Normally, cortisol levels exhibit a sharp rise shortly after waking, known as the Cortisol Awakening Response (CAR), followed by a gradual decline throughout the day. Aberrant timing, such as a delayed or premature peak, is a sensitive clinical indicator of HPA axis dysregulation.
Origin
This term stems directly from clinical endocrinology and chronobiology, focusing on the temporal pattern of glucocorticoid secretion. Cortisol, named for its adrenal cortex origin, has been studied extensively for its role in the stress response and circadian rhythm. The significance of timing emphasizes that hormone function is not merely about concentration but also about the precise moment of its signaling.
Mechanism
The suprachiasmatic nucleus (SCN) drives the circadian rhythm, influencing the pulsatile release of ACTH from the pituitary, which in turn stimulates cortisol release from the adrenal glands. This rhythm is tightly coupled to light exposure and sleep onset. When the timing of this elevation is shifted—for example, peaking later in the morning—it can disrupt downstream metabolic and immune functions, indicating a misalignment between the central clock and environmental cues.
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