Cortisol Rhythmicity describes the predictable, diurnal fluctuation in the secretion rate of the glucocorticoid hormone cortisol by the adrenal cortex. This rhythm typically exhibits high levels shortly after awakening (the Cortisol Awakening Response) and a nadir around midnight. Maintaining this precise temporal pattern is essential for energy mobilization, immune modulation, and appropriate stress response calibration. Dysregulation, such as a flattened or inverted rhythm, signifies significant HPA axis dysfunction. This pattern reflects the body’s adaptation to cyclical demands.
Origin
The concept is derived from early endocrinology studies tracking systemic hormone levels over 24-hour periods, establishing the basis of chronobiology in human physiology. The rhythm is governed by the Hypothalamic-Pituitary-Adrenal (HPA) axis feedback loop, originating from the master clock in the SCN. Rhythmicity emphasizes the importance of when cortisol is present, not just how much is present overall. Understanding this cycle is fundamental to assessing adrenal health status.
Mechanism
The suprachiasmatic nucleus (SCN) sets the primary timing signal, driving the pulsatile release of CRH from the hypothalamus, which stimulates ACTH from the pituitary, ultimately triggering cortisol release from the zona fasciculata. Light exposure and behavioral cues robustly entrain this feedback loop. Cortisol itself exerts negative feedback on both the hypothalamus and pituitary to dampen its own secretion later in the day. This oscillating mechanism ensures metabolic readiness throughout the active phase and promotes restorative sleep during the inactive phase.
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