The predictable, cyclical patterns of decreased cortisol secretion, particularly during the late evening and early sleep phases, which are crucial for transitioning the body into a restorative, parasympathetic-dominant state. A healthy suppression rhythm is vital for regulating the Hypothalamic-Pituitary-Adrenal (HPA) axis and facilitating the nocturnal release of anabolic hormones, such as Growth Hormone. Disruption of this rhythm can indicate chronic stress or HPA axis dysregulation.
Origin
This term is a clinical descriptor derived from the established field of neuroendocrinology, focusing on the diurnal variation of the primary glucocorticoid, cortisol. The concept of rhythm highlights the chronobiological necessity of adrenal gland activity having a necessary quiescent period to prevent sustained catabolism. Clinical assessment often targets the nocturnal trough.
Mechanism
The suppression is mediated by a negative feedback loop where low levels of Corticotropin-Releasing Hormone (CRH) and Adrenocorticotropic Hormone (ACTH) signal the adrenal cortex to reduce cortisol synthesis. Melatonin and adenosine accumulation contribute to this nocturnal inhibition, allowing for a metabolic shift away from stress response and toward cellular repair, protein synthesis, and tissue remodeling during deep sleep.
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