DHEA-S Rhythmicity describes the characteristic, predictable pattern of secretion and circulating levels of Dehydroepiandrosterone Sulfate (DHEA-S) over a 24-hour period. While DHEA-S is a long-acting adrenal androgen precursor with a relatively long half-life, its production, driven by the adrenal cortex under ACTH control, still exhibits a discernible circadian rhythm, paralleling cortisol but with a less pronounced amplitude. This rhythm is an important indicator of adrenal health.
Origin
This concept is a specialized application within chronobiology and adrenal endocrinology, extending the study of diurnal variation from cortisol to its primary sulfated precursor, DHEA-S. The term highlights the intrinsic “rhythmicity” of the adrenal gland’s output, a critical component of the body’s adaptive stress response and allostatic balance.
Mechanism
The rhythm is fundamentally linked to the HPA axis, where ACTH secretion, which peaks in the morning, stimulates the adrenal gland to produce both cortisol and DHEA, which is then sulfated into DHEA-S. Although the long half-life of DHEA-S smooths out the peaks and troughs compared to cortisol, the underlying adrenal drive is rhythmic. Maintaining this rhythmicity is essential for optimal precursor availability for downstream steroidogenesis and neurosteroid synthesis.
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