The predictable 24-hour pattern of secretion for glucocorticoid hormones, primarily cortisol in humans, characterized by a high concentration in the morning and a gradual decline to a low point at night. This rhythm is a critical output of the Hypothalamic-Pituitary-Adrenal (HPA) axis, essential for regulating stress response, metabolism, and immune function throughout the day. Deviations from this pattern are reliable clinical indicators of HPA axis dysfunction or chronic stress.
Origin
The term combines ‘diurnal’ (daily), ‘glucocorticoid’ (a class of steroid hormones affecting glucose metabolism), and ‘rhythm’ (a measured pattern). It is a more formal, scientific synonym for the cortisol diurnal variation, firmly rooted in classical endocrinology and chronobiology principles. The clinical utility of measuring this specific rhythm is a cornerstone of assessing adrenal health and metabolic integrity.
Mechanism
The rhythm is orchestrated by the pulsatile release of ACTH from the pituitary, which is itself controlled by the SCN-driven release of CRH from the hypothalamus. This signaling cascade results in the adrenal cortex producing a surge of cortisol upon waking, preparing the body for daytime activity. The subsequent negative feedback loop of cortisol on the HPA axis then facilitates the necessary decline in concentration throughout the afternoon and evening.
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