The systemic effect exerted by glucocorticoid hormones, primarily cortisol, on nearly every cell and organ system in the body. These steroid hormones are essential for life, playing a central role in regulating metabolism, suppressing inflammation, and modulating the stress response. However, chronic elevation or clinical overexposure can lead to significant catabolic effects, including muscle wasting, bone density loss, and immune suppression.
Origin
The term combines “Glucocorticoid,” a class of steroid hormones named for their role in glucose metabolism, and “Impact,” referring to their extensive physiological effect. Cortisol is the most well-known endogenous glucocorticoid.
Mechanism
Glucocorticoids exert their effects by binding to the intracellular glucocorticoid receptor (GR), forming a complex that translocates to the nucleus to modify gene transcription. This genomic action alters the synthesis of numerous proteins involved in glucose homeostasis, immune signaling, and inflammatory pathways. The overall function is to mobilize energy reserves and dampen excessive immune reactions, which is vital during periods of acute stress.
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