Glucocorticoid Receptor Downregulation is a biological phenomenon where chronic exposure to elevated levels of glucocorticoids, such as cortisol, leads to a decrease in the number or sensitivity of their corresponding receptors on target cells. This adaptive process results in a diminished cellular response to the hormone, often contributing to a state of glucocorticoid resistance at the tissue level. Clinically, this downregulation can perpetuate chronic stress-related dysfunction and impair the body’s ability to regulate inflammation. It is a critical factor in the pathology of chronic stress.
Origin
This concept is a fundamental principle of receptor biology and endocrinology, illustrating a classic negative feedback mechanism inherent in hormone signaling pathways. It is frequently observed in conditions of chronic psychological or physiological stress where cortisol levels remain persistently high. The phenomenon explains how the body attempts to protect itself from excessive, prolonged hormonal signaling. This adaptation eventually becomes detrimental to systemic health.
Mechanism
The primary molecular mechanism involves the internalization and subsequent degradation of the glucocorticoid receptor (GR) protein, effectively removing it from the cell surface or cytoplasm. Reduced gene transcription of the GR itself also contributes to the lower receptor density. This cellular recalibration reduces the effectiveness of cortisol’s anti-inflammatory and metabolic actions, leading to potential systemic imbalances. The resulting insensitivity contributes to unmanaged inflammation.
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