HPA Axis Damping is the physiological process of reducing the magnitude, duration, or sensitivity of the Hypothalamic-Pituitary-Adrenal (HPA) axis response to perceived or actual stressors. This targeted modulation prevents the chronic overproduction of stress hormones, such as cortisol, which is detrimental to systemic health. Effective damping promotes a return to a healthy, balanced diurnal cortisol rhythm and protects the brain from glucocorticoid-induced neurotoxicity.
Origin
The term is derived from control systems engineering, where “damping” refers to the reduction of oscillatory behavior in a system, applied here to the neuroendocrine feedback loop. In endocrinology, it describes the therapeutic goal of restoring appropriate negative feedback sensitivity to the HPA axis, often impaired by chronic stress.
Mechanism
Damping is achieved by increasing the sensitivity of glucocorticoid receptors in the hypothalamus and pituitary, which enhances the negative feedback loop that shuts down the stress response. Furthermore, it involves promoting inhibitory neurotransmission, such as GABA, within the limbic system to reduce the initial drive for Corticotropin-Releasing Hormone (CRH) release from the hypothalamus. This multi-level modulation ensures a measured and proportionate endocrine response to stress, rather than an exaggerated or prolonged one.
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