The crucial physiological regulatory loop within the Hypothalamic-Pituitary-Adrenal (HPA) axis where circulating glucocorticoids, primarily cortisol, act back upon the hypothalamus and pituitary gland to suppress the further release of their stimulating hormones. This negative feedback mechanism is essential for preventing excessive and prolonged stress hormone exposure, maintaining hormonal homeostasis, and ensuring the body’s return to a baseline state after a stressor. Dysfunction in this inhibitory pathway can lead to chronic hypercortisolemia and stress-related pathology.
Origin
The term is rooted in the principles of control systems theory applied to endocrinology, where feedback inhibition describes a product suppressing its own production pathway. The HPA Axis is the anatomical and functional system involved, a term coined from its three constituent endocrine organs. This biological control system is a classic example of hormonal regulation in human physiology.
Mechanism
Cortisol, once secreted by the adrenal cortex, travels through the bloodstream and binds to glucocorticoid receptors (GR) located in the hypothalamus and the anterior pituitary gland. Activation of these receptors inhibits the release of Corticotropin-Releasing Hormone (CRH) from the hypothalamus and Adrenocorticotropic Hormone (ACTH) from the pituitary, respectively. This suppression effectively dampens the adrenal response, thus completing the negative feedback loop and tightly controlling the concentration of circulating cortisol.
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