The core neuroendocrine axis, HPA, responsible for coordinating the body’s response to stress through the regulated release of cortisol and other glucocorticoids. Proper function involves precise negative feedback loops ensuring that stress responses are transient and appropriate to the stimulus intensity. Dysregulation here profoundly impacts metabolic stability and immune modulation.
Origin
The HPA axis concept is foundational to stress physiology and endocrinology, mapping the hierarchical control from the hypothalamus releasing CRH, stimulating the pituitary to release ACTH, which finally prompts the adrenal cortex to produce cortisol. Its origin is rooted in the discovery of the body’s non-specific response to noxious stimuli. This axis is central to adaptation.
Mechanism
The mechanism initiates with neuronal input activating the paraventricular nucleus of the hypothalamus, leading to pulsatile CRH release, which drives ACTH secretion from the anterior pituitary. Cortisol then acts systemically, promoting gluconeogenesis and suppressing inflammation, while simultaneously feeding back to inhibit CRH and ACTH release to terminate the response. Maintaining rhythmicity in this cascade is vital for systemic health.
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