The physiological process where the hypothalamus recalibrates the preferred target range for a regulated variable, such as body temperature, appetite, or circulating hormone levels, in response to chronic environmental or internal stimuli. This adjustment represents a central adaptation to altered homeostatic demands, often observed during prolonged energy deficit or sustained stress exposure. It is a critical mechanism for long-term physiological adaptation.
Origin
This concept derives from thermoregulation studies, where the hypothalamus acts as the body’s thermostat, but its application extends to other regulated variables like adiposity or thyroid hormone levels. “Setpoint” defines the desired equilibrium point, and “adjustment” describes the neuroendocrine process of shifting this target value. This concept is central to understanding chronic metabolic adaptations.
Mechanism
The hypothalamus integrates afferent metabolic and hormonal signals via specialized neuronal populations, notably within the arcuate nucleus. Chronic exposure to signals like leptin or ghrelin can induce epigenetic or functional changes in these neurons, altering the sensitivity of the system controlling the release of downstream hormones like TRH or GnRH. This shift in central sensitivity effectively moves the physiological operating range.
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