The Melatonin-Cortisol Axis describes the critical, reciprocal relationship between the pineal hormone melatonin and the adrenal glucocorticoid cortisol, which together orchestrate the body’s circadian rhythm, sleep-wake cycle, and stress response. Melatonin secretion is typically elevated at night to promote sleep and repair, while cortisol peaks in the morning to facilitate wakefulness and metabolic readiness. The integrity of this axis is paramount for robust sleep architecture and stress resilience.
Origin
This concept is derived from chronobiology and neuroendocrinology, focusing on the two primary hormonal drivers of the light-dark cycle and the HPA axis activity. The clinical importance lies in diagnosing and treating circadian rhythm disruption, a common issue in modern health that severely impacts metabolic and immune function.
Mechanism
The Suprachiasmatic Nucleus (SCN) acts as the central pacemaker, regulating the secretion of both hormones. Darkness stimulates the pineal gland to synthesize and release melatonin, which has an inhibitory effect on HPA axis activity. Conversely, the SCN-driven morning signal, combined with waking stress, stimulates the HPA axis to release Corticotropin-Releasing Hormone (CRH) and Adrenocorticotropic Hormone (ACTH), leading to the diurnal cortisol peak. This synchronized oscillation ensures optimal energy partitioning across the 24-hour cycle.
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