Neurotoxic Cortisol Mitigation is a clinical strategy focused on reducing the damaging effects of chronically elevated or dysregulated cortisol on the central nervous system, particularly in the hippocampus and prefrontal cortex. Chronic, excessive cortisol exposure is neurotoxic, impairing cognitive function, reducing neurogenesis, and contributing to mood disorders. Mitigation involves targeted interventions to normalize the HPA axis, restore cortisol rhythm, and enhance neuronal resilience.
Origin
This term stems from the clinical recognition of the link between chronic stress, sustained glucocorticoid elevation, and the atrophy observed in brain regions vital for memory and emotion regulation. The scientific foundation lies in studies demonstrating the high density of glucocorticoid receptors in the hippocampus and the vulnerability of these cells to prolonged stress hormone exposure.
Mechanism
Mitigation strategies operate by supporting the negative feedback loop of the HPA axis, often utilizing adaptogens or specific nutritional cofactors that help normalize the signaling between the hypothalamus, pituitary, and adrenal glands. By reducing the overall cortisol burden and improving its diurnal rhythm, the strategy aims to decrease oxidative stress and excitotoxicity in vulnerable brain regions, thereby preserving neuronal structure and cognitive function.
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