Noradrenaline Alertness refers to the heightened state of physiological readiness and focused arousal mediated by the catecholamine norepinephrine, which is released both as a neurotransmitter in the brain and as a hormone from the adrenal medulla. While crucial for acute response, chronic elevation signifies maladaptive stress, taxing cardiovascular and metabolic reserves. We evaluate this state as a measure of acute stress load.
Origin
Norepinephrine (Noradrenaline) is central to the sympathetic nervous system’s ‘fight or flight’ response. Alertness describes the behavioral outcome of its action on central receptors and peripheral target tissues. In endocrinology, we assess its chronic level as an indicator of sustained HPA axis engagement.
Mechanism
The mechanism involves norepinephrine binding to alpha and beta-adrenergic receptors, increasing heart rate, mobilizing hepatic glucose stores, and sharpening sensory processing. Sustained signaling depletes adrenal reserves and can drive peripheral insulin resistance through constant mobilization of energy substrates. Balancing this requires mitigating chronic psychological or physiological stressors that drive its release.
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