The interconnected, conserved biological and cellular signaling cascades, primarily involving the Hypothalamic-Pituitary-Adrenal (HPA) axis, the sympathetic nervous system, and the immune system, that are activated in response to physiological or psychological challenges. These pathways function to restore homeostasis by coordinating the release of stress hormones, altering gene expression, and initiating cellular repair mechanisms. The efficiency of these pathways determines an individual’s resilience and capacity to recover from stress.
Origin
This concept is a cornerstone of endocrinology and stress physiology, rooted in Hans Selye’s work on the General Adaptation Syndrome, where the body’s systemic response to stressors was first characterized. The term ‘pathways’ refers to the complex biochemical routes involved, while ‘adaptation’ signifies the body’s capacity to adjust to new or difficult conditions. It is a critical framework for understanding chronic stress-related disease.
Mechanism
Activation begins in the hypothalamus, leading to the release of CRH, which initiates the HPA axis cascade culminating in cortisol release from the adrenal cortex. Simultaneously, the sympathetic nervous system releases catecholamines. These hormones then bind to receptors throughout the body, triggering metabolic and cardiovascular changes designed to cope with the perceived threat. Long-term health depends on the pathways’ ability to efficiently downregulate once the stressor is removed.
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