Stress Axis Deactivation is the essential physiological process of promptly and completely terminating the acute stress response, specifically the activity of the Hypothalamic-Pituitary-Adrenal (HPA) axis, following the removal of a perceived threat or stressor. Efficient deactivation is characterized by a rapid return of cortisol and catecholamine levels to baseline, preventing the transition from acute, adaptive stress to chronic, maladaptive stress. This mechanism is paramount for preserving hormonal homeostasis and metabolic health.
Origin
This term is rooted in neuroendocrinology, describing the negative feedback loop that shuts down the ‘Stress Axis’ (HPA axis). ‘Deactivation’ denotes the cessation of the heightened physiological state, which is a necessary counterpart to the initial activation.
Mechanism
Deactivation is primarily mediated by the negative feedback of cortisol itself, which binds to glucocorticoid receptors in the hypothalamus and pituitary, inhibiting the release of CRH and ACTH, respectively. Efficient deactivation also relies on adequate mineralocorticoid receptor function and rapid hepatic and renal clearance of circulating cortisol. A failure in this mechanism leads to prolonged hypercortisolemia, which is highly catabolic and detrimental to metabolic and reproductive health.
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