The physiological process of dampening or reducing the intensity and duration of the systemic response elicited by an acute or chronic stressor, primarily mediated through the HPA axis feedback mechanisms. Effective attenuation prevents the transition from an adaptive stress response to chronic maladaptive allostatic overload. This involves restoring glucocorticoid receptor sensitivity.
Origin
This term combines ‘stress load,’ representing the cumulative physiological demand placed upon the system, with ‘attenuation,’ meaning the reduction in magnitude or force of the response. It is a core concept in stress physiology and endocrinology.
Mechanism
Attenuation is primarily achieved through negative feedback inhibition, where rising cortisol levels suppress CRH and ACTH release from the hypothalamus and pituitary, respectively. Furthermore, tissue sensitivity to cortisol via the glucocorticoid receptor influences the downstream inflammatory and metabolic cascade. Optimizing this feedback loop ensures that the system returns to euthyroid function rapidly post-stressor exposure.
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