Corticotropin Releasing Hormone, Receptor Regulation and the Stress Response

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Abstract

Corticotropin releasing hormone (CRH) coordinates behavioral, autonomic and hormonal responses to stress, including activation of the hypothalamic–pituitary–adrenal (HPA) axis with stimulation of adrenocorticotropin (ACTH) and glucocorticoids. Differential changes of expression of CRH and vasopressin(VP) in the parvicellular hypothalamic paraventricular nucleus (PVN), as well as regulation of CRH and VP receptors, are critical for the responsiveness of the HPA axis during stress. Pituitary CRH receptor (CRH-R)expression and content is controlled by the coordinated action of CRH, VP and glucocorticoids. Marked changes in hypothalamic and pituitary CRH-R expression support a key regulatory role for CRH in the HPA axis and the integrated stress response.

Section snippets

Stress and the Hypothalamic CRH System

The major site of CRH production is the hypothalamic PVN, which consists of three major subdivisions (Fig. 2): (1) anterior and medial-dorsal parvicellular CRH neurons with axons projecting to hypophyseal portal capillaries in the external zone of the median eminence; (2) dorsolateral magnocellular vasopressinergic and oxytocinergic neurons projecting to the posterior pituitary through the internal zone of the median eminence—these neurons also express small amounts of CRH and their activity

Effects of CRH

In humans and rats, CRH is the major regulator of corticotroph function, with actions on ACTH secretion, proopiomelanocortin (POMC) transcription and cell mitosis (Vale et al., 1983, Levin and Roberts, 1991, Childs et al., 1995). These effects of CRH are mediated by adenylate cyclase/cAMP/protein kinase A-dependent mechanisms triggered by binding of CRH to CRH-R1 in the corticotroph (Abou-Samra et al., 1987). Activation of Ca2+ channels secondary to increases in cAMP contributes to the full

Conclusions

CRH produced in the PVN and other areas of the brain acts upon receptors in the anterior pituitary and limbic system to coordinate behavioral, autonomic and endocrine responses to stress. The main hormonal response is stimulation of the HPA axis, which involves CRH and VP secretion from parvicellular neurons of the PVN, with consequent stimulation of pituitary ACTH secretion and adrenal glucocorticoids. Repeated stimuli are associated either with desensitization or maintained ACTH responses to

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