New mode of hypothalamic-pituitary-adrenocortical axis regulation: significance for stress-related disorders

Z Rheumatol. 2000:59 Suppl 2:II/22-5. doi: 10.1007/s003930070013.

Abstract

Two types of corticosteroid receptors have been identified in the brain and pituitary that play an important role in the regulation of the hypothalamic-pituitary-adrenocortical (HPA) axis. These glucocorticoid hormone binding receptors are the mineralocorticoid receptor (MR) and the glucocorticoid receptor (GR). Evidently, a tight control of the concentration and function of these receptors is of prime importance for maintaining and regaining homeostasis after stressful challenges. Here, we describe a novel mechanism revealing a rapid upsurge in MR density in the hippocampus (a limbic structure highly involved in HPA axis regulation) after an acute psychologically stressful challenge. This rise in MR is accompanied by a stronger MR-mediated inhibitory control of the HPA axis. Thus, an acute stressful experience results in a reorganization of the HPA axis involving a principal role of the hippocampal MR. This novel mechanism may be of significance for increasing our understanding of the etiology of stress-related disorders.

MeSH terms

  • Animals
  • Brain Mapping
  • Corticotropin-Releasing Hormone / physiology
  • Hippocampus / physiopathology
  • Humans
  • Hypothalamo-Hypophyseal System / physiopathology*
  • Pituitary-Adrenal System / physiopathology*
  • Rats
  • Receptors, Glucocorticoid / physiology*
  • Receptors, Mineralocorticoid / physiology*
  • Up-Regulation / physiology

Substances

  • Receptors, Glucocorticoid
  • Receptors, Mineralocorticoid
  • Corticotropin-Releasing Hormone