The hypothalamic-pituitary-adrenal axis in the pathogenesis of rheumatic diseases

被引:71
作者
Crofford, LJ [1 ]
机构
[1] Univ Michigan, Dept Rheumatol & Internal Med, Ann Arbor, MI 48109 USA
关键词
D O I
10.1016/S0889-8529(01)00004-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There is bi-directional interaction between the immune system and neuroendocrine axes by virtue of shared mediators and receptors. Several animal models have served to delineate a counter-regulatory role for the hypothalamic-pituitary-adrenal axis in autoimmune inflammatory diseases. In rheumatic diseases, such as rheumatoid arthritis and systemic lupus, there is evidence of altered neuroendocrine function. Stress axis dysregulation also may contribute to the pathobiology of noninflammatory rheumatic pain syndromes.
引用
收藏
页码:1 / +
页数:14
相关论文
共 76 条
[11]   Reciprocal interactions between the neuroendocrine and immune systems during inflammation [J].
Chikanza, IC ;
Grossman, AB .
RHEUMATIC DISEASE CLINICS OF NORTH AMERICA, 2000, 26 (04) :693-+
[12]   DEFECTIVE HYPOTHALAMIC RESPONSE TO IMMUNE AND INFLAMMATORY STIMULI IN PATIENTS WITH RHEUMATOID-ARTHRITIS [J].
CHIKANZA, IC ;
PETROU, P ;
KINGSLEY, G ;
CHROUSOS, G ;
PANAYI, GS .
ARTHRITIS AND RHEUMATISM, 1992, 35 (11) :1281-1288
[13]   THE CONCEPTS OF STRESS AND STRESS SYSTEM DISORDERS - OVERVIEW OF PHYSICAL AND BEHAVIORAL HOMEOSTASIS [J].
CHROUSOS, GP ;
GOLD, PW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 267 (09) :1244-1252
[14]   Neuroendocrine abnormalities in fibromyalgia and related disorders [J].
Crofford, LJ .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1998, 315 (06) :359-366
[15]   HYPOTHALAMIC-PITUITARY-ADRENAL AXIS PERTURBATIONS IN PATIENTS WITH FIBROMYALGIA [J].
CROFFORD, LJ ;
PILLEMER, SR ;
KALOGERAS, KT ;
CASH, JM ;
MICHELSON, D ;
KLING, MA ;
STERNBERG, EM ;
GOLD, PW ;
CHROUSOS, GP ;
WILDER, RL .
ARTHRITIS AND RHEUMATISM, 1994, 37 (11) :1583-1592
[16]  
CROFFORD LJ, 1993, J IMMUNOL, V151, P1587
[17]   Circadian relationships between interleukin (IL)-6 and hypothalamic-pituitary-adrenal axis hormones: Failure of IL-6 to cause sustained hypercortisolism in patients with early untreated rheumatoid arthritis [J].
Crofford, LJ ;
Kalogeras, KT ;
Mastorakos, G ;
Magiakou, MA ;
Wells, J ;
Kanik, KS ;
Gold, PW ;
Chrousos, GP ;
Wilder, RL .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1997, 82 (04) :1279-1283
[18]   Evidence that abnormalities of central neurohormonal systems are key to understanding fibromyalgia and chronic fatigue syndrome [J].
Crofford, LJ ;
Demitrack, MA .
RHEUMATIC DISEASE CLINICS OF NORTH AMERICA, 1996, 22 (02) :267-&
[19]   Central modulation of pain perception [J].
Crofford, LJ ;
Casey, KL .
RHEUMATIC DISEASE CLINICS OF NORTH AMERICA, 1999, 25 (01) :1-+
[20]   Different roles for androgens and estrogens in the susceptibility to autoimmune rheumatic diseases [J].
Cutolo, M ;
Wilder, RL .
RHEUMATIC DISEASE CLINICS OF NORTH AMERICA, 2000, 26 (04) :825-+