PHYSIOLOGY OF THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS IN HEALTH AND DYSREGULATION IN PSYCHIATRIC AND AUTOIMMUNE DISORDERS

被引:135
作者
TSIGOS, C
CHROUSOS, GP
机构
[1] NIH, PEDIAT ENDOCRINOL SECT, DEV ENDOCRINOL BRANCH, BETHESDA, MD USA
[2] NIH, PEDIAT ENDOCRINOL TRAINING PROGRAM, BETHESDA, MD USA
关键词
D O I
10.1016/S0889-8529(18)30078-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The hypothalamic-pituitary-adrenal (HPA) axis is the endocrine limb of the ''stress system'' that, together with the sympathetic nervous system, plays a crucial role in maintaining homeostasis. This article briefly reviews current knowledge on the physiology of the HPA axis, including the regulation of its principle modulators, CRH and arginine vasopressin, its interactions with the immune system and other endocrine axes, and its altered regulation or dysregulation in various physiologic and pathophysiologic states, respectively.
引用
收藏
页码:451 / 466
页数:16
相关论文
共 158 条
[1]   MECHANISMS OF ACTION OF CRF AND OTHER REGULATORS OF ACTH RELEASE IN PITUITARY CORTICOTROPHS [J].
ABOUSAMRA, AB ;
HARWOOD, JP ;
CATT, KJ ;
AGUILERA, G .
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES, 1987, 512 :67-84
[2]   ALPHA-2-ADRENOCEPTOR-MEDIATED HYPERPOLARIZATION OF LOCUS COERULEUS NEURONS - INTRACELLULAR STUDIES INVIVO [J].
AGHAJANIAN, GK ;
VANDERMAELEN, CP .
SCIENCE, 1982, 215 (4538) :1394-1396
[3]   CORTICOTROPIN-RELEASING FACTOR RECEPTORS - DISTRIBUTION AND REGULATION IN BRAIN, PITUITARY, AND PERIPHERAL-TISSUES [J].
AGUILERA, G ;
MILLAN, MA ;
HAUGER, RL ;
CATT, KJ .
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES, 1987, 512 :48-66
[4]   FACTORS CONTROLLING STEROID-BIOSYNTHESIS IN THE ZONA GLOMERULOSA OF THE ADRENAL [J].
AGUILERA, G .
JOURNAL OF STEROID BIOCHEMISTRY AND MOLECULAR BIOLOGY, 1993, 45 (1-3) :147-151
[5]  
AGUILERA G, 1990, CORTICOTROPIN RELEAS, P154
[6]   BIOLOGY OF MULTIFUNCTIONAL CYTOKINES - IL-6 AND RELATED MOLECULES (IL-1 AND TNF) [J].
AKIRA, S ;
HIRANO, T ;
TAGA, T ;
KISHIMOTO, T .
FASEB JOURNAL, 1990, 4 (11) :2860-2867
[7]   EFFECT OF ADRENALINE ON BASAL AND OVINE CORTICOTROPIN-RELEASING FACTOR-STIMULATED ACTH-SECRETION IN MAN [J].
ALDAMLUJI, S ;
CUNNAH, D ;
GROSSMAN, A ;
PERRY, L ;
ROSS, G ;
COY, D ;
REES, LH ;
BESSER, GM .
JOURNAL OF ENDOCRINOLOGY, 1987, 112 (01) :145-150
[8]  
ALZEIN M, 1984, NEUROENDOCRINOL LETT, V6, P151
[9]   VASOPRESSINERGIC CONTROL OF PITUITARY ADRENOCORTICOTROPIN SECRETION COMES OF AGE [J].
ANTONI, FA .
FRONTIERS IN NEUROENDOCRINOLOGY, 1993, 14 (02) :76-122