Abstract
The human stress response has evolved to maintain homeostasis under conditions of real or perceived stress. This objective is achieved through autoregulatory neural and hormonal systems in close association with central and peripheral clocks. The hypothalamic–pituitary–adrenal axis is a key regulatory pathway in the maintenance of these homeostatic processes. The end product of this pathway — cortisol — is secreted in a pulsatile pattern, with changes in pulse amplitude creating a circadian pattern. During acute stress, cortisol levels rise and pulsatility is maintained. Although the initial rise in cortisol follows a large surge in adrenocorticotropic hormone levels, if long-term inflammatory stress occurs,…
Citation impact
960
total citations
- FWCI
- 31.71
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- 100%
- References
- 154
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Authors
2Topics & keywords
Topics
Keywords
- Medicine
- Adrenocorticotropic hormone
- Endocrinology
- Vasopressin
- Internal medicine
- Homeostasis
- Hormone
- Glucocorticoid
UN Sustainable Development Goals
- Good health and well-being
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