“…For the neonate’s hypo-responsiveness to stressors a lot of factors have been implicated like: adrenal inhibition/insensitivity (Stanton et al, 1988; Chatelain et al, 1989; Walker, 1995; Okimoto et al, 2002), enhanced glucocorticoid receptor (GR) mediated negative feedback (Walker et al, 1986; van Oers et al, 1998a; Schmidt et al, 2005), inhibition of the brain renin-angiotensin system (Muret et al, 1992; Liebl et al, 2009), CRHR1 and CRHR2 receptors functions (Eghbal-Ahmadi et al, 1998; Schmidt et al, 2003b; Fenoglio et al, 2005; Schmidt et al, 2006a), central α 2 adrenoreceptor control of pituitary adrenocorticotropic hormone (ACTH) release (Grino et al, 1994) and central action of metabolic factors (Proulx et al, 2001; Salzmann et al, 2004; Schmidt et al, 2006b; Schmidt et al, 2008) as well as immaturity of the hypothalamus-pituitary connection (Suchecki et al, 1993) Yet, the most proximal cause for the transient hypo-responsiveness to stress is a strongly reduced responsiveness of the adrenals to ACTH (Rosenfeld et al, 1991; Okimoto et al, 2002). In fact, during the SHRP, the central stress response after a challenge does not translate into adrenal corticosterone secretion.…”