1993
DOI: 10.1210/en.132.3.946
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Synergistic roles of interleukin-6, interleukin-1, and tumor necrosis factor in the adrenocorticotropin response to bacterial lipopolysaccharide in vivo

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Cited by 120 publications
(61 citation statements)
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“…The acute stress response is associated with a hyper-corticotropin, hypercortisol state, driven by elevated hypothalamic corticotropin-releasing hormone levels and by the known effects of tumor necrosis factor-a, interleukin-1b and interleukin-6 on corticotropin-releasing hormone and corticotropin [61][62][63]. Cytokine secretion inhibits normal negative feedback.…”
Section: Pituitary-adrenal Axismentioning
confidence: 99%
“…The acute stress response is associated with a hyper-corticotropin, hypercortisol state, driven by elevated hypothalamic corticotropin-releasing hormone levels and by the known effects of tumor necrosis factor-a, interleukin-1b and interleukin-6 on corticotropin-releasing hormone and corticotropin [61][62][63]. Cytokine secretion inhibits normal negative feedback.…”
Section: Pituitary-adrenal Axismentioning
confidence: 99%
“…Moreover, CRH release from hypothalamic explants is increased by IL-6 treatment [10, 11]. Lipopolysaccharide (LPS)-induced ACTH release is partly abrogated in IL-6-immunoneutralized rats and in IL-6-deficient mice [12, 13]. These data suggest that IL-6 is an important mediator of LPS-induced ACTH; however, its mechanisms of action are poorly understood.…”
Section: Introductionmentioning
confidence: 99%
“…AI may be part of APassociated multi-organ dysfunctions [31] and may have some association with the rapid progression and destruction of necrotizing pancreas [15], high incidence of complications, and high mortality in pancreatitis [4]. Exhaustion of adrenal cortex has been considered as responsible for AI in the early last century and proposed possible mechanisms for adrenal suppression during inflammation include direct inhibition of ACTH stimulation on adrenal cells, decreased pituitary response to CRH, interference with cortisol binding, release of adrenal contents of cAMP, and diminished adrenal blood flow [40][41][42][43][44]. In addition, the damage to adrenal cortex due to adrenal hemorrhage, necrosis, or adrenal vein thrombosis in some kinds of sepsis in coagulation disorders may be the direct explanations of AI [35,45,46].…”
Section: Discussionmentioning
confidence: 99%