2000
DOI: 10.1093/qjmed/93.6.323
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The stress response and the hypothalamic-pituitary-adrenal axis: from molecule to melancholia

Abstract: Organisms survive by maintaining equilibrium with their environment. The stress system is critical to this homeostasis. Glucocorticoids modulate the stress response at a molecular level by altering gene expression, transcription, and translation, among other pathways. The effect is the inhibition of the functions of inflammatory cells, predominantly mediated through inhibition of cytokines, such as IL-1, IL-6, and TNF-alpha. The central effectors of the stress response are the corticotrophin-releasing hormone … Show more

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Cited by 325 publications
(255 citation statements)
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“…However, in the present study, the hematology analyzer was used showing that the number of WBC and the percentage of granulocytes (eosinophils + basophils) decreased significantly in heat-stressed pigs. These findings are in accordance with a previous study in which the percentages of basophils and eosinophils, leukocytes and monocytes were reduced by glucocorticoids in stressed animals (O'Connor et al, 2000). This inhibition is mediated at the level of cytokine gene transcription, and by inhibition of the production of arachidonic acid-derived proinflammatory substances (Panes et al, 2009).…”
Section: Discussionsupporting
confidence: 93%
“…However, in the present study, the hematology analyzer was used showing that the number of WBC and the percentage of granulocytes (eosinophils + basophils) decreased significantly in heat-stressed pigs. These findings are in accordance with a previous study in which the percentages of basophils and eosinophils, leukocytes and monocytes were reduced by glucocorticoids in stressed animals (O'Connor et al, 2000). This inhibition is mediated at the level of cytokine gene transcription, and by inhibition of the production of arachidonic acid-derived proinflammatory substances (Panes et al, 2009).…”
Section: Discussionsupporting
confidence: 93%
“…As noted earlier, the ultimate function of PTX3 is unknown, although it is associated with neuronal apoptosis and may have a neuroprotective role (Ravizza et al, 2001). If the increased expression of PTX3 is confirmed in the brains of patients with depression, the finding will add to a growing body of evidence, suggesting neuroendocrineimmune dysfunction in melancholia (Miller et al, 1999;O'Connor et al, 2000).…”
Section: Discussionmentioning
confidence: 87%
“…Activation of the locus coeruleus (LC)-norepinephrine (NE) system is a consistent response to stress that may function to optimize the state of arousal and mode of attention for adaptation to the challenge (Chrousos and Gold, 1992;O'Connor et al, 2000;Leonard, 2001;Vermetten and Bremner, 2002;Berridge and Waterhouse, 2003;Valentino and Van Bockstaele, 2005). As these functions are disrupted in depression and depression responds to agents that modulate brain NE activity, the LC-NE system is another potential substrate for sex differences in stress-related disorders.…”
Section: Introductionmentioning
confidence: 99%