The DOI matches its Crossref record; 220 of the 220 references it cites were found in a registry or an index.
HPA Axis‐Rhythms
Abstract
The hypothalamic-pituitary-adrenal (HPA) axis regulates circulating levels of glucocorticoid hormones, and is the major neuroendocrine system in mammals that provides a rapid response and defense against stress. Under basal (i.e., unstressed) conditions, glucocorticoids are released with a pronounced circadian rhythm, characterized by peak levels of glucocorticoids during the active phase, that is daytime in humans and nighttime in nocturnal animals such as mice and rats. When studied in more detail, it becomes clear that the circadian rhythm of the HPA axis is characterized by a pulsatile release of glucocorticoids from the adrenal gland that results in rapid ultradian oscillations of hormone levels both in the blood and within target tissues, including the brain. In this review, we discuss the regulation of these circadian and ultradian HPA rhythms, how these rhythms change in health and disease, and how they affect the physiology and behavior of the organism.
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“Under normal conditions, cortisol is released with a distinct diurnal rhythm, characterized by levels increasing during the night just prior to waking, a transient acute spike in release following awakening (the cortisol awakening response), followed by a steady decline throughout the day until sleep.”
From Childhood Trauma, the HPA Axis and Psychiatric Illnesses: A Targeted Literature Synthesis (2022) · cites this paper as [39]
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“Physical or psychological stressor also induces a temporary spike of cortisol (39).”
From Childhood Trauma, the HPA Axis and Psychiatric Illnesses: A Targeted Literature Synthesis (2022) · cites this paper as [39]
Citations
Cites
The nuclear receptor superfamily: the second decade
Mangelsdorf, D. J., Thummel, C., Beato, M., Herrlich, P., Schütz, G., Umesono, K., Blumberg, B., Kastner, P., Mark, M., Chambon, P., et al. (1995) · Cell · doi:10.1016/0092-8674(95)90199-x · Cited by 6,964
Physiology and neurobiology of stress and adaptation: central role of the brain
McEwen, B. S. (2007) · Physiological Reviews · doi:10.1152/physrev.00041.2006 · Cited by 5,429 · cited 1×
“In addition, glucocorticoids exert anti-inflammatory and immunosuppressive actions and can affect mood and cognitive function (35, 49, 128).”
Coordination of circadian timing in mammals
Reppert, S. M., & Weaver, D. R. (2002) · Nature · doi:10.1038/nature00965 · Cited by 4,379
Vale, W., Spiess, J., Rivier, C., & Rivier, J. (1981) · Science · doi:10.1126/science.6267699 · Cited by 3,965
Vale, W., Spiess, J., RIVIER, C. L., & Rivier, J. (1982) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-198205000-00013 · Cited by 3,904
Neural regulation of endocrine and autonomic stress responses
Ulrich-Lai, Y. M., & Herman, J. P. (2009) · Nature Reviews Neuroscience · doi:10.1038/nrn2647 · Cited by 3,318
Physiological functions of glucocorticoids in stress and their relation to pharmacological actions
MUNCK, A., GUYRE, P. M., & HOLBROOK, N. J. (1984) · Endocrine Reviews · doi:10.1210/edrv-5-1-25 · Cited by 3,083
Brain corticosteroid receptor balance in health and disease
de Kloet, E. R., Vreugdenhil, E., Oitzl, M. S., & Joëls, M. (1998) · Endocrine Reviews · doi:10.1210/edrv.19.3.0331 · Cited by 2,614
Brain corticosteroid receptor balance in health and disease
de Kloet, E. R. (1998) · Endocrine Reviews · doi:10.1210/er.19.3.269 · Cited by 2,614
Two receptor systems for corticosterone in rat brain: Microdistribution and differential occupation
REUL, J. M. H. M., & KLOET, E. R. D. (1985) · Endocrinology · doi:10.1210/endo-117-6-2505 · Cited by 2,580
Research works printed but not linked: 6
- 10.1210/en.130.5.2571 · DOI
- 10.1210/en.130.3.1394 · DOI
- 10.1210/en.130.5.2991 · DOI · Paper page
- 10.1210/me.8.10.1298 · DOI
- 10.1210/en.133.5.1941 · DOI
- 10.1210/en.139.10.4044 · DOI · Paper page
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Findling, J. W., & Raff, H. (2016) · Springer eBooks · doi:10.1007/978-3-319-45950-9_6 · Cited by 4
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Li, S., Zhang, S., Rensen, P. C. N., Meijer, O. C., Kooijman, S., & Kroon, J. (2024) · Life Sciences · doi:10.1016/j.lfs.2024.123080 · Cited by 2
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Li, C., Lu, T., Pan, C., & Hu, C. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms252211971 · Cited by 2
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Self-citationSwearingen, B. (2016) · CU Scholar (University of Colorado Boulder) · Cited by 1
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Han, M., Dong, W., Fu, K., Wang, J., Xu, Y., Zheng, Y., Kendrick, K. M., Ferraro, S., Xu, T., Yao, D., et al. (2025) · medRxiv · doi:10.1101/2025.05.18.25327885 · Cited by 1
König, R., Rotheneichner, P., Marschallinger, J., Aigner, L., & Couillard‐Després, S. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-801977-1.00007-6
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George, C. L., & Conway-Campbell, B. L. (2016) · Epigenetics and human health · doi:10.1007/978-3-319-24493-8_2
Upton, T. J., & Lightman, S. L. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-801238-3.64285-x
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Stirrat, L. (2018) · ERA
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Wilson, H. A. (2019) · The Atrium (University of Guelph)
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Thomas, S. J. (2019) · Cronfa (Swansea University) · doi:10.23889/suthesis.50584
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Marques, H. B., Machado, E., de Souza, E. P., Cavalcante, T. C. F., & da Silva, A. A. M. (2023) · Research Society and Development · doi:10.33448/rsd-v12i8.42864
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Ansari, S., AdibSaber, F., Elmieh, A., & Rezaei, M. (2024) · Journal of Shahrekord University of Medical Sciences · doi:10.34172/jsums.944
Han, M. (2025) · OSF Preprints (OSF Preprints) · doi:10.17605/osf.io/hfbn6
dos Santos, P. F., da Mota, R., de Sá, Y. A. P. J., Hogaboam, C. M., Castro-Faria-Neto, H. C., & Carvalho, V. F. (2026) · NeuroImmunoModulation · doi:10.1159/000551742
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de Medeiros, G. F. (2016) · theses.fr (ABES) · doi:10.70675/5068781bzb1fez4551z99eez04f240a93ed0 · Cited by 1
Hussein, L. E. C. (2020) · theses.fr (ABES) · doi:10.70675/9042525czdb1cz48faz8c65z9705b72ae812
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Metadata
- Authors
- Spiga, F., Walker, J. J., Terry, J. R., & Lightman, S. L.
- Affiliations
- University of Bristol (GB)
- University of Exeter (GB)
- Venue
- Comprehensive Physiology
- Publisher
- Wiley
- Published
- 2014-08-07
- Volume
- 4
- Issue
- 3
- Pages
- 1273-1298
- ISSN
- 2040-4603 (ISSN-L)
- OpenAlex
- W2110243057
- Cited by
- 267
- References
- 219
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 29 · 2023: 24 · 2022: 29 · 2021: 23 · 2020: 23 · 2019: 34 · 2018: 26 · 2017: 18 · 2016: 27 · 2015: 15 · 2014: 3
- Type
- other
- Language
- en
- Open access
- closed
- Locations
- Comprehensive physiology (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Bristol Research (University of Bristol) (submittedVersion)
- Funders
- Wellcome Trust
- Medical Research Council (MR/J008893/1, MR/J013811/1)
- Biotechnology and Biological Sciences Research Council
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- hypothalamic-pituitary-adrenal axis, circadian rhythm, ultradian oscillations, glucocorticoids, stress response, neuroendocrine regulation, circadian phase shift
- MeSH terms
- Animals, Circadian Rhythm, Glucocorticoids, Humans, Hypothalamo-Hypophyseal System, Pituitary-Adrenal System, Stress, Physiological
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