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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]
In the citing paper
“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]
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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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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