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Regulation of Pituitary ACTH Secretion during Chronic Stress
Abstract
Maintenance of adequate levels of response of the hypothalamic-pituitary-adrenal axis during chronic stress is important for survival. Three basic patterns of response can be identified depending on the type of stress: (a) desensitization of ACTH responses to the sustained stimulus, but hyperresponsiveness to a novel stress despite elevated plasma glucocorticoid levels, as occurs in physical-psychological paradigms; (b) no desensitization of ACTH response to the repeated stimulus and hyperresponsiveness to a novel stress, as occurs during repeated painful stress and insulin hypoglycemia; and (c) small and transient increases in ACTH, but sustained elevations of plasma corticosterone and diminished ACTH responses. The level of response of the pituitary corticotroph is determined by differential regulation of the hypothalamic regulators, corticotropin-releasing hormone (CRH) and vasopressin (VP), and the sensitivity of the negative glucocorticoid feedback. While osmotic stimulation increases VP expression in magnocellular neurons of the paraventricular (PVN) and supraoptic nuclei of the hypothalamus, chronic stress paradigms with high pituitary responsiveness are associated with activation of CRH and CRH/VP parvicellular neurons of the PVN, predominantly of the VP-containing population. While moderate increase of CRH output is important for stimulation of POMC transcription, the increase of the VP:CRH secretion ratio appears to be important in maintaining the secretory capacity of the pituitary corticotroph during chronic stimulation. Decreased sensitivity of the glucocorticoid feedback, probably due to interaction of glucocorticoid receptors with transcription factors induced by CRH and VP, is critical for the maintenance of ACTH responses in the presence of elevated plasma glucocorticoid levels during chronic stress. Although both CRH and VP receptors are activated and undergo regulatory variations during chronic stress, only the changes in VP receptor levels are parallel to the changes in pituitary ACTH responsiveness. The inhibitory effect of chronic osmotic stimulation on ACTH secretion in spite of high circulating levels of VP is probably the result of diminished activity of parvicellular PVN neurons and downregulation of pituitary VP receptors. Although the exact interaction between regulatory factors and the molecular mechanisms controlling the sensitivity of the corticotroph during adaptation to chronic stress remain to be determined, it is clear that regulation of the proportional secretion of CRH and VP in the PVN, modulation of pituitary VP receptors, and the sensitivity to feedback inhibition play a critical role.
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“In essence, CRH and AVP are both required as stimulatory inputs to corticotrope cells for a complete ACTH response in physiologically normal as well as in various stressful conditions (32, 38, 48–51).”
From Influence of arginine vasopressin on the ultradian dynamics of Hypothalamic-Pituitary-Adrenal axis (2022) · cites this paper as [49]
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“, 2009), elicit an abundance of neuroendocrine responses including activation of the hypothalamo-pituitary–adrenal (HPA) axis and arginine vasopressin (AVP) release (Aguilera, 1994; Featherby and Lawrence, 2004; Jasnic et al., 2010; Koko et al., 2006; Perčinić-Popovska et al., 2011).”
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Koch, C. E., Bartlang, M. S., Kiehn, J., Lucke, L., Naujokat, N., Helfrich‐Förster, C., Reber, S. O., & Oster, H. (2016) · Journal of Endocrinology · doi:10.1530/joe-16-0163 · Cited by 16
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“In addition, CRF has been shown to drive ACTH release (Aguilera, 1994), which is an important component in the production of CORT.”
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“Arginine vasopressin (AVP) is an important physiologic regulator of adrenocorticotropin (ACTH) secretion from the anterior pituitary (Aguilera 1994).”
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“One of the main endocrine mechanisms is the activation of the hypothalamic–pituitary–adrenal (HPA) axis (Aguilera 1994).”
BackgroundEffects of early tooth loss on the hippocampus in senescence-accelerated mice
Hioki, Y., Iinuma, M., Kurata, C., Ichihashi, Y., Tamura, Y., & Kubo, K. (2009) · Pediatric Dental Journal · doi:10.1016/s0917-2394(09)70174-0 · Cited by 9
Adrenalectomy and dexamethasone replacement on yawning behavior
Anı́as-Calderón, J., Verdugo‐Díaz, L., & Drucker-Colı́n, R. (2004) · Behavioural Brain Research · doi:10.1016/j.bbr.2004.02.013 · Cited by 7
Goswami, N., Lackner, H. K., Papousek, I., Montani, J., Ježová, D., & Hinghofer-Szalkay, H. G. (2009) · Acta Astronautica · doi:10.1016/j.actaastro.2009.09.033 · Cited by 9
“For example, repeated exposure to some but not all stress stimuli may lead to a desensitization of responses to the primary persistent stress, but hyperresponsiveness to a novel stimulus [4,5].”
BackgroundEffect of the acute heat stress on the rat pituitary gland. Morphological and stereological study
Koko, V., Djordjevic, J. D., Cvijić, G., & Davidović, V. (2006) · Journal of Thermal Biology · doi:10.1016/j.jtherbio.2006.01.009 · Cited by 9
Neuroendocrinology and Behavior
Sumiyoshi, T. (2012) · InTech eBooks · doi:10.5772/1666 · Cited by 9
Laorden, M. L., Milanés, M. V., Angel, E., et al. (2003) · Journal of Neuroendocrinology · doi:10.1046/j.1365-2826.2003.01037.x · Cited by 9
Stress Adaptation and the Hypothalamic‐Pituitary‐Adrenal Axis
Aguilera, G. (2016) · Wiley eBooks · doi:10.1002/9781118760369.ch17 · Cited by 8
Self-citationRhodes, M. E. (2017) · Stress: Neuroendocrinology and Neurobiology · doi:10.1016/b978-0-12-802175-0.00010-3 · Cited by 9
Influence of arginine vasopressin on the ultradian dynamics of Hypothalamic-Pituitary-Adrenal axis
Stojiljković, A. S., Čupić, Ž., Maćešić, S., Ivanović-Šašić, A., & Kolar-Anić, L. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.976323 · Cited by 9
Jasnic, N. I., Djordjevic, J. D., Djurasevic, S. F., Lakic, I. V., Vujovic, P. Z., Spasojević, N., & Cvijić, G. (2012) · Journal of Thermal Biology · doi:10.1016/j.jtherbio.2012.04.003 · Cited by 8
Kalamarz‐Kubiak, H., Meiri-Ashkenazi, I., Kleszczyńska, A., & Rosenfeld, H. (2014) · Journal of Fish Biology · doi:10.1111/jfb.12297 · Cited by 8
“Other findings indicate that the expression of AVP in parvocellular neurons of the PVN and AVP secretion into the pituitary portal circulation increases under chronic stress in rats (Holmes et al., 1986; de Goeij et al., 1992; Aguilera, 1994; Chowdrey et al., 1995).”
ResultMakara, G. B., Domokos, Á., Mergl, Z., Csabai, K., Barna, I., & Zelena, D. (2008) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1410.002 · Cited by 8
Al-Saleh, S., Kaur, C., & Ling, E. (2003) · Neuroscience Letters · doi:10.1016/s0304-3940(03)00572-x · Cited by 8
KISS, A. J., & Ježová, D. (2001) · PubMed · Cited by 8
The Role of Vasopressin in Anxiety and Depression
Morales‐Medina, J. C., Witchey, S. K., & Caldwell, H. K. (2016) · Springer eBooks · doi:10.1007/978-81-322-2803-5_40 · Cited by 9
Vinterstare, J., Hulthén, K., Nilsson, P. A., Sköld, H. N., & Brönmark, C. (2020) · Journal of Experimental Biology · doi:10.1242/jeb.213611 · Cited by 8
“Further, enhanced glucocorticoid concentrations subsequently suppress the pituitary expression of POMC, resulting in reduced levels of ACTH and α-MSH (Aguilera, 1994; Drouin et al., 1989; Slominski et al., 2000).”
BackgroundSchoots, O., Hernando, F., Knoers, N. V. A. M., & Burbach, J. P. H. (1999) · Results and problems in cell differentiation · doi:10.1007/978-3-540-49421-8_6 · Cited by 8
Meng, Y., Li, Y., Gu, H., Chen, Z., Cui, X., & Wang, X. (2025) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2426107122 · Cited by 7
The Influence of Different Light Spectra on Broiler Chicken Endocrine Systems and Productivity
Galan, L., Solcan, G., & Solcan, C. (2025) · Animals · doi:10.3390/ani15213209 · Cited by 12
“CRH is synthesized by the PVN of the hypothalamus in response to environmental stressors [396], such as ambient temperature in broiler housing, stocking density, and limited access to water or feed.”
Beck, W. R., & Gobatto, C. A. (2016) · Acta Physiologica Hungarica · doi:10.1556/036.103.2016.1.11 · Cited by 7
“00 © 2016 Akadémiai Kiadó, Budapest Physiology International, Volume 103 (1), pp.”
BackgroundThe effects of chronic restraint stress on empathy-like behaviour in rats
Şen, A., Kara, A. Y., Koyu, A., Şimşek, F., Kızıldağ, S., & Uysal, N. (2021) · Neuroscience Letters · doi:10.1016/j.neulet.2021.136255 · Cited by 8
Metadata
- Authors
- Aguilera, G.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Aguilera, Greti
- Venue
- Frontiers in Neuroendocrinology
- Publisher
- Elsevier BV
- Published
- 1994-12
- Volume
- 15
- Issue
- 4
- Pages
- 321-350
- ISSN
- 0091-3022 (ISSN-L)
- OpenAlex
- W2031934304
- Cited by
- 557
- References
- 0
- Citations by year
- 2026: 10 · 2025: 11 · 2024: 14 · 2023: 16 · 2022: 11 · 2021: 12 · 2020: 11 · 2019: 14 · 2018: 11 · 2017: 17 · 2016: 21 · 2015: 19 · 2014: 14 · 2013: 18 · 2012: 18
- FWCI
- 5.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Frontiers in Neuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Keywords
- ACTH secretion, chronic stress, hypothalamic-pituitary-adrenal axis, corticotropin-releasing factor, vasopressin, corticotrophs, glucocorticoid negative feedback, paraventricular nucleus, supraoptic nucleus, osmotic stimulation, glucocorticoid receptor, stress adaptation, corticosterone, insulin-induced hypoglycemia
- MeSH terms
- Adrenocorticotropic Hormone, Animals, Corticosterone, Corticotropin-Releasing Hormone, Glucocorticoids, Homeostasis, Humans, Hypothalamus, Pituitary Gland, Stress, Physiological, Vasopressins
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