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Serial assessment of corticotropin-releasing hormone response after dexamethasone in depression Implications for pathophysiology of DST nonsuppression
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“It is well established that dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis with elevated plasma cortisol levels is characteristic of MDD [56].”
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Self-citationRegulation of Glucocorticoid Receptors in Brain by Corticosterone Treatment of Adrenalectomized Rats
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The Corticosteroid Receptor Hypothesis of Depression
Holsboer, F. (2000) · Neuropsychopharmacology · doi:10.1016/s0893-133x(00)00159-7 · Cited by 2,181
“The combined dex/CRH test proved particularly useful as a predictor of increased risk for relapse (Holsboer et al. 1987; Holsboer-Trachsler et al. 1994; Heuser et al. 1996; Zobel et al. 1999).”
BackgroundSelf-citationAntidepressants and Hypothalamic-Pituitary-Adrenocortical Regulation
HOLSBOER, F., & Barden, N. (1996) · Endocrine Reviews · doi:10.1210/edrv-17-2-187 · Cited by 860
Self-citationChiba, S., Numakawa, T., Ninomiya, M., Richards, M. C., Wakabayashi, C., & Kunugi, H. (2012) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2012.05.018 · Cited by 673
“Previous studies, including ours, showed hyperactivity of the HPA axis in depressive patients (Holsboer et al., 1987; Kunugi et al., 2006), implicating glucocorticoids, the final output of the HPA axis, in the depression.”
ResultThe combined dexamethasone/CRH test: A refined laboratory test for psychiatric disorders
Heuser, I., Yassouridis, A., & Holsboer, F. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90017-5 · Cited by 662
Self-citationHolsboer, F. (1999) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(98)90056-5 · Cited by 654
Self-citationAssociation of depression with medical illness: Does cortisol play a role?
Brown, E. S., Varghese, F. P., & McEwen, B. S. (2004) · Biological Psychiatry · doi:10.1016/s0006-3223(03)00473-6 · Cited by 578
Corticotropin-releasing factor receptors 1 and 2 in anxiety and depression
Reul, J. M. H. M. (2002) · Current Opinion in Pharmacology · doi:10.1016/s1471-4892(01)00117-5 · Cited by 515
de Kloet, C. S., Vermetten, E., Geuze, E., Kavelaars, A., Heijnen, C. J., & Westenberg, H. G. M. (2006) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2005.08.002 · Cited by 503
Antidepressants recruit new neurons to improve stress response regulation
Surget, A., Tanti, A., Leonardo, E. D., Laugeray, A., Rainer, Q., Touma, C., Palme, R., Griebel, G., Ibarguen-Vargas, Y., Hen, R., et al. (2011) · Molecular Psychiatry · doi:10.1038/mp.2011.48 · Cited by 471
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Dynamics of ACTH and Cortisol Secretion and Implications for Disease
Lightman, S. L., Birnie, M. T., & Conway-Campbell, B. L. (2020) · Endocrine Reviews · doi:10.1210/endrev/bnaa002 · Cited by 439
“Reports of enlarged adrenal glands (169,170), and impaired negative feedback in depressed patients (171,172) have led to the theory that the level of impairment is at the GR-dependent negative feedback, either centrally or the level of pituitary.”
BackgroundMeijer, O. C., de Lange, E. C. M., Breimer, D. D., de Boer, A. G., Workel, J. O., & de Kloet, E. R. (1998) · Endocrinology · doi:10.1210/endo.139.4.5917 · Cited by 375
“Through depletion of the brain corticosteroids, dexamethasone is thought to amplify the CRH hyperdrive characteristic for these patients (29).”
BackgroundHypercortisolemia and depression
Gillespie, C. F., & Nemeroff, C. B. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000163456.22154.d2 · Cited by 361
“(25,26) developed a more sensitive variant of the CRF stimulation test in which patients are pretreated with oral dexamethasone (1 mg) at 2300 hours and given a 100- g infusion of CRF on the following day.”
BackgroundZobel, A. W., Nickel, T., Sonntag, A., Uhr, M., Holsboer, F., & Ising, M. (2001) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(01)00013-9 · Cited by 354
Self-citationIsing, M., Horstmann, S., Kloiber, S., Lucae, S., Binder, E. B., Kern, N., Künzel, H. E., Pfennig, A., Uhr, M., & Holsboer, F. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.07.039 · Cited by 341
Self-citationHippocampal Remodeling and Damage by Corticosteroids Implications for Mood Disorders
Brown, E. S. (1999) · Neuropsychopharmacology · doi:10.1016/s0893-133x(99)00054-8 · Cited by 344
“Similar findings of increased relapse with persistent HPA axis dysregulation have recently been reported both in depressed and bipolar patients using the combined dexamethasone suppression/corticotropin releasing hormone (DEX/CRH) challenge test (Holsboer et al. 1987; Holsboer-Trachsler 1991; Holsboer-Trachsler et al.…”
MethodScott, L. V., & Dinan, T. G. (1998) · Life Sciences · doi:10.1016/s0024-3205(98)00027-7 · Cited by 285
Deuschle, M., Schweiger, U., Weber, B., Gotthardt, U., Körner, A., Schmider, J., Standhardt, H., Lammers, C.-H., & Heuser, I. (1997) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.82.1.3689 · Cited by 344
Rinne, T., de Kloet, E. R., Wouters, L., Goekoop, J. G., DeRijk, R. H., & van den Brink, W. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01395-1 · Cited by 279
The combined dexamethasone/CRH test as a potential surrogate marker in depression
Ising, M., Kunzel, H. E., Binder, E. B., Nickel, T., Modell, S., & Holsboer, F. (2005) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2005.03.014 · Cited by 275
“Elevated plasma cortisol responses to the combined dex/ CRH test could be observed in most studies with patients during an acute major depressive episode (Holsboer et al., 1987; von Bardeleben and Holsboer, 1989, 1991; HolsboerTrachsler et al., 1991; Heuser et al., 1994, 1996; Modell et al., 1997; Kunugi et al., 2004).”
BackgroundMethodInfluentialSelf-citationBhagwagar, Z., Rabiner, E. A., Sargent, P. A., Grasby, P. M., & Cowen, P. J. (2004) · Molecular Psychiatry · doi:10.1038/sj.mp.4001401 · Cited by 261
The Hypothalamic-Pituitary-Adrenal Axis in Major Depressive Disorder
Varghese, F. P., & Brown, E. S. (2001) · The Primary Care Companion For CNS Disorders · doi:10.4088/pcc.v03n0401 · Cited by 245
Modell, S. (1998) · Neuropsychopharmacology · doi:10.1016/s0893-133x(97)00144-9 · Cited by 207
“depressed patients show an increased cortisol release compared with controls (Holsboer et al. 1987; von Bardeleben and Holsboer 1989).”
BackgroundKunugi, H., Ida, I., Owashi, T., Kimura, M., Inoue, Y., Nakagawa, S., Yabana, T., Urushibara, T., Kanai, R., Aihara, M., et al. (2006) · Neuropsychopharmacology · doi:10.1038/sj.npp.1300868 · Cited by 200
“Subsequently, a refined laboratory test that combines the DST and corticotropin-releasing hormone (CRH) challenge, the DEX/CRH test, has been introduced (Holsboer et al, 1987; von Bardeleben and Holsboer, 1989).”
Sandi, C., Merino, J. J., Cordero, M. I., Touyarot, K., & Venero, C. (2001) · Neuroscience · doi:10.1016/s0306-4522(00)00484-x · Cited by 201
Kunugi, H., Hori, H., Adachi, N., & Numakawa, T. (2010) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2010.02135.x · Cited by 200
“This test has been shown to better discriminate depressive patients from healthy people compared to the original DST.10,21–23 Using the DEX/ CRH test, abnormalities in HPA axis function in several other psychiatric disorders, such as bipolar disorder, panic disorder and personality disorders, have also been reported.2…”
BackgroundMethodInfluentialNumakawa, T., Adachi, N., Richards, M., Chiba, S., & Kunugi, H. (2012) · Neuroscience · doi:10.1016/j.neuroscience.2012.09.073 · Cited by 185
Adulthood trauma and HPA-axis functioning in healthy subjects and PTSD patients: A meta-analysis
Klaassens, E. R., Giltay, E. J., Cuijpers, P. J., van Veen, T., & Zitman, F. G. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.07.003 · Cited by 195
“A potentially more sensitive measure to study negative feedback regulation of the HPA-axis is the combined dexamethasone/corticotropin-releasing hormone (Dex/CRH) test, originally developed by Holsboer et al. (1987).”
BackgroundActions of Brain-Derived Neurotrophic Factor and Glucocorticoid Stress in Neurogenesis
Numakawa, T., Odaka, H., & Adachi, N. (2017) · International Journal of Molecular Sciences · doi:10.3390/ijms18112312 · Cited by 177
Aihara, M., Ida, I., Yuuki, N., Oshima, A., Kumano, H., Takahashi, K., Fukuda, M., Oriuchi, N., Endo, K., Matsuda, H., et al. (2007) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2006.11.002 · Cited by 170
Glucocorticoids Orchestrate Divergent Effects on Mood through Adult Neurogenesis
Lehmann, M. L., Brachman, R. A., Martinowich, K., Schloesser, R. J., & Herkenham, M. (2013) · The Journal of Neuroscience · doi:10.1523/jneurosci.3878-12.2013 · Cited by 168
“Stress-relateddisordersare associated with dysregulation of the hypothalamic-pituitary-adrenal (HPA)axis,manifestedasabnormaladrenalglucocorticoid(GC)secretion and disrupted hormone feedback loops (Nemeroff et al., 1984; Holsboer et al., 1987).”
BackgroundIncrease in Concentration of Waking Salivary Cortisol in Recovered Patients With Depression
Bhagwagar, Z., Hafizi, S., & Cowen, P. J. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.10.1890 · Cited by 161
von Bardeleben, U., & Holsboer, F. (1989) · Journal of Neuroendocrinology · doi:10.1111/j.1365-2826.1989.tb00150.x · Cited by 161
“In a sample of four depressed patients, we noted a different response behaviour as cortisol and ACTH were substantially released following hCRH despite dexamethasone pretreatment (23).”
BackgroundResultSelf-citationPompili, M., Serafini, G., Innamorati, M., Möller-Leimkühler, A. M., Giupponi, G., Girardi, P., Tatarelli, R., & Lester, D. (2010) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-010-0108-z · Cited by 164
“Disturbances in the HPA system measured with the DST test and dexamethasone/CRH test [95, 96] have been”
MethodHypercortisolism and its possible neural bases
Sapolsky, R. M., & Plotsky, P. M. (1990) · Biological Psychiatry · doi:10.1016/0006-3223(90)90032-w · Cited by 161
Holsboer-Trachsler, E., Stohler, R., & Hatzinger, M. (1991) · Psychiatry Research · doi:10.1016/0165-1781(91)90041-m · Cited by 160
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Self-citationInnovative Approaches for the Treatment of Depression: Targeting the HPA Axis
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“In healthy subjects ACTH and cortisol release in response to an intravenous infusion of CRF is suppressed by prior administration of dexamethasone [37, 38].”
BackgroundLammers, C.-H., Garcı́a-Borreguero, D., Schmider, J., Gotthardt, U., Dettling, M., Holsboer, F., & Heuser, I. J. E. (1995) · Biological Psychiatry · doi:10.1016/0006-3223(95)00065-8 · Cited by 153
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Self-citationPsychiatric implications of altered limbic-hypothalamic-pituitary-adrenocortical activity
Holsboer, F. (1989) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf00449812 · Cited by 144
Self-citationKunzel, H. E., Binder, E. B., Nickel, T., Ising, M., Fuchs, B., Majer, M., Pfennig, A., Ernst, G., Kern, N., Schmid, D. A., et al. (2003) · Neuropsychopharmacology · doi:10.1038/sj.npp.1300280 · Cited by 143
“Our data are also in agreement with data reported for the dexamethasone suppression test, which is comparable to the CORT1500 value (Holsboer et al, 1987).”
ResultSelf-citationMiller, A. H., Spencer, R. L., Pulera, M. R., Kang, S., McEwen, B. S., & Stein, M. (1992) · Biological Psychiatry · doi:10.1016/0006-3223(92)90175-y · Cited by 143
Dunlop, B. W., Binder, E. B., Cubells, J. F., Goodman, M. M., Kelley, M. E., Kinkead, B., Kutner, M., Nemeroff, C. B., Newport, D. J., Owens, M. J., et al. (2012) · Trials · doi:10.1186/1745-6215-13-106 · Cited by 136
“Neuroendocrine function The Dex/CRH test has been used to assess HPA axis function in depressed patients [93].”
Single nucleotide polymorphisms related to hpa axis reactivity
DeRijk, R. H. (2009) · NeuroImmunoModulation · doi:10.1159/000216192 · Cited by 140
“Using 0.5 mg and even 0.25 mg dexamethasone, more subtle differences in negative feedback were found related to specific genetic variants (see below). As an extension of the DST, the combined dexamethasone-CRH challenge was developed being a pharmacological test of reactivity of the HPA axis, which further magnifies d…”
BackgroundInfluentialBiomarkers of depression in cancer patients
Jehn, C. F., Kuehnhardt, D., Bartholomae, A., Pfeiffer, S., Krebs, M., Regierer, A. C., Schmid, P., Possinger, K., & Flath, B. C. (2006) · Cancer · doi:10.1002/cncr.22294 · Cited by 139
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Hypercortisolism Among Socially Subordinate Wild Baboons Originates at the CNS Level
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Hellemans, K. G. C., Verma, P., Yoon, E., Yu, W. K., Young, A. H., & Weinberg, J. (2010) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2009.01132.x · Cited by 133
“Thus, HPA hyperactivity is often manifest in nonsuppression in the dexamethasone (DEX) suppression test, and blunted ACTH responses to CRH but increased ACTH responses to DEX + CRH (Heuser et al., 1994; Holsboer et al., 1987).”
BackgroundInfluentialChronic social defeat reduces myelination in the mouse medial prefrontal cortex
Lehmann, M. L., Weigel, T. K., Elkahloun, A. G., & Herkenham, M. (2017) · Scientific Reports · doi:10.1038/srep46548 · Cited by 127
Pathophysiology of HPA axis abnormalities in patients with major depression: an update
Kathol, R. G., Jaeckle, R. S., López, J. F., & Meller, W. H. (1989) · American Journal of Psychiatry · doi:10.1176/ajp.146.3.311 · Cited by 123
A New Anti-Depressive Strategy for the Elderly: Ablation of FKBP5/FKBP51
O’Leary, J. C., Dharia, S. P., Blair, L. J., Brady, S., Johnson, A. G., Peters, M. M., Cheung‐Flynn, J., Cox, M. B., de Erausquin, G. A., Weeber, E. J., et al. (2011) · PLoS ONE · doi:10.1371/journal.pone.0024840 · Cited by 128
“The dexamethasone-corticotropin releasing hormone (DEX-CRH) test, a commonly used tool to detect HPA system changes, has been used to link depressive behavior with glucocorticoid receptor (GR) insensitivity [21].”
MethodWard, A. M. V., Syddall, H. E., Wood, P. J., Chrousos, G. P., & Phillips, D. I. W. (2004) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2003-030978 · Cited by 122
Genetics of stress response and stress-related disorders
Ising, M., & Holsboer, F. (2006) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2006.8.4/mising · Cited by 118
“The attenuated negative feedback inhibition can be most sensitively diagnosed with a neuroendocrine challenge test of the HPA axis, the combined dexamethasone (dex)/CRH test.(9) In this test, the stimulating effects of 100 μg intravenous human CRH upon ACTH and cortisol are examined under the suppressive action of 1.”
BackgroundSelf-citationSuccessful Antidepressant Therapy Restores the Disturbed Interplay Between TNF-α System and HPA Axis
Himmerich, H., Binder, E. B., Kunzel, H. E., Schuld, A., Lucae, S., Uhr, M., Pollmächer, T., Holsboer, F., & Ising, M. (2006) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.03.075 · Cited by 122
Self-citationDeRijk, R. H., van Leeuwen, N., Klok, M. D., & Zitman, F. G. (2008) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2008.03.012 · Cited by 117
“To further explore the putative changes in HPA axis reactivity in depressed patients, a combined dexamethasone–CRH test was developed by Florian Holsboer (Holsboer et al., 1987).”
MethodBinder, E. B., Kunzel, H. E., Nickel, T., Kern, N., Pfennig, A., Majer, M., Uhr, M., Ising, M., & Holsboer, F. (2008) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.08.018 · Cited by 118
“This is supported by a series of studies using the Dex-suppression or Dex—CRH test, which all report that a normalization of these tests anticipates or parallels the clinical response to antidepressant treatment (Holsboer et al., 1987; Holsboer-Trachsler et al., 1991; Heuser et al., 1996; Zobel et al., 1999,2001; Nick…”
Self-citationBiochemical markers subtyping major depressive disorder
Kunugi, H., Hori, H., & Ogawa, S. (2015) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.12299 · Cited by 120
Mood-stabilizing drugs: mechanisms of action
Schloesser, R. J., Martinowich, K., & Manji, H. K. (2012) · Trends in Neurosciences · doi:10.1016/j.tins.2011.11.009 · Cited by 121
Holsboer‐Trachsler, E., Hemmeter, U., Hatzinger, M., Seifritz, E., Gerhard, U., & Hobi, V. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90020-5 · Cited by 113
On the role of corticotropin-releasing hormone receptors in anxiety and depression
Reul, J. M. H. M., & Holsboer, F. (2002) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2002.4.1/jreul · Cited by 103
Self-citationHypothalamic-pituitary-adrenal system function in patients with alzheimer's disease
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Impairment of inhibitory control of the hypothalamic pituitary adrenocortical system in epilepsy
Zobel, A. W., Wellmer, J., Schulze‐Rauschenbach, S., Pfeiffer, U., Schnell, S., Elger, C. E., & Maier, W. (2004) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-004-0499-9 · Cited by 97
von Bardeleben, U., & Holsboer, F. (1991) · Biological Psychiatry · doi:10.1016/0006-3223(91)90360-x · Cited by 94
Self-citationThe combined DEX-CRH test in treatment course and long-term outcome of major depression
Hatzinger, M., Hemmeter, U., Baumann, K., Brand, S., & Holsboer‐Trachsler, E. (2002) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(02)00021-3 · Cited by 90
Kato, T. A., Hashimoto, R., Hayakawa, K., Kubo, H., Watabe, M., Teo, A. R., & Kanba, S. (2016) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.12360 · Cited by 86
“A number of studies using the dexamethasone (DEX)/corticotrophin-releasing hormone (CRH) test have been conducted for the assessment of HPA axis function in patients with depression, while these outcomes have been inconsistent.(57) The inconsistency may result from the heterogeneity of depression.”
BackgroundDuncan, G. E., Knapp, D. J., Carson, S. W., & Breese, G. R. (1998) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(24)37467-1 · Cited by 78
“Chronic administration of fluoxetine, tricyclic antidepressants and MAO inhibitors has been shown to reduce the expression of mRNA for CRF in the paraventricular nucleus of the hypothalamus (Brady et al., 1991, 1992).”
InfluentialNeurobiological trait abnormalities in bipolar disorder
Langan, C., & McDonald, C. (2009) · Molecular Psychiatry · doi:10.1038/mp.2009.39 · Cited by 77
von Bardeleben, U., Heuser, I., & Holsboer, F. (1989) · Psychoneuroendocrinology · doi:10.1016/0306-4530(89)90043-7 · Cited by 76
Self-citationPillai, A. G., de Jong-Bolm, D., Kanatsou, S., Krugers, H. J., Knapman, A., Heinzmann, J.-M., Holsboer, F., Landgraf, R., Joëls, M., & Touma, C. (2012) · PLoS ONE · doi:10.1371/journal.pone.0038971 · Cited by 75
Self-citationHolsboer, F. (1988) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1988.tb08556.x · Cited by 73
Self-citationHori, H., Ozeki, Y., Teraishi, T., Matsuo, J., Kawamoto, Y., Kinoshita, Y., Suto, S., Terada, S., Higuchi, T., & Kunugi, H. (2010) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2010.02.007 · Cited by 75
“All rights reserved. doi:10.1016/j.jpsychires.2010.02.007 Holsboer et al., 1987).”
InfluentialAdult hippocampal neurogenesis: Is it the alpha and omega of antidepressant action?
Eliwa, H., Belzung, C., & Surget, A. (2017) · Biochemical Pharmacology · doi:10.1016/j.bcp.2017.08.005 · Cited by 73
Fischer, S., Macare, C., & Cleare, A. J. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.10.012 · Cited by 70
Dex/CRH test cortisol response in outpatients with major depression and matched healthy controls
Carpenter, L. L., Ross, N. S., Tyrka, A. R., Anderson, G. M., Kelly, M., & Price, L. H. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2009.03.009 · Cited by 70
Jehn, C. F., Kühnhardt, D., Bartholomae, A., Pfeiffer, S., Schmid, P., Possinger, K., Flath, B. C., & Lüftner, D. (2010) · Integrative Cancer Therapies · doi:10.1177/1534735410370036 · Cited by 70
The oCRH stimulation test before and after clinical recovery from depression
Amsterdam, J. D., Maislin, G., Winokur, A., Berwish, N. J., Kling, M. A., & Gold, P. W. (1988) · Journal of Affective Disorders · doi:10.1016/0165-0327(88)90037-7 · Cited by 70
Aubry, J., Gervasoni, N., Osiek, C., Perret, G., Rossier, M. F., Bertschy, G., & Bondolfi, G. (2006) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2006.07.007 · Cited by 69
“to enhance ACTH and cortisol responses (Holsboer et al., 1987; von Bardeleben and Holsboer, 1989).”
MethodAre there meaningful biomarkers of treatment response for depression?
Breitenstein, B., Scheuer, S., & Holsboer, F. (2014) · Drug Discovery Today · doi:10.1016/j.drudis.2014.02.002 · Cited by 71
Self-citationLeistner, C., & Menke, A. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.01.023 · Cited by 69
Combined DEX/CRH test among Japanese patients with major depression
Kunugi, H., Urushibara, T., & Nanko, S. (2003) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(03)00103-1 · Cited by 65
“Subsequently, a refined laboratory test that combines the DST and corticotropin releasing hormone (CRH) challenge, the DEX/CRH test, has been introduced (Holsboer et al., 1987; von Bardeleben & Holsboer, 1989).”
MethodThe concept of post-traumatic mood disorder
Sher, L. (2005) · Medical Hypotheses · doi:10.1016/j.mehy.2005.03.014 · Cited by 62
Farì, G., Lunetti, P., Pignatelli, G., Raele, M. V., Cera, A., Mintrone, G., Ranieri, M., Megna, M., & Capobianco, L. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222111632 · Cited by 64
“The impairment of the HPA axis and the corresponding increase in basal cortisol may be attributed to advancing age and the process of hippocampal destruction, which is typical of neurodegenerative diseases [51].”
BackgroundMüller, M. B., Holsboer, F., & Keck, M. E. (2002) · Neuropeptides · doi:10.1054/npep.2002.0896 · Cited by 58
Self-citationAge-dependent reduction of amygdala volume in bipolar disorder
Doty, T. J., Payne, M. E., Steffens, D. C., Beyer, J. L., Krishnan, K., & LaBar, K. S. (2008) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2007.08.003 · Cited by 57
“Both unipolar and bipolar disorder are associated with disruption of the hypothalamic–pituitary–adrenal axis and increased basal cortisol levels, regardless of the current mood state of the patient (Holsboer et al., 1987; Cervantes et al., 2001).”
Acculturation and mental distress among Russian and Iranian migrants in Germany
Haasen, C., Demiralay, C., & Reimer, J. (2008) · European Psychiatry · doi:10.1016/s0924-9338(08)70056-7 · Cited by 51
“This malfunction of stress adaptive mechanisms has been shown to be related to the pathophysiology of depression [26,13,12,4,6].”
Backgroundvon Bardeleben, U., & Holsboer, F. (1988) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/0278-5846(88)90079-6 · Cited by 45
Self-citationHorstmann, S., Dose, T., Lucae, S., Kloiber, S., Menke, A., Hennings, J., Spieler, D., Uhr, M., Holsboer, F., & Ising, M. (2009) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.09.004 · Cited by 44
“The combined dexamethasone (dex)/corticotrophin releasing hormone (CRH) test is to date the most sensitive neuroendocrine function test to pickup HPA axis dysregulation (Holsboer et al., 1987; Heuser et al., 1994a; Ising et al., 2005).”
BackgroundSelf-citationRao, U., & Poland, R. E. (2008) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2008.034 · Cited by 46
“Nonnormalization of the HPA activity might be associated with an early relapse of depressive episode (Targum 1983; Holsboer et al. 1987; Charles et al. 1989; Cosgriff et al. 1990).”
Lauer, C. J., Schreiber, W., Modell, S., Holsboer, F., & Krieg, J. C. (1998) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(98)00026-0 · Cited by 45
Self-citationSher, L. (2006) · The Scientific World JOURNAL · doi:10.1100/tsw.2006.251 · Cited by 42
“Normalization of the DEX-CRH test was shown to anticipate or parallel response to antidepressant treatment[43,46,47,48].”
ResultHandbook of depression and anxiety
Kasper, S. F., den Boer, J. A., & Sitsen, J. M. A. (2003) · M. Dekker eBooks · Cited by 43
Oshima, A., Yamashita, S., Owashi, T., Murata, T., Tadokoro, C., Miyaoka, H., Kamijima, K., & Higuchi, T. (2000) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(00)00021-2 · Cited by 42
Cortisol responses to combined dexamethasone/CRH test in outpatients with a major depressive episode
Gervasoni, N., Bertschy, G., Osiek, C., Perret, G., Denis, R., Golaz, J., Rossier, M. F., Bondolfi, G., & Aubry, J.-M. (2004) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2004.04.008 · Cited by 41
Hypothalamic-Pituitary-Adrenal Axis Function in Elderly Endurance Athletes
Heuser, I. J. E., Wark, H.-J., Keul, J., & HOLSBOER, F. (1991) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-73-3-485 · Cited by 44
Self-citationDopaminergic function and the cortisol response to dexamethasone in psychotic depression
Duval, F., Mokrani, M., Crocq, M., Bailey, P., Diep, T. S., Corrêa, H., & Macher, J. P. (2000) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/s0278-5846(99)00098-6 · Cited by 40
Wolfram, M., Bellingrath, S., Feuerhahn, N., & Kudielka, B. M. (2012) · Stress · doi:10.3109/10253890.2012.683465 · Cited by 42
“Compared to the DST, a superior sensitivity in the detection of HPA axis alterations in psychiatric conditions has been demonstrated for the combined dexamethasone–corticotropin releasing hormone test (DEX–CRH test; Holsboer et al. 1987; Heuser et al. 1994).”
MethodChanges in the Hypothalamic-Pituitary-Adrenal Axis and Leptin Levels during Antidepressant Treatment
Himmerich, H., Zimmermann, P., Ising, M., Kloiber, S. M., Lucae, S., Kunzel, H. E., Binder, E. B., Holsboer, F., & Uhr, M. (2007) · Neuropsychobiology · doi:10.1159/000103573 · Cited by 39
“Combined dex/CRH tests were performed as described in detail elsewhere [”
MethodSelf-citationGenetically engineered mice for studies of stress-related clinical conditions
Müller, M. B., & Keck, M. E. (2002) · Journal of Psychiatric Research · doi:10.1016/s0022-3956(01)00049-8 · Cited by 38
Knapman, A., Heinzmann, J.-M., Holsboer, F., Landgraf, R., & Touma, C. (2010) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2010.04.010 · Cited by 39
Self-citation
Metadata
- Authors
- Holsboer, F., von Bardeleben, U., Wiedemann, K., Müller, O. A., & Stalla, G. K.
- Affiliations
- Johannes Gutenberg University Mainz (DE)
- Ludwig-Maximilians-Universität München (DE)
- Corresponding author
- Holsboer, F.
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 1987-02
- Volume
- 22
- Issue
- 2
- Pages
- 228-234
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W1979581115
- Cited by
- 221
- References
- 13
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 6 · 2014: 1 · 2013: 7 · 2012: 11
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Keywords
- corticotropin-releasing factor, dexamethasone suppression test, depression, hypothalamic-pituitary-adrenal axis, glucocorticoid feedback, serial assessment, depression pathophysiology
- MeSH terms
- Adrenocorticotropic Hormone, Adult, Bipolar Disorder, Corticotropin-Releasing Hormone, Depressive Disorder, Dexamethasone, Female, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Male, Middle Aged, Pituitary-Adrenal System
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