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Uncoupling of the sympathetic nervous system and the hypothalamic–pituitary–adrenal axis in inflammatory bowel disease?
Abstract
In inflammatory diseases such as Crohn's disease (CD) and ulcerative colitis (UC), one would expect that TNF or IL-6 stimulates the hypothalamus, which activates the hypothalamus-autonomic nervous system (HANS) axis and the hypothalamic-pituitary-adrenal (HPA) axis in a parallel fashion. The study was initiated in order to investigate the parallelism of the HANS and HPA axes. We measured a typical marker of the HANS axis (neuropeptide Y, NPY) and of the HPA axis (serum cortisol). Plasma NPY was positively correlated with serum cortisol in control subjects (R(Rank)=0.259, p=0.026), which is a sign for the parallel activation of the two axes in healthy subjects. However, serum cortisol was not correlated with plasma NPY in CD or UC patients. In the active CD or UC, inclusion of patients with and without prior prednisolone therapy revealed a negative correlation between the serum cortisol and plasma NPY (CD: R(Rank)=-0.285, p<0.05; UC: R(Rank)=-0.510, p<0.01). This study demonstrates that the two stress axes seem to act in a parallel fashion in control subjects but are uncoupled in IBD patients. Uncoupling of these two axes may be partly due to prior corticosteroid therapy, whereas inverse coupling is a result of simultaneous corticosteroid therapy. It is discussed how the uncoupling of the two anti-inflammatory stress axes can appear.
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“There seems to be a dissociation between high activity of the SNS and relatively normal activity of the HPA axis in CIDs [114,115].”
From Interaction of the endocrine system with inflammation: a function of energy and volume regulation (2014) · cites this paper as [114]
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Straub, R. H. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-803321-0.00002-1 · Cited by 1
Self-citationStraub, R. H., Schölmerich, J., & Cutolo, M. (2004) · Neuroimmune biology · doi:10.1016/s1567-7443(04)80024-3 · Cited by 1
Self-citationNPY, NPY receptors and DPPIV in innate immunity and autoimmune disorders
Bedoui, S., & von Hörsten, S. (2005) · Birkhäuser Basel eBooks · doi:10.1007/3-7643-7427-6_5
Psychological Stress: Something to Worry About?
Mawdsley, J. E. D., & Rampton, D. S. (2006) · Wiley eBooks · doi:10.1002/9780470750827.ch35
‘The emergence of neurotransmitters as immune modulators’: letter to Rafael Franco and colleagues
Straub, R. H., & Jessop, D. S. (2008) · Trends in Immunology · doi:10.1016/j.it.2008.04.001
Self-citation
Metadata
- Authors
- Straub, R. H., Herfarth, H., Falk, W., Andus, T., & Schölmerich, J.
- Affiliations
- University Hospital Regensburg (DE)
- Venue
- Journal of Neuroimmunology
- Publisher
- Elsevier BV
- Published
- 2002-05
- Volume
- 126
- Issue
- 1-2
- Pages
- 116-125
- ISSN
- 0165-5728 (ISSN-L)
- OpenAlex
- W2082901516
- Semantic Scholar
- d6ff2f63c6820d719fdf42dcd5f9a8dcb63589cb
- Cited by
- 115
- References
- 59
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 4 · 2015: 8 · 2014: 10 · 2013: 4 · 2012: 6
- FWCI
- 3.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Neuroimmunology (publishedVersion)
- PubMed (publishedVersion)
- University of Regensburg Publication Server (University of Regensburg) (acceptedVersion)
- Funders
- Deutsche Forschungsgemeinschaft
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Keywords
- inflammatory bowel disease, Crohn's disease, ulcerative colitis, hypothalamic-pituitary-adrenal axis, neuropeptide Y, cortisol, corticosteroid therapy, prednisolone, cytokines, TNF-α, interleukin-6
- MeSH terms
- Adult, Anti-Inflammatory Agents, Female, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Male, Middle Aged, Neuropeptide Y, Pituitary-Adrenal System, Prednisolone, Sex Factors, Sympathetic Nervous System, Tumor Necrosis Factor-alpha, Inflammatory Bowel Diseases, Neuroimmunomodulation, Interleukin-6
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