The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Corticosteroid-Binding Globulin: A Review of Basic and Clinical Advances
Abstract
Corticosteroid-binding globulin (CBG, transcortin) is the primary cortisol binding protein. It is a non-inhibitory serine protease inhibitor, capable of conformational change from a high cortisol-binding affinity form to a low affinity form upon cleavage of its reactive centre loop by various proteases, such as neutrophil elastase. The burgeoning inflammatory role of CBG applies to acute, severe inflammation where depletion is associated with mortality, and to chronic inflammation where defects in cortisol delivery may perpetuate inflammation. Naturally occurring human mutations influence a wide range of CBG properties and point toward a role in hitherto unexplained chronic musculoskeletal pain and fatigue disorders as well as potentially affecting fertility outcomes including offspring gender. In vitro and knock-out animal models of CBG propose a role for CBG in cortisol transport to the brain, providing a foundation for understanding the human observations in those with CBG mutations and sex differences in stress-related mood and behaviour. Finally, CBG measurement has a practical role in the estimation of free cortisol, useful in clinical circumstances where CBG levels or cortisol binding affinity is reduced. Taken together, novel data suggest a role for cortisol in targeted cortisol delivery, with implications in acute and chronic inflammation, as well as roles in metabolism and neurocognitive function, implying that CBG is a multifaceted component in the mechanisms of hypothalamic-pituitary-adrenal axis related homeostasis.
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“This interaction regulates bioavailability during high CORT secretion”
From Hypothalamic–pituitary–adrenal and hypothalamic–pituitary–gonadal axes: sex differences in regulation of stress responsivity (2017) · cites this paper as Meyer, Nenke, Rankin, Lewis, & Torpy, 2016
In the citing paper
“This study does not evaluate whether variations in cortisol binding globulin (CBG) concentration or genetic variations affecting CBG-cortisol affinity may influence salivary cortisol and cortisone concentrations [50].”
From Salivary cortisol and cortisone in diagnosis of Cushing's syndrome: a comparison of six different analytical methods (2023) · cites this paper as [50]
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“Traditionally, CBG was considered to be mainly for cortisol transport with unbound (free) hormone providing the biological activity [3]; however, cases of symptomatic individuals with CBG deficiency/dysfunction suggest otherwise [2, 4, 5, 10].”
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Metadata
- Authors
- Meyer, E., Nenke, M., Rankin, W., Lewis, J., & Torpy, D.
- Affiliations
- Royal Adelaide Hospital (AU)
- South Australia Pathology (AU)
- Canterbury Health Laboratories (NZ)
- Corresponding author
- Meyer, E.
- Venue
- Hormone and Metabolic Research
- Publisher
- Georg Thieme Verlag KG
- Published
- 2016-05-23
- Volume
- 48
- Issue
- 06
- Pages
- 359-371
- ISSN
- 0018-5043 (ISSN-L)
- 1439-4286
- OpenAlex
- W2408046298
- Cited by
- 139
- References
- 0
- Citations by year
- 2026: 6 · 2025: 17 · 2024: 12 · 2023: 20 · 2022: 9 · 2021: 29 · 2020: 17 · 2019: 6 · 2018: 11 · 2017: 9 · 2016: 3
- FWCI
- 9.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hormone and Metabolic Research (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Interaction Studies and Fluorescence Analysis
- Keywords
- corticosteroid-binding globulin, cortisol binding, serine protease inhibitors, reactive center loop, neutrophil elastase, chronic inflammation, acute inflammation, hypothalamic-pituitary-adrenal axis, chronic musculoskeletal pain, fertility, sex differences in stress, neurocognitive function
- MeSH terms
- Animals, Disease, Disease Models, Animal, Humans, Models, Biological, Mutation, Transcortin, Drug Delivery Systems
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