Inflammation and cortisol response in coronary artery disease

Nijm, Johnny; Jonasson, Lena

doi:10.1080/07853890802508934

Cited by 128Stress Responses and CortisolAdrenal Hormones and DisordersAtherosclerosis and Cardiovascular Diseases

Inflammation and cortisol response in coronary artery disease

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Nijm, Johnny, Jonasson, Lena·2009·Annals of Medicine

DOI 10.1080/07853890802508934

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Abstract

Atherosclerosis is characterized by chronic inflammation involving autoimmune components. The degree of inflammatory activity, as detectable both within the atherosclerotic plaque and in the circulation, is associated with plaque destabilization and atherothrombotic complications. Endogenous glucocorticoids are modulators of innate and acquired immune responses, and as such play a key role in the reciprocal interaction between neuroendocrine and immune systems. Abnormalities in hypothalamic-pituitary-adrenal axis (HPA) function have been described in several chronic inflammatory disorders, and evidence has emerged lately that HPA dysfunction may be implicated also in the pathogenesis of coronary artery disease. This review is an outline of knowledge gained so far by previous studies of glucocorticoids in coronary atherosclerosis and myocardial infarction. The results consistently point towards a dysregulated cortisol secretion that may involve a failure to contain inflammatory activity. A dysfunctional HPA axis and its possible implications for coronary artery disease progress, including the hypothetical link between stress and inflammation, are discussed.

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Chronic conditions such as coronary artery disease, fibromyalgia, rheumatoid arthritis, Major Depressive Disorder, and Post Traumatic Stress Disorder are associated with abnormally high cortisol levels and metabolic disruptions.
“chronic conditions such as coronary artery disease, fibromyalgia, rheumatoid arthritis, and mood disorders such as Major Depressive Disorder (MDD) and Post Traumatic Stress Disorder (PTSD) have also been associated with abnormally high CORT levels and metabolic disruptions ( 5-13 ).”
From Dynamic modulation of glucose utilisation by glucocorticoid rhythms in health and disease (2020) · cites this paper as [5]
In hypercortisolism, cortisol levels are higher than normal and in some cases display abnormal rhythmicity, varying by underlying condition.
“in hypercortisolism, it is not only that CORT levels are higher than normal, but in some cases, they also display abnormal rhythmicity. This varies depending on whether the underlying condition is associated with Cushing's syndrome, depression, PTSD, acute inflammation following major surgery, or chronic inflammatory diseases (e.g., rheumatoid arthritis) ( 2, 5-13, 57-60 ).”
From Dynamic modulation of glucose utilisation by glucocorticoid rhythms in health and disease (2020) · cites this paper as [5]
Many conditions associated with hypercortisolism are accompanied by disruption of normal glucose metabolism while preserving some degree of cortisol rhythmicity.
“many of these conditions are accompanied by a disruption of normal glucose metabolism while preserving some degree of CORT rhythmicity.”
From Dynamic modulation of glucose utilisation by glucocorticoid rhythms in health and disease (2020) · cites this paper as [5]

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Loneliness matters: a theoretical and empirical review of consequences and mechanisms
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Structural Stigma and Hypothalamic–Pituitary–Adrenocortical Axis Reactivity in Lesbian, Gay, and Bisexual Young Adults
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Interleukin-10 Released by CD4 + CD25 + Natural Regulatory T Cells Improves Microvascular Endothelial Function Through Inhibition of NADPH Oxidase Activity in Hypertensive Mice
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Cortisol Responses to Mental Stress and Incident Hypertension in Healthy Men and Women
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Natural Regulatory T Cells Control Coronary Arteriolar Endothelial Dysfunction in Hypertensive Mice
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Brain-body interactions underlying the association of loneliness with mental and physical health
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Salivary cortisol responses to mental stress are associated with coronary artery calcification in healthy men and women
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Cortisol Responses to Mental Stress and the Progression of Coronary Artery Calcification in Healthy Men and Women
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Associations of salivary cortisol levels with inflammatory markers: The Multi-Ethnic Study of Atherosclerosis
DeSantis, A. S., Diez–Roux, A. V., Hajat, A., Aiello, A. E., Golden, S. H., Jenny, N. S., Seeman, T. E., & Shea, S. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.11.009 · Cited by 124 · see citing works
Investigate electrochemical immunosensor of cortisol based on gold nanoparticles/magnetic functionalized reduced graphene oxide
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Acute and chronic sleep deprivation in residents: Cognition and stress biomarkers
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Weight Stigma and Social Media: Evidence and Public Health Solutions
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Night Work and the Risk of Depression
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Acculturation, Maternal Cortisol, and Birth Outcomes in Women of Mexican Descent
D’Anna-Hernandez, K. L., Hoffman, M. C., Zerbe, G. O., Coussons-Read, M., Ross, R. G., & Laudenslager, M. L. (2012) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318244fbde · Cited by 102 · see citing works
Psychophysiological biomarkers explaining the association between depression and prognosis in coronary artery patients: A critical review of the literature
de Jonge, P., Rosmalen, J. G. M., Kema, I. P., Doornbos, B., van Melle, J. P., Pouwer, F., & Kupper, N. H. M. (2009) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2009.11.025 · Cited by 89 · see citing works
Psychophysiological risk markers of cardiovascular disease
Hamer, M., & Malan, L. (2009) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2009.11.004 · Cited by 80 · see citing works
Higher perceived stress but lower cortisol levels found among young Greek adults living in a stressful social environment in comparison with Swedish young adults
Faresjö, Å., Theodorsson, E., Chatziarzenis, M., Sapouna, V., Claesson, H.-P., Koppner, J., & Faresjö, T. (2013) · PLoS ONE · doi:10.1371/journal.pone.0073828 · Cited by 74 · see citing works
Chronic occupational exposures can influence the rate of PTSD and depressive disorders in first responders and military personnel
Walker, A., McKune, A. J., Ferguson, S. A., Pyne, D. B., & Rattray, B. (2016) · Extreme Physiology & Medicine · doi:10.1186/s13728-016-0049-x · Cited by 68 · see citing works
Psychological Distress and Hypertension: Results from the National Health Interview Survey for 2004-2013
Ojike, N. I., Sowers, J. R., Seixas, A. A., Ravenell, J. E., Rodriguez-Figueroa, G., Awadallah, M., Zizi, F., Jean‐Louis, G., Ogedegbe, O., & McFarlane, S. I. (2016) · Cardiorenal Medicine · doi:10.1159/000443933 · Cited by 64 · see citing works
Is Posthospital Syndrome a Result of Hospitalization-Induced Allostatic Overload?
Goldwater, D. S., Dharmarajan, K., McEwen, B. S., & Krumholz, H. M. (2018) · Journal of Hospital Medicine · doi:10.12788/jhm.2986 · Cited by 58 · see citing works
Discrimination, Sleep, and Stress Reactivity: Pathways to African American-White Cardiometabolic Risk Inequities
Goosby, B. J., Straley, E., & Cheadle, J. E. (2017) · Population Research and Policy Review · doi:10.1007/s11113-017-9439-z · Cited by 57 · see citing works
CD4 +CD25 +Foxp3 regulatory T cells and vascular dysfunction in hypertension
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Effect of Reiki on the stress level of caregivers of patients with cancer: Qualitative and single-blind randomized controlled trial
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Diurnal Cortisol Rhythm Is Associated With Adverse Cardiac Events and Mortality in Coronary Artery Bypass Patients
Ronaldson, A., Kidd, T., Poole, L., Leigh, E. S., Jahangiri, M., & Steptoe, A. (2015) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2015-2617 · Cited by 48 · see citing works
Human hypertension, sympathetic activity and the selfish brain
Hart, E. C. (2016) · Experimental Physiology · doi:10.1113/ep085775 · Cited by 46 · see citing works
Sleep in wildland firefighters: what do we know and why does it matter?
Vincent, G. E., Aisbett, B., Wolkow, A. P., Jay, S. M., Ridgers, N. D., & Ferguson, S. A. (2018) · International Journal of Wildland Fire · doi:10.1071/wf17109 · Cited by 45 · see citing works
Preparation of nanostructured PDMS film as flexible immunosensor for cortisol analysis in human sweat
Liu, Q., Shi, W., Tian, L., Su, M., Jiang, M., Li, J., Gu, H., & Yu, C. (2021) · Analytica Chimica Acta · doi:10.1016/j.aca.2021.339010 · Cited by 44 · see citing works
Fear of dying and inflammation following acute coronary syndrome
Steptoe, A., Molloy, G. J., Messerli‐Bürgy, N., Wikman, A., Randall, G., Perkins-Porras, L., & Kaski, J. C. (2011) · European Heart Journal · doi:10.1093/eurheartj/ehr132 · Cited by 42 · see citing works
Relationships between inflammatory cytokine and cortisol responses in firefighters exposed to simulated wildfire suppression work and sleep restriction
Wolkow, A. P., Aisbett, B., Reynolds, J., Ferguson, S. A., & Main, L. C. (2015) · Physiological Reports · doi:10.14814/phy2.12604 · Cited by 41 · see citing works
Irregular sleep and cardiometabolic risk: Clinical evidence and mechanisms
Zhang, C., & Qin, G. (2023) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2023.1059257 · Cited by 40 · see citing works
Examining the association between salivary cortisol levels and subclinical measures of atherosclerosis: The Multi-Ethnic Study of Atherosclerosis
Hajat, A., Roux, A. V. D., Sánchez, B. N., Holvoet, P., Lima, J. A. C., Merkin, S. S., Polak, J. F., Seeman, T. E., & Wu, M. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.10.007 · Cited by 38 · see citing works
Cortisol, Platelet Serotonin Content, and Platelet Activity in Patients With Major Depression and Type 2 Diabetes
Zahn, D., Petrak, F., Franke, L., Hägele, A.-K., Juckel, G., Lederbogen, F., Neubauer, H. P., Norra, C., Uhl, I., & Herpertz, S. (2015) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000145 · Cited by 36 · see citing works
Coordination of cortisol response to social evaluative threat with autonomic and inflammatory responses is moderated by stress appraisals and affect
Laurent, H. K., Lucas, T., Pierce, J. M., Goetz, S. M. M., & Granger, D. A. (2016) · Biological Psychology · doi:10.1016/j.biopsycho.2016.04.066 · Cited by 36 · see citing works
Advances in wearable electrochemical antibody-based sensors for cortisol sensing
Khumngern, S., & Jeerapan, I. (2023) · Analytical and Bioanalytical Chemistry · doi:10.1007/s00216-023-04577-y · Cited by 38 · see citing works
The 5-Lipoxygenase as a Common Pathway for Pathological Brain and Vascular Aging
Chu, J., & Praticò, D. (2009) · Cardiovascular Psychiatry and Neurology · doi:10.1155/2009/174657 · Cited by 38 · see citing works
PTSD, Immune System, and Inflammation
Pivac, N., Vuić, B., Šagud, M., Erjavec, G. N., Perković, M. N., Konjevod, M., Tudor, L., Štrac, D. Š., Uzun, S., Kozumplik, O., et al. (2023) · Advances in experimental medicine and biology · doi:10.1007/978-981-19-7376-5_11 · Cited by 38 · see citing works
Variation of hair cortisol concentrations among wild populations of two baboon species (Papio anubis, P. hamadryas) and a population of their natural hybrids
Fourie, N. H., Jolly, C. J., Phillips‐Conroy, J. E., Brown, J. L., & Bernstein, R. M. (2015) · Primates · doi:10.1007/s10329-015-0469-z · Cited by 31 · see citing works
Plasma cortisol and prognosis of patients with acute myocardial infarction
Jutla, S. K., Yuyun, M. F., Quinn, P. A., & Ng, L. L. (2014) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0b013e328364100b · Cited by 31 · see citing works
Blunted Cortisol Stress Response and Depression-Induced Hypocortisolism Is Related to Inflammation in Patients With CAD
Waller, C., Bauersachs, J. K., Hoppmann, U., Höch, J., Krause, S., Szabo, F., Engler, H., Rottler, E., Herrmann‐Lingen, C., & Gündel, H. (2016) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.12.031 · Cited by 31 · see citing works
Coronary microvascular function in patients with Cushing’s syndrome
Fallo, F., Famoso, G., Capizzi, D., Sonino, N., Dassie, F., Maffei, P., Martini, C., Paoletta, A., Iliceto, S., & Tona, F. (2012) · Endocrine · doi:10.1007/s12020-012-9764-2 · Cited by 30 · see citing works
Left ventricular geometry and 24-h blood pressure profile in Cushing’s syndrome
Avenatti, E., Rebellato, A., Iannaccone, A., Battocchio, M., Dassie, F., Veglio, F., Milan, A., & Fallo, F. (2016) · Endocrine · doi:10.1007/s12020-016-0986-6 · Cited by 28 · see citing works
TBI Rehabilomics Research: Conceptualizing a humoral triad for designing effective rehabilitation interventions
Wagner, A. K., & Kumar, R. G. (2018) · Neuropharmacology · doi:10.1016/j.neuropharm.2018.09.011 · Cited by 25 · see citing works
A Functional Polymorphism in the 5HTR2C Gene Associated with Stress Responses Also Predicts Incident Cardiovascular Events
Brummett, B. H., Babyak, M. A., Jiang, R., Shah, S. H., Becker, R. C., Haynes, C. S., Chryst‐Ladd, M., Craig, D. M., Hauser, E. R., Siegler, I. C., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0082781 · Cited by 23 · see citing works
Blunted nocturnal cortisol rise is associated with higher carotid artery intima-media thickness (CIMT) in overweight African American and Latino youth
Toledo‐Corral, C. M., Myers, S. J., Li, Y., Hodis, H. N., Goran, M. I., & Weigensberg, M. J. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.01.011 · Cited by 22 · see citing works
Application of machine learning in understanding atherosclerosis: Emerging insights
Munger, E., Hickey, J. W., Dey, A. K., Jafri, M. S., Kinser, J. M., & Mehta, N. N. (2021) · APL Bioengineering · doi:10.1063/5.0028986 · Cited by 21 · see citing works
Effects of stressful life events on cerebral white matter hyperintensity progression
Johnson, A. D., McQuoid, D. R., Steffens, D. C., Payne, M. E., Beyer, J. L., & Taylor, W. D. (2016) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4644 · Cited by 21 · see citing works
Adrenal gland macrophages regulate glucocorticoid production through Trem2 and TGF-β
Xu, Y., Patterson, M. T., Dolfi, B., Zhu, A., Bertola, A., Schrank, P. R., Gallerand, A., Kennedy, A. E., Hillman, H., Dinh, L., et al. (2024) · JCI Insight · doi:10.1172/jci.insight.174746 · Cited by 18 · see citing works
Associations of Serum Cortisol with Cardiovascular Risk and Mortality in Patients Referred to Coronary Angiography
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Glucocorticoid sensitivity and inflammatory status of peripheral blood mononuclear cells in patients with coronary artery disease
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Stress-induced release of the S100A8/A9 alarmin is elevated in coronary artery disease patients with impaired cortisol response
Jonasson, L., Larsen, H. G., Lundberg, A. K., Gullstrand, B., Bengtsson, A. A., & Șchiopu, A. (2017) · Scientific Reports · doi:10.1038/s41598-017-17586-6 · Cited by 15 · see citing works
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Authors: Nijm, J., & Jonasson, L.
Affiliations: Ryhov Hospital Jönköping (SE)
Linköping University (SE)
ORCID: Jonasson, Lena
Venue: Annals of Medicine
Publisher: Informa UK Limited
Published: 2009-01
Volume: 41
Issue: 3
Pages: 224-233
ISSN: 0785-3890 (ISSN-L)
1365-2060
DOI: 10.1080/07853890802508934
OpenAlex: W2027066260
Cited by: 128
References: 282
Citations by year: 2026: 5 · 2025: 9 · 2024: 9 · 2023: 8 · 2022: 11 · 2021: 7 · 2020: 5 · 2019: 1 · 2018: 8 · 2017: 8 · 2016: 12 · 2015: 10 · 2014: 4 · 2013: 6 · 2012: 8
FWCI: 2.56
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Annals of Medicine (publishedVersion)
PubMed (publishedVersion)
DiVA (Linkoping University) (submittedVersion, other-oa)
Topics: Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
Keywords: coronary artery disease, atherosclerosis, inflammation, cortisol, hypothalamic-pituitary-adrenal axis, glucocorticoids, myocardial infarction, stress, neuroendocrine-immune interaction, plaque destabilization, atherothrombosis
MeSH terms: Coronary Artery Disease, Glucocorticoids, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Inflammation, Myocardial Infarction, Pituitary-Adrenal System, Stress, Physiological, Neuroimmunomodulation, Biomarkers, Autoimmunity

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Inflammation and cortisol response in coronary artery disease

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