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

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Inflammation and cortisol response in coronary artery disease

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

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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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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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