Cited by 710Stress Responses and CortisolHypothalamic control of reproductive hormonesAdrenal Hormones and Disorders

Hypothalamic–pituitary–adrenal and hypothalamic–pituitary–gonadal axes: sex differences in regulation of stress responsivity

Open access
Oyola, Mario G., Handa, Robert J.·2017·Stress

Abstract

Gonadal hormones play a key role in the establishment, activation, and regulation of the hypothalamic-pituitary-adrenal (HPA) axis. By influencing the response and sensitivity to releasing factors, neurotransmitters, and hormones, gonadal steroids help orchestrate the gain of the HPA axis to fine-tune the levels of stress hormones in the general circulation. From early life to adulthood, gonadal steroids can differentially affect the HPA axis, resulting in sex differences in the responsivity of this axis. The HPA axis influences many physiological functions making an organism's response to changes in the environment appropriate for its reproductive status. Although the acute HPA response to stressors is a beneficial response, constant activation of this circuitry by chronic or traumatic stressful episodes may lead to a dysregulation of the HPA axis and cause pathology. Compared to males, female mice and rats show a more robust HPA axis response, as a result of circulating estradiol levels which elevate stress hormone levels during non-threatening situations, and during and after stressors. Fluctuating levels of gonadal steroids in females across the estrous cycle are a major factor contributing to sex differences in the robustness of HPA activity in females compared to males. Moreover, gonadal steroids may also contribute to epigenetic and organizational influences on the HPA axis even before puberty. Correspondingly, crosstalk between the hypothalamic-pituitary-gonadal (HPG) and HPA axes could lead to abnormalities of stress responses. In humans, a dysregulated stress response is one of the most common symptoms seen across many neuropsychiatric disorders, and as a result, such interactions may exacerbate peripheral pathologies. In this review, we discuss the HPA and HPG axes and review how gonadal steroids interact with the HPA axis to regulate the stress circuitry during all stages in life.

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that gonadal steroids shape hypothalamic–pituitary–adrenal (HPA) axis activity and stress responsivity across the lifespan, producing stronger stress hormone responses in female rodents than in males. It synthesizes evidence that hypothalamic–pituitary–gonadal (HPG) and HPA crosstalk, including estrogen receptor and neuropeptide mechanisms, contributes to sex differences relevant to stress-related pathology.

Key findings

  • Female rodents generally mount larger and longer-lasting HPA responses than males; estradiol elevates stress hormone levels, and estrous cycle stage matters, with proestrus associated with higher stress hormone levels and greater anxiety-like responses than estrus.
  • Gonadal steroids modulate the HPA axis at multiple levels: in male rats, gonadectomy increases while androgen replacement blunts ACTH and corticosterone responses to stress; in females, ovariectomy reduces and estradiol treatment increases HPA gain.
  • Estrogen receptor β (ERβ) appears to reduce HPA reactivity, whereas ERα may increase it. ERβ is expressed in PVN CRH neurons at 5% co-localization in the medial PVN and 60–80% in the caudolateral division, and about 85% of PVN oxytocin neurons express ERβ in rats.
  • Developmental organization by perinatal testosterone and its metabolites contributes to adult sex differences; pre-pubertal male rats take 30–45 minutes longer than adults to return to baseline after acute stress, and neonatal castration or aromatase blockade can feminize adult HPA responses.

Methods

  • Narrative review of the HPA and HPG axes, integrating rodent and human literature rather than presenting primary experimental data.
  • Covers HPA components (PVN, pituitary, adrenal), negative feedback, gonadal steroid receptors, neuropeptidergic regulation, steroid metabolism, and sexual differentiation.
  • Main analysis is qualitative synthesis of cited studies; no systematic search strategy, meta-analysis, or formal quality assessment is described.

Limitations

  • The paper states that mechanisms of gonadal steroid regulation of AVP remain unresolved, that the low ERβ co-localization with CRH neurons is a conundrum, and that interactions between steroid receptors on neuropeptide promoters and co-regulatory proteins are not yet described.
  • The paper notes that upstream regulators of the HPA axis are much less understood, including prefrontal cortex and extra-hypothalamic regions such as the bed nucleus of the stria terminalis.
  • Evident from the text: the evidence base is heavily rodent-focused, especially rats, with human relevance often speculative; as a narrative review, it does not systematically assess study quality or publication bias.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1080/10253890.2017.1369523

Cites

232 of 232 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

64 of 204 cited sources checked · 31 supported · 4 flagged · accuracy not yet measured

  • Premisecitation

    Estradiol-dependent regulation of CRH neurons in the PVN is thought to be mediated by estrogen receptor β.

    “The estradiol-dependent regulation of CRH neurons in the PVN is thought to be regulated by the estrogen receptor β”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Lund, Hinds, & Handa, 2006 source

      The Discussion says that estradiol (E2) enhances the stress response through an ERα-dependent mechanism, not ERβ. It also says that only a small population of neuroendocrine CRH neurons in the PVN appear to contain ERβ; the proposed ERβ pathways concern inhibition by other compounds. (LLM, conf=0.88)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
  • Premisecitation

    Peripheral administration of ERβ agonist R-DPN prevents increased HPA axis reactivity and increased anxiety-like behaviors in female rats in response to GR agonist implant adjacent to the central nucleus of the amygdala.

    “Peripheral administration of the estrogen receptor β agonist, R-DPN, prevented the increased HPA axis reactivity and increased anxiety-like behaviors in female rats in response to the implantation of a wax pellet containing a GR agonist, adjacent to the central nucleus of the amygdala (Weiser, Foradori, & Handa, 2010).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Weiser, Foradori, & Handa, 2010 source

      The Results (§2) report that peripheral S-DPN blocked the anxiety-like behaviors and increased stress-induced corticosterone associated with RU28362 implants. But the claim names R-DPN. Drug treatments (§4; page not provided) explicitly states that only the S-enantiomer was tested. (LLM, conf=0.90)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
  • Premisecitation

    Coping mechanisms for stressors differ between males and females.

    “the mechanisms to cope with stressors differ between males and females”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Bale & Epperson, 2015 source
  • Premisecitation

    OT and CRHR2 fibers in the BnST originate in the PVN.

    “OT and CRHR2 fibers present in the BnST originated in the PVN.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Dabrowska et al., 2011 source

      The Results report PVN-labeled fibers in the BNST that co-localized with both OT and CRFR2. The Discussion specifies that OT fibers in the BNST originate from PVN neurons “at least partially,” so the paper does not establish a PVN origin for all such fibers. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Premisecitation

    CORT can act indirectly in extra-PVN regions expressing MR and GR, such as the hippocampus, to inhibit CORT secretion through a trans-synaptic mechanism.

    “CORT can also act indirectly in extra-PVN regions expressing MR and GR, such as the hippocampus, to inhibit the secretion of CORT (Akana, Cascio, Du, Levin, & Dallman, 1986; Dallman et al., 1987; Kovacs, Foldes, & Sawchenko, 2000; Sawchenko, 1987) through a trans-synaptic mechanism (Herman et al., 2016).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Akana, Cascio, Du, Levin, & Dallman, 1986 source
    • cites Dallman et al., 1987 source
    • cites Herman et al., 2016 source
  • May combine two claims. 59
  • Classified as probably not a substantial claim. 20
  • May combine two claims.

    Premisecitation

    PVN selective loss of GR causes a striking increase in HPA reactivity and depression-like behaviors in males but not females.

    “since the PVN selective loss of GR caused a striking increase in HPA reactivity and depression-like behaviors in males but not females (Solomon et al., 2012).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Solomon et al., 2012 source

      The Results section reports that GR immunoreactivity in the PVN was comparable in knockout and control mice; GR loss was instead observed in the medial prefrontal cortex, hippocampus, and basolateral amygdala. The Discussion supports the male–female difference in HPA function and depression-like behavior, but the claim that selective PVN GR loss caused it is contrary to the reported knockout pattern. (LLM, conf=0.89)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    ERβ has not been detected in mouse GnRH neurons, yet mice still respond to estradiol.

    “However, a conundrum arises in that ERβ has not been detected in GnRH neurons of mice, yet they still respond to estradiol (Handa, Ogawa, Wang, & Herbison, 2012).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Handa, Ogawa, Wang, & Herbison, 2012 source

      In “ERβ and the neural regulation of fertility,” the paper says GnRH neurons express ERβ mRNA and protein in mice—the opposite of the claim that ERβ has not been detected in them. “Potential roles for ERβ expressed by GnRH neurones” also reports that mouse GnRH neurons respond to oestradiol, so the contradiction concerns detection of ERβ, not responsiveness. (LLM, conf=0.94)

      Checked by a reasoning model — may be wrong.

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Chronic and traumatic stressors cause detrimental brain and organ changes and are linked to PTSD, depression, chronic anxiety, and cardiometabolic disease.

    “Chronic and traumatic stressors, however, have the opposite effect, causing detrimental changes in the brain and other organs, and have been linked to the development of pathology including neuropsychiatric disorders, such as post-traumatic stress disorder, depression, chronic anxiety”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Smith & Vale, 2006 source

      The Conclusions (page unavailable) link dysregulation of the stress response to hypertension, affective disorders, and major depression, and discuss stress-related anxiety and energy metabolism. The limbic-system section (page unavailable) suggests a link between the stress system and neuropsychiatric disorders. The copy does not establish that chronic or traumatic stressors cause detrimental changes in the brain and other organs, or specifically link them to PTSD or cardiometabolic disease. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites Levine, Levine, & Levine, 2014 source
  • May combine two claims.

    Premisecitation

    On proestrus, 80% of CRH-BP in the murine female pituitary is in prolactin-expressing cells, suggesting high estrogen drives CRH-BP expression and limits bioactive CRH available to activate corticotrophs.

    “on proestrus, 80% of the CRH-BP of the murine female pituitary is present in prolactin-expressing cells, suggesting that high estrogen levels drive the expression of CRH-BP and restrict the amounts of bioactive CRH that can activate corticotrophs.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Speert, McClennen, & Seasholtz, 2002 source

      The cellular-localization results report that approximately 80% of pituitary CRH-BP mRNA signal at proestrus is in prolactin-expressing cells, and the Discussion supports positive estrogen regulation. The paper describes CRH-BP sequestration of CRH as a proposed mechanism, but does not show that 80% of the protein is in those cells or measure a reduction in bioactive CRH available to corticotrophs at proestrus. The indexed passages provide section labels but no page numbers. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    In female rats, ovariectomy reduces and estradiol treatment increases HPA axis gain.

    “ovariectomy reduces, while estradiol treatment increases, the gain of the HPA axis”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Lund, Munson, Haldy, & Handa, 2004 source
    • cites Viau & Meaney, 1991 source
  • May combine two claims.

    Interpretationreasoning

    Enhanced ACTH secretion on proestrus conflicts with the idea that CRH-BP restricts CRH, suggesting other upstream factors are involved.

    “Thus, these data may indicate that there are other upstream factors involved.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Viau & Meaney, 1991 source

      The Additional information section reports enhanced stress-induced ACTH secretion during early proestrus and proposes changes in norepinephrine-sensitive adrenergic signaling as a possible upstream influence on CRH release. It does not discuss CRH-binding protein or say that the ACTH response conflicts with a CRH-BP restriction of CRH. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    CRH-BP levels are higher in murine pituitary, and cells expressing Crh-BP mRNA may also regulate reproductive hormones such as prolactin and LHβ.

    “The level of CRH-BP is also higher in the murine pituitary and the cells expressing Crh-BP mRNA may also be involved in the regulation of reproductive hormones, such as prolactin and luteinizing hormone β”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Speert, McClennen, & Seasholtz, 2002 source

      The Results section reports higher pituitary CRH-BP expression in female than male mice; the claim does not specify that comparison. The cellular-localization results find CRH-BP mRNA in prolactin-expressing cells and, less frequently, LHβ-expressing cells. The Discussion suggests possible interactions with reproductive endocrine systems but says the significance of LHβ colocalization is unclear; it does not establish regulation of either hormone. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    GRs are highly expressed in the hippocampus and in hypophysiotropic PVN neurons.

    “While GRs are ubiquitously expressed throughout the brain, they are highly expressed in the hippocampus (De Kloet, Vreugdenhil, Oitzl, & Joels, 1998) and hypophysiotropic neurons of the PVN (Kovacs, Foldes, & Sawchenko, 2000; Sawchenko, 1987), two brain regions key to negative feedback.”
    Quote in the paperNot a substantial claim2 of 3 sources checked
    • cites De Kloet, Vreugdenhil, Oitzl, & Joels, 1998 source

      In “Corticosteroid receptor diversity in brain and pituitary” (page unavailable), the review says GRs are present in hippocampal dentate gyrus neurons and CA1 cells and are widely distributed in the brain. It does not establish that hippocampal GR expression is particularly high. The PVN-neuron clause is attributed to different citations in the citing sentence, not to this paper. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
    • cites Kovacs, Foldes, & Sawchenko, 2000 source

      The Discussion section ('Possible mechanisms of glucocorticoid effects on CRF and AVP expression'; page unavailable) states that parvocellular neurosecretory neurons express type II glucocorticoid receptors. It does not establish that receptor expression is high in those neurons. The hippocampus portion has a separate citation and is not attributed to this paper. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites Sawchenko, 1987 source
  • May combine two claims.

    Premisecitation

    Direct implant of ERβ agonist DPN proximal to the PVN decreases stress-induced and diurnal peak CORT.

    “The opposite was found when pellets with DPN, the ERβ agonist, were placed in the same region.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Weiser & Handa, 2009 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    The differential regulatory effects of ERα and ERβ on AVP could be due to the constitutive activity of ERβ on the Avp promoter.

    “The differential regulatory effects of ERα and ERβ on AVP could be due to the constitutive activity of ERβ on the Avp promoter (Pak, Chung, Hinds, & Handa, 2007; Shapiro, Xu, & Dorsa, 2000).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Pak, Chung, Hinds, & Handa, 2007 source
    • cites Shapiro, Xu, & Dorsa, 2000 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    GnRH activity is regulated by neurotransmitters, steroid hormones, and growth factors.

    “The activity of GnRH is regulated by neurotransmitters, steroid hormones, and growth factors (Watanabe, Fukuda, & Nabekura, 2014).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Watanabe, Fukuda, & Nabekura, 2014 source
  • May combine two claims.

    Premisecitation

    LH stimulates testosterone synthesis by Leydig cells, whereas FSH stimulates sperm cell maturation and supports Sertoli cells.

    “LH stimulates the synthesis of testosterone by Leydig cells (Ramaswamy & Weinbauer, 2014), whereas FSH stimulates sperm cell maturation and supports Sertoli cells.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Ramaswamy & Weinbauer, 2014 source
  • May combine two claims.

    Premisecitation

    In rodents, hypophysiotropic GnRH neurons project to the median eminence and release GnRH in a regular pulsatile manner.

    “In the rodent, hypophysiotropic GnRH neurons project to the median eminence where they release GnRH in a regular pulsatile manner (Bakker, Rubin, & Baum, 1999; Herbison, 2016; Jimenez-Linan, Rubin, & King, 1997; Silverman, Kokoris, & Gibson, 1988).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Bakker, Rubin, & Baum, 1999 source

      The Distribution of neurons containing GnRH mRNA section describes ferrets, not neuronal projections in rodents. The Relationship between GnRH mRNA levels and GnRH release after mating section discusses pulsatile LH secretion in ferrets, not regular pulsatile GnRH release in rodents. Searches for rodent projections to the median eminence and pulsatile GnRH release found no passage establishing the claim; page numbers were unavailable in our copy. (LLM, conf=0.76)

      Experimental — accuracy not yet measured
    • cites Herbison, 2016 source
    • cites Jimenez-Linan, Rubin, & King, 1997 source
  • May combine two claims.

    Premisecitation

    Kisspeptin neurons express ERα, and the kisspeptin receptor GPR54 is expressed in GnRH neurons.

    “Kisspeptin neurons have been shown to express ERα (Adachi et al., 2007; Clarkson, d’Anglemont de Tassigny, Moreno, Colledge, & Herbison, 2008; Franceschini et al., 2006) and the kisspeptin receptor GPR54 is expressed in GnRH neurons (Clements et al., 2001; Kotani et al., 2001; Muir et al., 2001; Ohtaki et al., 2001).”
    Quote in the paperNot a substantial claim1 of 3 sources checked
    • cites Adachi et al., 2007 source
    • cites Clarkson, d’Anglemont de Tassigny, Moreno, Colledge, & Herbison, 2008 source

      Checked before — its earlier verdict is held back until a new check runs.

    • cites Franceschini et al., 2006 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    GnRH receptors have been described in numerous tissues throughout the body, including the brain, but their functional significance has not been completely determined.

    “Curiously, GnRH receptors have also been described in numerous tissues throughout the body, including the brain (Cheung & Wong, 2008; Wilson et al., 2006), but their functional significance has not been completely determined.”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Cheung & Wong, 2008 source
    • cites Wilson et al., 2006 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Stimulation of GnRH receptors on gonadotrophs elevates intracellular calcium, which drives release of LH and FSH by exocytosis.

    “Stimulation of GnRH receptors on gonadotrophs results in elevations in intracellular calcium, which drives the release of LH and FSH by exocytosis into the general circulation to eventually reach the gonads (Duran-Pasten & Fiordelisio, 2013).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Duran-Pasten & Fiordelisio, 2013 source
  • May combine two claims.

    Premisecitation

    mRNA transcripts of aromatase, 5α-reductase, and CYP7B1 are highly present in the PVN, suggesting a role in local steroid metabolism and HPA regulation.

    “Interestingly, the mRNA transcripts levels of aromatase, 5α-reductase, and CYP7B1 are highly present in the PVN, indicating their potential role in the local metabolism of steroids and further regulation of the HPA axis (Lund, Hinds, & Handa, 2006).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Lund, Hinds, & Handa, 2006 source

      In “The PVN contains relevant steroid hormone metabolizing enzymes” (page not specified), the authors report detecting aromatase, 5α-reductase, and CYP7B mRNAs in microdissected PVN and suggest that these enzymes could regulate the availability of steroid ligands. The RT-PCR finding establishes presence, not that the transcripts are present at high levels; the proposed contribution to HPA regulation remains a possibility rather than a demonstrated effect of these enzymes. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Arcuate KNDy neurons initiate pulsatile hormone patterns without estradiol and are inhibited by low estradiol for negative feedback, whereas AVPV kisspeptin neurons are activated by rising estradiol and initiate the pre-ovulatory LH surge.

    “Arcuate nucleus kisspeptin, neurokinin B, and dynorphin co-expressing neurons initiate pulsatile hormone patterns in the absence of estradiol and are inhibited at low levels of estradiol to account for negative feedback, yet AVPV localized kisspeptin neurons are activated by rising titers of estradiol and initiate the pre-ovulatory surge of LH (Wang, DeFazio, & Moenter, 2016).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Wang, DeFazio, & Moenter, 2016 source

      The Introduction and Discussion (page unavailable) support estradiol-related activation of AVPV kisspeptin neurons and their proposed role in the preovulatory GnRH/LH surge. The Introduction says arcuate kisspeptin neurons may convey negative feedback, but the paper does not establish the claimed KNDy-driven pulses in the absence of estradiol or their inhibition by low estradiol. It also describes the AVPV role as a proposed contribution to the surge, not proof that these neurons initiate it. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Dynorphin is present in arcuate nucleus kisspeptin neurons and inhibits GnRH secretion.

    “A third neuropeptide dynorphin, has also been found in arcuate nucleus kisspeptin neurons but has an inhibitory effect on GnRH secretion (Plant, 2015).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Plant, 2015 source
  • May combine two claims.

    Premisecitation

    Perinatal testosterone treatment of females defeminizes the brain and prevents adult female reproductive behaviors.

    “In the rodent, the absence of testosterone during a critical perinatal period results in the expression of the default program of the brain, which is female-like (McCarthy & Arnold, 2011), whereas perinatal treatment of females with testosterone will defeminize the brain and prevent the expression of female reproductive behaviors in adulthood.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites McCarthy & Arnold, 2011 source

      The citation is attached to the first clause, about a female-like brain developing without perinatal testosterone, rather than to the later claim about testosterone treatment. The “Classic model: hormone-mediated organization/activation” section describes testosterone’s developmental masculinizing effects, but the “Parallel hormonal effects on diverse pathways and circuits” section says estradiol is required for normal female brain development. The source therefore does not support describing female brain development simply as a default program. (LLM, conf=0.80)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Elevated stress hormones can negatively regulate the reproductive neuroendocrine axis and lower circulating gonadal hormones.

    “elevated stress hormones can negatively regulate the reproductive neuroendocrine axis and consequently, the levels of circulating gonadal hormones”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Rivier & Rivest, 1991 source
  • May combine two claims.

    Premisereasoning

    The HPA axis affects many physiological functions, allowing an organism's response to environmental change to match its reproductive state.

    “The HPA axis influences many physiological functions making an organism’s response to changes in the environment appropriate for its reproductive status.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Crosstalk between the HPG and HPA axes can produce abnormal stress responses.

    “crosstalk between the hypothalamic–pituitary–gonadal (HPG) and HPA axes could lead to abnormalities of stress responses.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Acute activation of stress responses increases adaptability and helps cope with homeostatic threats by raising awareness and enhancing analgesia, cognition, and euphoria.

    “the acute activation of stress responses makes an individual more adaptable and allows one to cope with events that jeopardize homeostasis, whether real or perceived, by increasing awareness to our surroundings, and enhancing analgesia, cognition, and euphoria”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Charmandari, Tsigos, & Chrousos, 2005 source
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    In humans, a dysregulated stress response is among the most common symptoms across many neuropsychiatric disorders.

    “In humans, a dysregulated stress response is one of the most common symptoms seen across many neuropsychiatric disorders”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    Acute HPA activation by stressors is beneficial.

    “Although the acute HPA response to stressors is a beneficial response”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Estrogen receptors α and β regulate the CRH-BP promoter in vitro, and estradiol induces endogenous CRH-BP.

    “the estrogen receptors α and β have been reported to regulate the CRH-BP promoter in vitro, and estradiol has been shown to promote the induction of endogenous CRH-BP”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites van de Stolpe et al., 2004 source
  • May combine two claims.

    Premisecitation

    Estrogen and testosterone modulate corticosterone levels and the degree of HPA axis activation, suggesting HPA-HPG interaction.

    “Both estrogen and testosterone have been shown to modulate the levels of CORT, and the degree to which activation of the HPA axis is driven is also influenced by both of these hormones, suggesting an interaction between the HPA and the HPG axes”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisenone given

    CBG is synthesized mainly by hepatocytes and binds corticosterone with high affinity to transport it in blood.

    “CBG, or transcortin, is synthesized mainly by hepatocytes and binds CORT with high affinity to transport CORT in blood.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    The increase in Crh-BP mRNA after restraint stress is blunted by adrenalectomy or glucocorticoid depletion, indicating glucocorticoids regulate CRH-BP.

    “the increase in Crh-BP mRNA levels observed following restraint stress is blunted by adrenalectomy, or depletion of endogenous glucocorticoids, indicating that glucocorticoids play a fundamental role in the regulation of CRH-BP”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites McClennen, Cortright, & Seasholtz, 1998 source
  • May combine two claims.

    Premisecitation

    After stress, corticosterone increases are higher and remain elevated longer in female rats than males.

    “CORT increases following a stressor are higher and remain elevated for longer in female rats”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Figueiredo, Dolgas, & Herman, 2002 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    CRH-BP may mediate pituitary CRH levels through an ER-dependent mechanism, restoring CRH sensitivity to homeostatic levels after stress.

    “it is possible that CRH-BP could be mediating the levels of CRH sensed by the pituitary gland through an ER-dependent mechanism, bringing CRH sensitivity back to homeostatic levels after stress.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    CBG also binds androgens and progesterone, which in humans are thought to displace cortisol from CBG.

    “CBG also binds other hormones, including androgens and progesterone, which in humans are thought to displace cortisol from CBG”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Dunn, Nisula, & Rodbard, 1981 source
  • May combine two claims.

    Premisecitation

    CRH neurons in the rat PVN express estrogen receptor β but not estrogen receptor α.

    “CRH neurons in the rat PVN express estrogen receptor β, but not estrogen receptor α”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Laflamme, Nappi, Drolet, Labrie, & Rivest, 1998

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Mitra et al., 2003 source
  • May combine two claims.

    Interpretationcitation

    GRs likely become occupied following rises in CORT after HPA axis activation and/or at peak diurnal concentrations.

    “On the other hand, it is thought that GRs likely become occupied following rises in CORT that can occur after activation of the HPA axis (Reul, van den Bosch, & de Kloet, 1987) and/or at peak concentrations achieved during the diurnal cycle.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Reul, van den Bosch, & de Kloet, 1987 source
  • May combine two claims.

    Premisecitation

    In male rats, gonadectomy elevates and androgen replacement blunts the corticosterone and ACTH stress response.

    “Gonadectomy of male rats elevates, while androgen replacement blunts the CORT and ACTH response to stress”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Handa et al., 1994

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    PVN infusion of glucocorticoids decreases HPA axis activation, suggesting the PVN is central to negative feedback.

    “In a series of early studies, PVN infusion of glucocorticoids resulted in decreased activation of the HPA axis, suggesting that this brain nucleus is central to this adaptive process (Kovacs & Makara, 1988; Sawchenko, 1987).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Kovacs & Makara, 1988

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Sawchenko, 1987 source
  • May combine two claims.

    Premisecitation

    CRH-BP is secreted by anterior pituitary corticotropes and binds free CRH, preventing receptor binding and blocking CRH actions on corticotrophs.

    “It is secreted by anterior pituitary corticotropes, and subsequently binds free CRH (Figure 1), thus preventing it from binding to its receptor and thereby blocking the actions of CRH on anterior pituitary corticotrophs”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Cortright, Nicoletti, & Seasholtz, 1995 source
    • cites Seasholtz, Burrows, Karolyi, & Camper, 2001 source
  • May combine two claims.

    Premisecitation

    Rat pituitary corticotrophs express both estrogen receptor subtypes, but only TERP mRNA changes (4- to 7-fold increase) after estradiol treatment.

    “Corticotrophs in the rat pituitary also express both estrogen receptor subtypes (α and β), but only a pituitary-specific truncated estrogen receptor product (TERP) mRNA transcript changes levels (4-to 7-fold increase) following estradiol treatment”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Mitchner, Garlick, & Ben-Jonathan, 1998 source
  • May combine two claims.

    Premisecitation

    AVP can be co-expressed with CRH in the rat PVN and co-secreted with CRH to enhance CRH's secretagogue activity at the pituitary.

    “AVP can be co-expressed with CRH in the rat PVN, and can be co-secreted with CRH where it acts at the pituitary to enhance the secretagouge activity of CRH (Rivier, Rivier, Mormede, & Vale, 1984; Rivier & Vale, 1983, 1985).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Rivier, Rivier, Mormede, & Vale, 1984 source
    • cites Rivier & Vale, 1983, 1985

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Interpretationcitation

    Gonadal steroids are critical for correct programming of the HPA axis during the perinatal period and play a role in establishing the HPA axis response to stress at puberty.

    “Thus, gonadal steroids are not only critical for the correct programing of the HPA axis during the perinatal period, but also play a role in establishing the HPA axis response to stress at puberty.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Oxytocin is primarily produced by neurons in the PVN and SON.

    “The nanopeptide hormone, oxytocin, is primarily produced by neurons residing in the PVN and SON (Onaka, 2004).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Onaka, 2004 source
  • May combine two claims.

    Premisecitation

    OT neurons in the PVN can regulate the HPA axis since PVN OT is released into the hypothalamo-hypophyseal portal vasculature, enhancing CRH-mediated ACTH release via binding the V1b vasopressin receptor.

    “OT neurons in the PVN can also regulate the HPA axis since PVN OT is released into the hypothalamo-hypophyseal portal vasculature, enhancing the CRH-mediated release of ACTH via binding the V1b type vasopressin receptor (Schlosser, Almeida, Patchev, Yassouridis, & Elands, 1994).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Schlosser, Almeida, Patchev, Yassouridis, & Elands, 1994 source
  • May combine two claims.

    Premisecitation

    Pre-pubertal and adult male rats exhibit similar CORT and ACTH peak levels following acute stress, but pre-pubertal animals take 30-45 min longer to return to baseline.

    “Interestingly, although pre-pubertal and adult male rats exhibit similar CORT and ACTH peak levels following acute stress, pre-pubertal animals take 30–45 min longer to return to baseline levels (Romeo et al., 2006; Romeo, Lee, & McEwen, 2004).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Romeo et al., 2006 source
    • cites Romeo, Lee, & McEwen, 2004 source
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    The use of intact females without monitoring estrous cyclicity limits interpretation of stress circuitry results.

    “This relationship challenges the experimental approach of using intact females in the study of the stress circuitry and indicates that estrous cyclicity should be monitored in order to allow interpretation of results from females.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    AVP is involved in regulation of the stress response and circadian rhythms, as well as osmoregulation, paternal behaviors, and aggression.

    “The nanopeptide, AVP, has been shown to be involved in the regulation of the stress response and circadian rhythms, as well as osmoregulation, paternal behaviors, and aggression (Sladek, 2010).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sladek, 2010

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Crh promoter activity can be augmented by estradiol or the ERβ agonist DPN, but not the ERα agonist PPT.

    “Similarly, Crh promoter activity can be augmented by estradiol or the ERβ agonist, DPN, but not the ERα agonist, PPT (Ogura, Kageyama, Hanada, Kasckow, & Suda, 2008).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ogura, Kageyama, Hanada, Kasckow, & Suda, 2008

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Kisspeptin is a hypothalamic peptide encoded by KiSS1 and is a potent stimulus for GnRH secretion.

    “A relatively recent player implicated in the regulation of GnRH was introduced with the discovery of the RFamide, kisspeptin (Lee et al., 1996). Kisspeptin is a hypothalamic peptide encoded by the KiSS 1 gene (Kotani et al., 2001) and it has been found to be a potent stimulus for GnRH secretion (Herbison, 2016).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Lee et al., 1996 source
    • cites Kotani et al., 2001 source
    • cites Herbison, 2016 source
  • May combine two claims.

    Premisecitation

    In rodents, estradiol stimulates GnRH secretion, and this positive feedback is required for female ovulation.

    “In rodents, estradiol is also known to have a stimulatory effect on GnRH secretion, and this positive feedback action is essential for ovulation in the female (Evans, Dahl, Mauger, & Karsch, 1995; Levine & Ramirez, 1980; Sarkar & Fink, 1980).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Evans, Dahl, Mauger, & Karsch, 1995 source
    • cites Levine & Ramirez, 1980 source
    • cites Sarkar & Fink, 1980 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Early studies did not detect estrogen receptor in GnRH neurons, leading to the hypothesis that estrogen negative feedback is indirect, possibly through estrogen receptors in neighboring GABAergic neurons.

    “Early studies failed to detect the presence of estrogen receptor in GnRH neurons, giving rise to the hypothesis that estrogen negative feedback was indirect, perhaps through estrogen receptors that were found in neighboring GABAergic neurons (Shivers, Harlan, Morrell, & Pfaff, 1983).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Shivers, Harlan, Morrell, & Pfaff, 1983 source
  • May combine two claims.

    Premisecitation

    Testosterone can be converted to 3β-diol, a weak androgen that binds ERβ.

    “Another twist on the potential mechanism for the HPA down-regulation by testosterone is through its conversion to 3β-diol, a weak androgen, which has been shown to bind ERβ [reviewed in Handa, Weiser, and Zuloaga (2009b)].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Handa, Weiser, and Zuloaga (2009b)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    In rodents, GnRH neurons are located from the medial septum to the medial pre-optic area, whereas in humans and non-human primates they are found further caudal in the medial basal hypothalamus.

    “In the rodent, GnRH neurons are located in a swath from the medial septum to the medial pre-optic area, whereas in the human and non-human primate they are found further caudal in the medial basal hypothalamus (Rance, Young, & McMullen, 1994; Witkin, Paden, & Silverman, 1982).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Rance, Young, & McMullen, 1994 source
    • cites Witkin, Paden, & Silverman, 1982

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationnone given

    Long-loop negative feedback resembles other neuroendocrine axes in which the end product acts on hypothalamic motorneurons that drive the axis.

    “This long-loop negative feedback is similar to that of many neuroendocrine axes, where the end product, in this case, estradiol or testosterone, acts upon hypothalamic “motorneurons” that drive the neuroendocrine axis.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    GnRH neurons arise in the nasal placode and migrate into the brain along the vomeronasal nerve to their adult location in the hypothalamus.

    “GnRH neurons have a very curious lifespan, arising in the nasal placode in early development and then migrating into the brain along the vomeronasal nerve to eventually take up their adult location in the hypothalamus (Schwanzel-Fukuda & Pfaff, 1989; Tobet & Schwarting, 2006; Wray, Nieburgs, & Elkabes, 1989).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Schwanzel-Fukuda & Pfaff, 1989 source
    • cites Tobet & Schwarting, 2006 source
    • cites Wray, Nieburgs, & Elkabes, 1989 source
  • May combine two claims.

    Premisecitation

    GnRH neurons do not seem to express ERα, suggesting that another upstream factor regulates GnRH.

    “GnRH neurons do not seem to express ERα either, suggesting that another upstream player is involved in the regulation of GnRH (Herbison & Theodosis, 1992).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Herbison & Theodosis, 1992 source
  • May combine two claims.

    Premisecitation

    Castration in male rats and other species results in increased levels of gonadotropins, and testosterone replacement drives secretion back to baseline.

    “This relationship has been demonstrated numerous times by studies using castrated male rats, and other species, where castration results in increased levels of gonadotropins and testosterone replacement drives secretion back to baseline (Damassa, Kobashigawa, Smith, & Davidson, 1976; Tilbrook & Clarke, 1995).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Damassa, Kobashigawa, Smith, & Davidson, 1976 source
    • cites Tilbrook & Clarke, 1995

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Premisecitation

    Slow release of GnRH selectively drives FSH-β synthesis in the anterior pituitary, whereas fast pulses selectively drive LH-β synthesis.

    “Moreover, studies have demonstrated that slow release of GnRH can selectively drive the synthesis of FSH-β in the anterior pituitary gland, whereas fast pulses of GnRH selectively drive LH-β synthesis (Burger, Dalkin, Aylor, Haisenleder, & Marshall, 2002; Haisenleder, Dalkin, Ortolano, Marshall, & Shupnik, 1991; Kaiser, Jakubowiak, Steinberger, & Chin, 1997).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Burger, Dalkin, Aylor, Haisenleder, & Marshall, 2002

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Haisenleder, Dalkin, Ortolano, Marshall, & Shupnik, 1991 source
    • cites Kaiser, Jakubowiak, Steinberger, & Chin, 1997 source
  • May combine two claims.

    Premisecitation

    Positive feedback is sexually differentiated: male rodents cannot produce an LH surge in response to elevated estradiol.

    “This positive feedback response is a sexually differentiated phenomenon, where male rodents are incapable of responding to elevated estradiol with a surge of LH (Corbier, 1985; Gogan, Beattie, Hery, Laplante, & Kordon, 1980; Olster & Blaustein, 1991).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Corbier, 1985 source
    • cites Gogan, Beattie, Hery, Laplante, & Kordon, 1980 source
    • cites Olster & Blaustein, 1991 source
  • May combine two claims.

    Interpretationreasoning

    Testosterone can be converted to 3β-diol and act through ERβ to reduce HPA axis gain.

    “Moreover, testosterone can be further converted into 3β-diol and thereby act through ERβ to reduce the gain of the HPA axis (Figure 3).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    The interaction of kisspeptin, neurokinin B, and dynorphin shapes pulsatile GnRH secretion, with kisspeptin and neurokinin B increasing pulse frequency and dynorphin reducing it.

    “Thus, it appears to be the interaction of these three players that sculpt the pulsatile patterns of GnRH secretion. While kisspeptin and neurokinin B can increase the frequency of GnRH pulses, secretion of dynorphin will reduce pulse frequency.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Neurokinin B and kisspeptin stimulate GnRH release and co-localize in some arcuate nucleus neurons.
  • May combine two claims.

    Premisereasoning

    Internal cues are critical for HPG axis regulation, and external signals such as stress also affect this axis.

    “As discussed here, internal cues are critical for the regulation of the HPG axis. However, external signals, like stress, are well known to affect this axis also.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Peripheral steroid hormones cross the blood-brain barrier because they are lipophilic and can be converted in the brain to active metabolites by enzymes including aromatase, 3β-HSD, and 5α-reductase.

    “Peripheral steroid hormones are able to cross the brain-blood barrier, due to their lipophilic nature, and can be converted to biologically active metabolites within the brain through actions of several enzymes such as aromatase, 3β-HSD, and 5α-reductase (Lephart, Lund, & Horvath, 2001).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Lephart, Lund, & Horvath, 2001 source
  • May combine two claims.

    Interpretationreasoning

    Because ERβ decreases and ERα increases HPA axis gain, male HPA axis gain could depend on local enzyme levels.

    “Since ERs can have opposing effects on HPA activity (ERβ decreases, while ERα increases HPA axis gain), then the gain of the HPA axis in males could be dependent upon the enzymes levels that are present.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: ERβ decreases HPA axis gain while ERα increases it.
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationreasoning

    Additional HPA axis regulation could come from the quantity of ERs in a brain region and the ratio of ERα to ERβ at a given time.

    “Moreover, additional regulation could be provided by two other factors. First, the quantity of ERs present in a particular brain region, and, second, the ratio of ERα vs. ERβ at a particular time point.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    In gonadectomized rats, gonad removal increased KiSS1 mRNA levels, and gonadal steroid replacement reversed this increase.

    “The first observations indicating that kisspeptin neurons might be involved in the negative feedback regulation by gonadal steroids were seen in gonadectomized rats, where removal of the gonads significantly increased KiSS 1 mRNA levels, and this effect was reversed by replacement with gonadal steroids (Navarro et al., 2004).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Navarro et al., 2004 source
  • May combine two claims.

    Premisecitation

    Basal and stress-induced CORT are greater in female than in male rodents.

    “For instance, basal and stress-induced CORT have been shown to be greater in female than in male rodents (Critchlow, Liebelt, Bar-Sela, Mountcastle, & Lipscomb, 1963; Handa, Burgess, Kerr, & O’Keefe, 1994; Kitay, 1961).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Critchlow, Liebelt, Bar-Sela, Mountcastle, & Lipscomb, 1963 source
    • cites Handa, Burgess, Kerr, & O’Keefe, 1994 source
    • cites Kitay, 1961 source
  • May combine two claims.

    Premisecitation

    Females have higher amplitude and frequency of CORT pulses than males.

    “Moreover, sex differences in the pulsatile pattern of CORT secretion have been identified by the Lightman group, where females have a higher amplitude and frequency of CORT pulses than males (Lightman & Conway-Campbell, 2010).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Lightman & Conway-Campbell, 2010 source
  • May combine two claims.

    Interpretationreasoning

    If testosterone is converted to estradiol, both ERs could be activated because estradiol binds both ERs indiscriminately.

    “Correspondingly, if testosterone is converted into estradiol, both ERs could be activated due to the indiscriminative binding properties of estradiol to both ERs.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Rising estradiol activates AVPV kisspeptin neurons, which activate GnRH neurons and drive the pre-ovulatory GnRH surge.

    “Rising titers of estradiol can activate kisspeptin neurons in the AVPV causing a concomitant activation of GnRH neurons, which apparently drives the pre-ovulatory surge of GnRH from the hypothalamus.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Fluctuations in estradiol and progesterone across the estrous cycle of adult rodents are arguably responsible for most activational effects in the female brain, regulating behavioral and physiological stress responses in adulthood.

    “The fluctuations in estradiol and progesterone present across the estrous cycle of adult rodents are arguably responsible for most activational effects in the female brain, thereby regulating the behavioral and physiological repertoire to stress seen during adulthood.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Interpretationreasoning

    The localization, expression levels, and activity of steroid hormone receptors may help explain why certain hormones and their metabolites have sex-specific effects.

    “Thus, the localization, expression levels, and activity of steroid hormone receptors may further help explain why certain hormones and their metabolites have sex-specific effects.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Premisenone given

    The neuroendocrine system continuously monitors gonadal steroid levels using estrogen and androgen receptors in the hypothalamus.

    “To maintain homeostasis, the neuroendocrine system continuously monitors the levels of gonadal steroids using estrogen and androgen receptors found in the hypothalamus.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    The HPG and HPA axes work in parallel and in a carefully choreographed fashion to maintain species survival and perhaps minimize allostatic load.

    “In sum, the HPG and HPA axes work in a parallel, and in a carefully choreographed fashion, to successfully maintain species survival and perhaps minimize allostatic”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Premisenone given

    Hormones have specific actions in given brain regions.

    “It is now known that hormones have specific actions in given brain regions.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationnone given

    The HPG and HPA axes both exhibit striking sex differences that are organized and activated by dynamic changes in sex and stress hormones across the lifespan.

    “The HPG and HPA axes both exhibit striking sex differences, which are organized and activated by dynamic changes in sex and stress hormones across the lifespan.”
    Quote in the paperNot a substantial claim
75 of 75
  • The paper relies on this without support.

    The basis for sex differences in stress coping is unknown, partly because early research used male rodents.

    “The basis for these differences is unknown, in part because much of the early work in this field was performed on male rodents”
  • The paper relies on this without support.

    Gonadal steroids are largely responsible for sex differences in response to physical or psychological threats.

    “Gonadal steroids are largely responsible for the differential response to physical or psychological threats between sexes.”
  • The paper relies on this without support.

    ERβ decreases HPA axis gain while ERα increases it.

    “Since ERs can have opposing effects on HPA activity (ERβ decreases, while ERα increases HPA axis gain)”
  • The paper relies on this without support.

    Neurokinin B and kisspeptin stimulate GnRH release and co-localize in some arcuate nucleus neurons.

    “Both, neurokinin B and kisspeptin, have now been shown to have stimulatory effects on the release of GnRH and are both co-localized in some neurons of the arcuate nucleus.”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Repression of the HPA axis is due to inhibitory activities exerted by estrogens, androgens, progesterone, and their metabolites on neurons of the hypothalamic peri-paraventricular and paraventricular nuclei, and the anterior pituitary.

    “Repression of the HPA axis is due to inhibitory activities exerted by estrogens, androgens, progesterone, and their metabolites on neurons of the hypothalamic peri-paraventricular and paraventricular nuclei, and the anterior pituitary.”

    From Fibromyalgia pathogenesis explained by a neuroendocrine multistable model (2024) · cites this paper as [72]

    The sections on steroid metabolites and negative feedback describe inhibition of HPA activity by testosterone-derived metabolites and by estrogen-receptor-β activation near the PVN. But estrogen-receptor-α activation there increases HPA activity, and the pituitary-gland section says whether estrogen receptors regulate ACTH release at that level remains unknown. The copy does not establish that progesterone and all the listed hormones and metabolites inhibit the HPA axis through neurons at all three named sites; page numbers were not available. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • The double-inhibitory loop operates physiological functions, but under peculiar circumstances could lead to functional disorders.

    “Such double-inhibitory loop operates physiological functions [72,131], but under peculiar circumstances could lead to functional disorders.”

    From Fibromyalgia pathogenesis explained by a neuroendocrine multistable model (2024) · cites this paper as [72]

    In the HPA axis overview (page unavailable), the paper says negative feedback restores homeostasis and that dysregulation can cause pathologies. The steroid feedback loop section likewise describes feedback maintaining gonadal hormone levels. Neither passage identifies a double-inhibitory loop, so the specific mechanism attributed to the source is unsupported. (LLM, conf=0.78)

    Experimental — accuracy not yet measured
  • Differential stress-related phenotypes between males and females are related to gonadal hormones, which play important roles in the establishment, activation and regulation of the HPA axis.

    “Differential stress-related phenotypes between males and females are also related to the gonadal hormones, which play important roles in the establishment, activation and regulation of the HPA axis (276).”
  • Repression of the HPG axis is due to inhibitory activities exerted by corticosteroids on hypothalamic kisspeptin and gonadotropin-releasing-hormone neurons, the anterior pituitary, and gonads.

    “Repression of the HPG axis is due to inhibitory activities exerted by corticosteroids on hypothalamic kisspeptin and gonadotropin-releasing-hormone (GnRH) neurons, the anterior pituitary, and gonads [72].”

    From Fibromyalgia pathogenesis explained by a neuroendocrine multistable model (2024) · cites this paper as [72]

    The HPG-axis and Steroid feedback loop sections describe kisspeptin, GnRH, the anterior pituitary, and gonads, but do not say corticosteroids inhibit them to repress the HPG axis. The Negative feedback and corticosteroid receptors section describes glucocorticoid inhibition of the HPA axis instead. Searches for corticosteroid inhibition of the HPG axis and its named targets found no supporting passage; page numbers were unavailable. (LLM, conf=0.76)

    Experimental — accuracy not yet measured
  • Salivary cortisol level reaches its maximum about 20 minutes after acute stress reaction.

    “salivary cortisol level reaches its maximum about 20 minutes after acute stress reaction (Fan et al., 2009;Oyola & handa, 2017).”

    From Salivary testosterone and cortisol response in acute stress modulated by seven sessions of mindfulness meditation in young males (2024) · cites this paper as Oyola & handa, 2017

    The HPA axis overview describes cortisol release in response to stress, while the gonadal-hormone section discusses stress-hormone peaks in rats. Neither gives a peak time for salivary cortisol in humans. Searches for salivary cortisol and a peak about 20 minutes after acute stress found no supporting passage in our copy; page numbers were unavailable. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

Cites

Flagged first, then by citations

1 of the 233 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. 10.1111/j.1365-2826.2009.01840.x · DOI
  2. Tilbrook A.J., 1995, Journal of Reproduction and Fertility Supplement, 49, 297
  3. Young E.A., 1996, Molecular Psychiatry, 1, 313

Cited by

Sorted by citations

Authors
Oyola, M. G., & Handa, R. J.
Affiliations
Colorado State University (US)
Corresponding author
Oyola, Mario G.
Venue
Stress
Published
2017-08-31
Volume
20
Issue
5
Pages
476-494
ISSN
  • 1025-3890 (ISSN-L)
  • 1607-8888
OpenAlex
W2751431338
Cited by
710
References
233
Citations by year
2026: 86 · 2025: 101 · 2024: 91 · 2023: 103 · 2022: 98 · 2021: 108 · 2020: 62 · 2019: 41 · 2018: 19 · 2017: 1
FWCI
2.96
Type
journal article
Language
en
Open access
Locations
  • Stress (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (RO1DK105826)
Topics
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Keywords
hypothalamic-pituitary-adrenal axis, hypothalamic-pituitary-gonadal axis, sex differences, stress responsivity, sex steroids, estradiol, estrous cycle, HPA axis dysregulation, organizational effects, chronic stress, neuropsychiatric disorders
MeSH terms
Animals, Female, Gonads, Humans, Hypothalamo-Hypophyseal System, Male, Pituitary-Adrenal System, Sex Characteristics, Sex Factors, Gonadal Steroid Hormones, Stress, Psychological, Estrous Cycle, Mice, Rats

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read under definition version 3 (extract-v3) on 2026-09-28.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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