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

The DOI matches its Crossref record; 232 of the 233 references it cites were found in a registry or an index; 71 of the 204 sources its claims cite were checked for support.

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

Open access

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.

Overview

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.

Verification

Claims the paper makes

50 No full text of the sources · 40 Own interpretation · 30 Partly supported · 24 Supported · 19 No basis given · 17 Not checked yet · 12 Sources not found · 10 Supported so far · 4 Not supported · 1 Couldn’t confirm · accuracy not yet measured

Show all 132 claims

  • It may state two separate claims as one. 59
  • Probably not a substantial claim. 20
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?

Citations

Cites

Show all 233 references

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

See all 710

Metadata

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.

A language model drew the claims from the paper on 2026-09-28, under version 3 of the claim definition (prompt extract-v3).

A second model labelled each claim on 2026-09-28 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Cited sources are checked with a language model’s help (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.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review