Cited by 293Stress Responses and CortisolEstrogen and related hormone effectsAdrenal Hormones and Disorders

Glucocorticoid action networks and complex psychiatric and/or somatic disorders

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Chrousos, George P., Kino, Tomoshige·2007·Stress

Abstract

Glucocorticoids contribute fundamentally to the maintenance of basal and stress-related homeostasis in all higher organisms. These hormones influence a large percentage of the expressed human genome and their effects spare almost no organs or tissues. Glucocorticoids influence many functions of the central nervous system, such as arousal, cognition, mood and sleep, the activity and direction of intermediary metabolism, the maintenance of a normal cardiovascular tone, the activity and quality of the immune and inflammatory reaction, including the manifestations of the sickness syndrome, as well as growth and reproduction. The numerous actions of glucocorticoids are mediated by a set of at least 16 glucocorticoid receptor (GR) isoforms forming homo- or hetero-dimers. The GRs consist of multifunctional domain proteins operating as ligand-dependent transcription factors that interact with many other cell signaling systems. The presence of multiple GR monomers and dimers expressed in a cell-specific fashion at different quantities with quantitatively and qualitatively different transcriptional activities suggests that the glucocorticoid signaling system is highly stochastic. Based on ample evidence, we present our conception that glucocorticoids are heavily involved in human pathophysiology and influence life expectancy. Common psychiatric and/or somatic complex disorders, such as anxiety, depression, insomnia, chronic pain and fatigue syndromes, obesity, the metabolic syndrome, essential hypertension, diabetes type 2, atherosclerosis with its cardiovascular sequelae, and osteoporosis, as well as autoimmune inflammatory and allergic disorders, all appear to have a glucocorticoid component.

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Research works printed but not linked: 2

  1. Chrousos GP. 2001. Glucocorticoid therapy. In: Flig P, Frohman L, editors. Endocrinology and metabolism. 4th ed. New York: McGraw-Hill. p 609-632.
  2. Miller WL, Chrousos GP. 2001. The adrenal cortex. In: Felig P, Frohman LA, editors. Endocrinology and metabolism. 4th ed., New York: McGraw-Hill. p 387-524.

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Authors
Chrousos, G. P., & Kino, T.
Affiliations
National Institutes of Health (US)
Corresponding author
Chrousos, George P.
Venue
Stress
Published
2007-01
Volume
10
Issue
2
Pages
213-219
ISSN
  • 1025-3890 (ISSN-L)
  • 1607-8888
OpenAlex
W2117077354
Cited by
292
References
47
Citations by year
2026: 6 · 2025: 7 · 2024: 6 · 2023: 10 · 2022: 12 · 2021: 15 · 2020: 15 · 2019: 8 · 2018: 15 · 2017: 11 · 2016: 13 · 2015: 16 · 2014: 18 · 2013: 21 · 2012: 20
FWCI
9.89
Type
journal article
Language
en
Open access
Locations
  • Stress (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Child Health and Human Development
Topics
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Keywords
glucocorticoids, glucocorticoid receptor isoforms, glucocorticoid signaling, mental illness, somatic diseases, anxiety, depression, insomnia, chronic pain, fatigue syndrome, obesity, metabolic syndrome, essential hypertension, type 2 diabetes, atherosclerosis, osteoporosis, allergic diseases, transcriptional regulation, life expectancy
MeSH terms
Mental Disorders, Glucocorticoids, Humans, Hypothalamo-Hypophyseal System, Pituitary-Adrenal System, Receptors, Glucocorticoid, Stress, Psychological, Metabolic Syndrome

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