Stress-induced sensitization: the hypothalamic–pituitary–adrenal axis and beyond
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Exposure to certain acute and chronic stressors results in an immediate behavioral and physiological response to the situation followed by a period of days when cross-sensitization to further novel stressors is observed. Cross-sensitization affects to different behavioral and physiological systems, more particularly to the hypothalamus-pituitary-adrenal (HPA) axis. It appears that the nature of the initial (triggering) stressor plays a major role, HPA cross-sensitization being more widely observed with systemic or high-intensity emotional stressors. Less important appears to be the nature of the novel (challenging) stressor, although HPA cross-sensitization is better observed with short duration (5-15 min) challenging stressors. In some studies with acute immune stressors, HPA sensitization appears to develop over time (incubation), but most results indicate a strong initial sensitization that progressively declines over the days. Sensitization can affect other physiological system (i.e. plasma catecholamines, brain monoamines), but it is not a general phenomenon. When studied concurrently, behavioral sensitization appears to persist longer than that of the HPA axis, a finding of interest regarding long-term consequences of traumatic stress. In many cases, behavioral and physiological consequences of prior stress can only be observed following imposition of a new stressor, suggesting long-term latent effects of the initial exposure.
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Sensitization can affect other physiological systems (plasma catecholamines, brain monoamines), which appears to be long-lasting, a finding that may explain the long-term consequences of early-life adversity and traumatic stressors.
“Sensitization can also affect other physiological systems (i.e. plasma catecholamines, brain monoamines), which appears to be long-lasting, a finding that may explain the long-term consequences of early-life adversity and traumatic stressors (Belda, Fuentes, Daviu, Nadal, & Armario, 2015).”
From Cued for Risk: Evidence for an Incentive Sensitization Framework to Explain the Interplay between Stress and Anxiety, Substance Abuse, and Reward Uncertainty in Disordered Gambling Behavior (2019) · cites this paper as Belda, Fuentes, Daviu, Nadal, & Armario, 2015
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Stress and Obesity: Are There More Susceptible Individuals?
van der Valk, E. S., Savas, M., & van Rossum, E. F. C. (2018) · Current Obesity Reports · doi:10.1007/s13679-018-0306-y · Cited by 402 · see citing works
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Sze, Y., & Brunton, P. J. (2020) · European Journal of Neuroscience · doi:10.1111/ejn.14615 · Cited by 85 · see citing works
Hellberg, S. N., Russell, T. I., & Robinson, M. J. F. (2019) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/s13415-018-00662-3 · Cited by 65 · see citing works
- Authors
- Belda, X., Fuentes, S., Daviu, N., Nadal, R., & Armario, A.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Corresponding author
- Armario, Antonio
- Venue
- Stress
- Publisher
- Informa UK Limited
- Published
- 2015-05-04
- Volume
- 18
- Issue
- 3
- Pages
- 269-279
- ISSN
- 1025-3890 (ISSN-L)
- 1607-8888
- OpenAlex
- W1756324357
- Cited by
- 123
- References
- 128
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 10 · 2023: 14 · 2022: 10 · 2021: 7 · 2020: 17 · 2019: 11 · 2018: 11 · 2017: 15 · 2016: 8 · 2015: 2
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Stress (publishedVersion)
- PubMed (publishedVersion)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, public-domain)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, public-domain)
- Funders
- Generalitat de Catalunya (SGR 2014-1020, SGR 2014)
- Ministerio de Economía y Competitividad (SAF2011-28313)
- Plan Nacional sobre Drogas
- Instituto de Salud Carlos III (RD12/0028/0014)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Keywords
- cross-sensitization, hypothalamic-pituitary-adrenal axis, acute stress, chronic stress, emotional stressors, incubation, plasma catecholamines, brain monoamines, behavioral sensitization, traumatic stress
- MeSH terms
- Adrenocorticotropic Hormone, Animals, Catecholamines, Corticosterone, Humans, Hypothalamo-Hypophyseal System, Pituitary-Adrenal System, Stress Disorders, Post-Traumatic, Stress, Psychological, Central Nervous System Sensitization
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.
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