1. The Hypothalamic-Pituitary-Adrenal Axis: Development, Programming Actions of Hormones, and Maternal-Fetal Interactions
- Author
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Sage A. Myers, Robert J. Handa, Julietta A. Sheng, Mina Roueinfar, Anna I. Bautista, Natalie J. Bales, and Taben M. Hale
- Subjects
sex differences ,Cognitive Neuroscience ,Central nervous system ,Review ,lcsh:RC321-571 ,03 medical and health sciences ,Behavioral Neuroscience ,0302 clinical medicine ,homeostasis ,medicine ,estrogen ,hypothalamus ,lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry ,development ,030304 developmental biology ,0303 health sciences ,business.industry ,HPA axis ,androgens ,medicine.disease ,medicine.anatomical_structure ,Neuropsychology and Physiological Psychology ,Hypothalamus ,Schizophrenia ,Major depressive disorder ,glucocorticoid ,business ,Neuroscience ,030217 neurology & neurosurgery ,Homeostasis ,Hypothalamic–pituitary–adrenal axis ,Glucocorticoid ,Hormone ,medicine.drug - Abstract
The hypothalamic-pituitary-adrenal axis is a complex system of neuroendocrine pathways and feedback loops that function to maintain physiological homeostasis. Abnormal development of the hypothalamic-pituitary-adrenal (HPA) axis can further result in long-term alterations in neuropeptide and neurotransmitter synthesis in the central nervous system, as well as glucocorticoid hormone synthesis in the periphery. Together, these changes can potentially lead to a disruption in neuroendocrine, behavioral, autonomic, and metabolic functions in adulthood. In this review, we will discuss the regulation of the HPA axis and its development. We will also examine the maternal-fetal hypothalamic-pituitary-adrenal axis and disruption of the normal fetal environment which becomes a major risk factor for many neurodevelopmental pathologies in adulthood, such as major depressive disorder, anxiety, schizophrenia, and others.
- Published
- 2020