1. Magnocellular Vasopressin and the Mechanism of 'Glucocorticoid Escape'
- Author
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Ferenc A. Antoni
- Subjects
0301 basic medicine ,Vasopressin ,vasopressin ,Endocrinology, Diabetes and Metabolism ,adrenal corticosteroids ,030209 endocrinology & metabolism ,Endogeny ,Review ,lcsh:Diseases of the endocrine glands. Clinical endocrinology ,03 medical and health sciences ,Endocrinology ,0302 clinical medicine ,Anterior pituitary ,Medicine ,Interleukin 6 ,agonist-induced plasticity ,lcsh:RC648-665 ,biology ,business.industry ,Mechanism (biology) ,interleukin-6 ,dexamethasone non-suppression ,ACTH ,030104 developmental biology ,medicine.anatomical_structure ,nervous system ,Adrenocorticotropin secretion ,biology.protein ,Corticotropic cell ,business ,Neuroscience ,hormones, hormone substitutes, and hormone antagonists ,Glucocorticoid ,medicine.drug - Abstract
It is now widely accepted that magnocellular vasopressinergic neurons in the supraoptic and paraventricular nuclei participate in the control of adrenocorticotropin secretion by the anterior pituitary gland. However, it remains to be explored in further detail, when and how these multifunctional neurons are involved in the control of anterior pituitary function. This paper highlights the role of magnocellular vasopressin in the hypothalamic pituitary adrenocortical axis with special reference to escape from glucocorticoid feedback inhibition. The signaling mechanisms underlying glucocorticoid escape by pituitary corticotrope cells, as well as the wider physiologic and pathologic contexts in which escape is known to occur—namely strenuous exercise, and autoimmune inflammation will be considered. It is proposed that by inducing escape from glucocorticoid feedback inhibition at the pituitary level, magnocellular vasopressin is critically important for the anti-inflammatory, and immunosuppressant actions of endogenous corticosteroids.
- Published
- 2019
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