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Stress Hormones, the Brain and Behavior What is stress? What is stress? It is “a real or interpreted threat to the physiological or psychological integrity of an individual that results in physiological and/or behavioral responses. In biomedicine, stress often refers to situations in which adrenal glucocorticoids and catecholamines are elevated because of an experience.” McEwen, B. (2000) In G. Fink (Ed.) Encyclopedia of Stress, Vol. 3. San Diego: Academic Press. What is stress? stress stimulus? “I’m under a lot of stress.” subjective experience? “I’m feeling stressed out.” depression deviation from homeostasis? hunger, thirst, fatigue endocrine response? circulating stress hormones Two types of stress 1. Systemic stress physiological threat 2. Processive stress potential or eventual threat In adults, responses to processive, but not systemic, stress is blocked by lesions of the hippocampus Systemic stress is also referred to as physiological stress, and processive stress is oten referred to as psychological stress Control of Stress Hormones neural inputs (limbic system) Hypothalamus Indirect Loop Short Loop CRF (aka CRH) Adenohypophysis Direct Loop Corticotrophin (aka ACTH) Adrenal Cortex Cortisol or Corticosterone Target tissues This is usually referred to as the “HPA axis,” but is now often called the “LHPA axis.” Paraventricular Nucleus (CRF) As with thyroid hormones and sex hormones One can ask, are there “organizational effects” and “activational effects”? Stress hyporesponsive period Meany, M.J., Sapolsky R.M. * McEwen, B.S. (1985) The development of the glucocorticoid receptor system in the rat limbic brain: I. Ontogeny and autoregulation. Developmental Brain Research, 18, 159-164. CRH mRNA CRH mRNA Avishai-Eliner, S., Brunson, K.L., Sandman, C.A. & Baram, T.Z. (2002) Stressed-out, or in (utero)? Trends Neurosci., 25, 518-524. Neonatal SHRP Hippocampus Low concentration of bioactive receptors Little impact of CORT on hippocampal function, thus diminution of inhibitory feedback signal to hypothalamic CRF system. Basal adrenocortical activity is unsuppressible. Hypothalamus Diminished CRF content: potentially reduced CRF during stress Attenuated CRF signal to the pituitary during stress Pituitary Diminished ACTH content Adult concentrations of bioactive receptors Paucity of AUX receptors (CBG) Exaggerated impact of CORT on pituitary function due to heavy nuclear uptake of CORT. The pituitary, already limited in its function, is desensitized to the limited CRF signal. Adrenal Cortex Involution of the fetal zone Limited secretory capacity Stress hyporesponsive period Meany, M.J., Sapolsky R.M. * McEwen, B.S. (1985) The development of the glucocorticoid receptor system in the rat limbic brain: I. Ontogeny and autoregulation. Developmental Brain Research, 18, 159-164. Levine, S. (2005) Developmental determinants of sensitivity and resistance to stress. Psychoneuroendocrinology, 30, 939-946. Knackstedt, M.K., Hamelmann, E. & Arck, P.C. (2005) Mothers in stress: Consequences for the offspring. Am. J. Reprod. Immunol., 54, 63-69. (Tumor Necrosis Factor) Maternal stress perception leads to prolonged activation of the HPA axis within the maternal organism. This induces increased levels of CRH. CRH suppress es progesterone secretion and therefore diminishes the levels of progesterone induced blocking factor (PIBF), an important immune modulator during pregnancy. CRH also leads to an augmentation of circulation glucocorticoids. This leads to a shift from Th2 to a Th1 immunity resulting in increased expression of TNF-a at the feto–maternal interface. Elevated expression of TNF-α is associated with increased apoptosis in the placenta as well as priming the fetal immune system. Most likely, high levels of Th1 cytokines at the feto–maternal interface evoke counteracting mechanism leading to immunosuppression and a predisposition of the immune system towards atopic disease. Augmented levels of glucocorticoids have a negative feedback on growth hormone release leading to fetal growth restriction. Low birth weight in turn predisposes to type II diabetes, Knackstedt, M.K., Hamelmann, E. & Arck, P.C.(2005) Mothers in stress: Consequences for the offspring. Am. J. Reprod. Immunol., 54, 63-69. Stress increases placental CRH to fetus; CRH excitatory inputs to hippocampal neurons facilitates synaptic development in low levels but is excitotoxic at high levels Avishai-Eliner, S., Brunson, K.L., Sandman, C.A. & Baram, T.Z. (2002) Stressed-out, or in (utero)? Trends Neurosci., 25, 518-524. activity-dependent modulation of neuronal growth and differentiation by glucocorticoids (membrane effects) Avishai-Eliner, S., Brunson, K.L., Sandman, C.A. & Baram, T.Z. (2002) Stressed-out, or in (utero)? Trends Neurosci., 25, 518-524. Altered development of the hippocampus results in altered responses to stressful stimuli, especially processive (psychological) stressors Also, maternal stress can cause feedback inhibition of testosterone secretion from fetal testes; less masculinized and less defeminized males cholesterol