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2016 ; 7
(ä): 137
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Paraventricular Hypothalamic Mechanisms of Chronic Stress Adaptation
#MMPMID27843437
Herman JP
; Tasker JG
Front Endocrinol (Lausanne)
2016[]; 7
(ä): 137
PMID27843437
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The hypothalamic paraventricular nucleus (PVN) is the primary driver of
hypothalamo-pituitary-adrenocortical (HPA) responses. At least part of the role
of the PVN is managing the demands of chronic stress exposure. With repeated
exposure to stress, hypophysiotrophic corticotropin-releasing hormone (CRH)
neurons of the PVN display a remarkable cellular, synaptic, and connectional
plasticity that serves to maximize the ability of the HPA axis to maintain
response vigor and flexibility. At the cellular level, chronic stress enhances
the production of CRH and its co-secretagogue arginine vasopressin and rearranges
neurotransmitter receptor expression so as to maximize cellular excitability.
There is also evidence to suggest that efficacy of local glucocorticoid feedback
is reduced following chronic stress. At the level of the synapse, chronic stress
enhances cellular excitability and reduces inhibitory tone. Finally, chronic
stress causes a structural enhancement of excitatory innervation, increasing the
density of glutamate and noradrenergic/adrenergic terminals on CRH neuronal cell
somata and dendrites. Together, these neuroplastic changes favor the ability of
the HPA axis to retain responsiveness even under conditions of considerable
adversity. Thus, chronic stress appears able to drive PVN neurons via a number of
convergent mechanisms, processes that may play a major role in HPA axis
dysfunction seen in variety of stress-linked disease states.