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hypothalamic-pituitary-adrenal axis
(redirected from HPA axis)

   Also found in: Wikipedia 0.01 sec.
hypothalamic-pituitary-adrenal axis,
the combined system of neuroendocrine units that in a negative feedback network regulate the adrenal gland's hormonal activities.

hypothalamic-pituitary-adrenal axis
A tightly-linked, interdependent endocrine unit which, with the systemic sympathetic and adrenomedullary systems, comprises a major peripheral limb of the stress system, the main function of which is to maintain basal and stress-related homeostasis; the hypothalamus and pituitary form the central part of the HPA axis, and are active even at rest, responding to blood-borne or neurosensory signals–eg, cytokines–eg, IL-1, IL-6, TNF-α; at the highest level, CRH and noradrenergic neurons innervate and stimulate each other, which is controlled by an autoregulatory, ultrashort negative-feedback loop, in which CRH and noradrenergic collateral fibers inhibit presynaptic CRH and α2-noradrenergic receptors. Cf Hypothalamic-pituitary axis.


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In contrast, a low dose of the commonly administered corticosteroid, prednisone (5 mg twice daily) caused marked suppression of the HPA axis.
Gozansky, MD, Denver, CO, for research on the effects of estrogen on IL-6, HPA axis activity, and visceral fat in menopausal women, and Johanna Archer, VMD, MS, MD, Charleston, SC, for research on the effect of estradiol versus estradiol plus testosterone on the brain.
 
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