Kiss A
Institute of Experimental Endocrinology, Slovak Academy of Sciences, Bratislava, Slovakia.
Bratisl Lek Listy. 1999 Nov;100(11):611-24.
Hypothalamic-hypophyseal-adrenocortical (HPA) axis, often termed stress axis, together with the peripheral sympathetic nervous system and the adrenomedullar hormonal system very sensitively and promptly responds to both external and internal stimuli endangering homeostasis. HPA helps to maintain the physiological equilibrium. The HPA axis forms the first line in the protection of the organism, monitoring the negative factors affecting the stability of the organism by responding by secretion of glucocorticoids. The exaggerated activity of HPA axis is harmful for the organism since it induces a number of disorders including hyperlipidemia, muscle atrophy, hypertension etc., not excluding brain damage. The alterations of the HPA axis lead to hypersecretion of glucocorticoids which may play an important role in the pathology of psychical and neurological diseases. (Tab. 3, Fig. 2, Ref. 31.)
下丘脑 - 垂体 - 肾上腺皮质(HPA)轴,通常被称为应激轴,与外周交感神经系统和肾上腺髓质激素系统一起,非常敏感且迅速地对危及体内平衡的外部和内部刺激作出反应。HPA有助于维持生理平衡。HPA轴在保护机体方面形成第一道防线,通过分泌糖皮质激素作出反应来监测影响机体稳定性的负面因素。HPA轴的过度活动对机体有害,因为它会引发包括高脂血症、肌肉萎缩、高血压等多种疾病,甚至不排除脑损伤。HPA轴的改变会导致糖皮质激素分泌过多,这可能在精神和神经疾病的病理过程中起重要作用。(表3,图2,参考文献31。)