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Royal Marsden Hospital, London, UK
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. Hypothalamic–pituitary–adrenal (HPA) axis Hypophysitis and hypopituitarism Pituitary abnormalities are reported in between 1.8 and 18.3% of patients treated with ipilimumab-based regimens ( 17 ), usually resulting in panhypopituitarism, associated with
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scheduled to undergo cardiac surgery with cardiopulmonary bypass. Pre-operatively elevated plasma POMC, not accompanied by increased plasma ACTH, suggests, already in this early phase, the presence of a centrally activated HPA axis with impaired or immature
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critical illness. (A) The ACTH–cortisol dissociation, that is high levels of cortisol and low levels of ACTH, during the first week of ICU stay. Adapted, with permission, from ( 47 ). (B) The time course of HPA axis alteration beyond the first week of
Department of Nuclear Medicine, CHU de Bordeaux, Pessac, France
INRA, Nutrition et Neurobiologie Intégrée, UMR1286, Bordeaux, France
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INRA, Nutrition et Neurobiologie Intégrée, UMR1286, Bordeaux, France
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Department of Nuclear Medicine, CHU de Bordeaux, Pessac, France
INRA, Nutrition et Neurobiologie Intégrée, UMR1286, Bordeaux, France
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medullary thyroid carcinoma cell line ( 58 ). Vitamin A and the hypothalamo–pituitary–adrenal (HPA) axis There are arguments for an action of RA on the HPA axis. For instance, chronic treatment of young rats by RA increases basal corticosterone
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(GH) ( 10 ). Cortisol secretion is primarily regulated by adrenocorticotropic hormone (ACTH), which, in turn, is stimulated by corticotrophin-releasing hormone (CRH) via the hypothalamic–pituitary–adrenal (HPA) axis. A major physiological effect of
Department of Research and Development, Region Kronoberg, Växjö, Sweden
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Department of Endocrinology, Skane University Hospital, Lund, Sweden
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secretion is implicated in the development of atherosclerosis, CVD and CV mortality ( 15 , 16 , 17 ). Several disturbances of the hypothalamus–pituitary–adrenal (HPA) axis in patients with T1D have been demonstrated. The disturbances include increased
Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Department of Pediatric Neuro-Oncology, Prinses Máxima Centrum, Utrecht, The Netherlands
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Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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by the adrenal gland via activation of negative feedback mechanisms within the hypothalamic–pituitary–adrenal (HPA) axis ( 14 , 15 ). High dosages of synthetic glucocorticoids will therefore lead to a situation of strong GR activation but, for lack
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are indirect, since LPS acts through a number of cytokines and also activates the hypothalamo-pituitary axis (HPA) and stimulates the release of stress hormones (e.g. cortisol) into the blood ( 21 , 22 , 23 ). Since CD163 is strongly expressed in
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latter ( 25 ). Eating disorders Women with functional hypothalamic amenorrhea (FHA) often have hypercortisolemia due to activation of the hypothalamic–pituitary–adrenal (HPA) axis. This condition has been described in amenorrheic athletes (mainly
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increased hypothalamic–pituitary–adrenal (HPA) axis activity in PCOS. Increased adrenal activity was also found in patients with major depression and their first-degree relatives compared to healthy controls ( 9 , 10 ). Therefore, decreased quality of life