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When we refer to the HPA-axis, we are referring to a complex communication
system that encompasses three different regions of our body. This communication
system is crucial for our survival, because it is an important part of our defense when
faced with threats, and because it coordinates the re-establishment of homeostasis
when the threat is over. Therefore, the activity of the HPA-axis is a part of the stressresponse,
and its main function is to improve our chances of survival in the presence
of threats to our physical or psychological well-being.
Communication is established between the hypothalamus, the pituitary gland
and the adrenal gland through the release of hormones (see figure 1). When the HPAaxis
is activated due to, for example, the presence of a physical or psychological
stressor, the paraventricular nucleus of the hypothalamus releases corticotropin releasing
hormone (CRH) and arginine-vasopressin (AVP) into the portal circulation of
the median eminence. CRH and AVP induce the pituitary gland to secrete adrenocorticotropic
hormone (ACTH) into the bloodstream, which stimulates the cortex of the
adrenal glands, where, finally, glucocorticoids are released into the bloodstream (Ulrich-
Lai and Herman, 2009). The most notable glucocorticoid in humans is cortisol.
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