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Nathan Goodyear

Social Support and Salivary Cortisol in Women With Metastatic Breast Cancer - 0 views

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    better cortisol pattern seen in women with good social support.  This is indicative of a better balanced HPA axis and thus immune system balance.  Significant implications in women with metastatic breast cancer.  Cortisol evaluated by saliva
Nathan Goodyear

Circadian disruption in cancer: a neuroend... [Brain Behav Immun. 2003] - PubMed - NCBI - 0 views

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    disrupted cortisol rhythm or pattern due to stress is a pathway to disease.  A disrupted HPA axis is a disrupted immune system.
Nathan Goodyear

NCJRS Abstract - National Criminal Justice Reference Service - 0 views

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    PTSD is not just a short term issue.  The HPA dysfunction can persist long-term causing symptoms that extend far beyond the time of injury/healing.  What is interesting, is that the cortisol was evaluated with cortisol.  The new gold standard.
Nathan Goodyear

Anxiety disorders and salivary cort... [Psychoneuroendocrinology. 2012] - PubMed - NCBI - 0 views

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    low am cortisol, found in adults with "long-lasting" anxiety.  The proposed reason is a physiologic down regulation of the HPA axis.
Nathan Goodyear

The Androgen 5α-Dihydrotestosterone and Its Metabolite 5α-Androstan-3β, 17β-Diol Inhibit the Hypothalamo-Pituitary-Adrenal Response to Stress by Acting through Estrogen Receptor β-Expressing Neurons in the Hypothalamus - 0 views

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    Full article of previously posted abstract.  DHT metabolite 3beta-diol inhibits HPA stress response via ER beta.  
Nathan Goodyear

The stress response and the hypothalamic‐pituitary‐adrenal axis: from molecule to melancholia - 0 views

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    Good review of the interaction between the HPA stress response and the immune system.
Nathan Goodyear

Hormones.gr - 0 views

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    Good discussion of the HPA response to major surgery.  
Nathan Goodyear

Antagonistic interplay between hypocretin and leptin in the lateral hypothalamus regulates stress responses : Nature Communications : Nature Publishing Group - 0 views

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    Leptin does have inhibitory activity at the level at the HPA; in addition to the inhibition at the gonadal level.
Nathan Goodyear

Informa Healthcare - Systems Biology in Reproductive Medicine - 52(2):97 - Summary - 0 views

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    a decreasing Testosterone:Estradiol ratio leads to decreased sperm production.  This effectively occurs through the interaction of the elevated Estradiol and the HPA.
Nathan Goodyear

Salivary cortisol as a biomarker in stress researc... [Psychoneuroendocrinology. 2009] - PubMed result - 0 views

  • psychobiological mechanisms, which trigger the hypothalamus-pituitary-adrenal axis (HPAA) can only indirectly be assessed by salivary cortisol measures. The different instances that control HPAA reactivity (hippocampus, hypothalamus, pituitary, adrenals) and their respective modulators, receptors, or binding proteins, may all affect salivary cortisol measures.
  • linear relationship with measures of plasma ACTH and cortisol in blood or urine does not necessarily exist
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    saliva cortisol testing is a better assessment tool for HPA axis function, compared to serum cortisol
Nathan Goodyear

The morning salivary cortisol response in burnout. [J Psychosom Res. 2005] - PubMed result - 0 views

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    cortisol salivary testing.  elevated am cortisol reflective of HPA axis dysfunction due to stress.
Nathan Goodyear

Clomiphene citrate effects on testosterone/estroge... [J Sex Med. 2005] - PubMed - NCBI - 0 views

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    small cohort with low serum Total Testosterone improved T:E2 ratio with clomid.  Clomid restores the HPA through inhibition of the negative feedback of Estradiol on the Hypothalamus and Pituitary in men.  This allows for an increase in gonadotropin production and thus increase in testosterone production.  Aromatase inhibition therapy would likely still prove beneficial in this situation.
Nathan Goodyear

Hypothalamic-Pituitary-Testicular Axis Disruptions in Older Men Are Differentially Linked to Age and Modifiable Risk Factors: The European Male Aging Study: The Journal of Clinical Endocrinology & Metabolism: Vol 93, No 7 - 0 views

  • 0.4–2% annual decline
  • the age trend in free T was more substantial (−1.3% per annum)
  • The core hormonal pattern with increasing age is suggestive of incipient primary testicular dysfunction with maintained total T and progressively blunted free T associated with higher LH.
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  • Obesity was associated with progressively lower total and free T independent of the simultaneous decrease in SHBG.
  • our data highlight the fact that LH was unchanged or even lower in older men in the face of lower T in obesity, suggesting that there may be a failure at the hypothalamic-pituitary level.
  • a change in BMI from nonobese to obese may be equivalent to a 15 yr fall in T.
  • This pattern supports the hypothesis that different underlying mechanisms influence the functions of the HPT axis: age predominantly affects testicular function, whereas obesity impairs hypothalamic/pituitary function.
  • the effects of aging on testicular function can be moderated by increased LH compensation for many decades
  • obesity impairs hypothalamic/pituitary function independent of age, arguably an adaptive response for which there should be no compensatory mechanism.
  • the concurrent but opposite (and separate) effects of obesity and age on SHBG
  • SHBG was negatively associated with increasing strata of obesity
  • Obesity is associated with insulin resistance (28), and the increased circulating insulin inhibits hepatic SHBG synthesis
  • the SHBG increase with age may be related to relative IGF-I deficiency (27), although this has not been directly proven.
  • Obesity is associated with peripheral and central insulin resistance (30) and proinflammatory cytokine production (TNFα and IL-6) from adipocytes (31) and central nervous system endocannibinoid release (32), all of which are potential candidates for abrogating hypothalamic endocrine and downstream reproductive axis functions.
    • Nathan Goodyear
       
      The HPA axis effect may be the result of inflammation.
  • The relationship between obesity and T can be bidirectional: low T may be the cause rather than consequence of obesity
  • chronic alcohol abuse is known to suppress LH (40), our data showed no significant association among the three hormones or SHBG and alcohol intake.
  • increase in total T in smokers occurs through a primary increase in SHBG with a compensatory rise in LH
  • the effects of obesity (BMI or waist circumference) was by far the most important determinant of variance in total T, whereas age per se was important for SHBG, LH, and free T with comorbidity and smoking being comparatively minor contributors
  • It is noteworthy that these predisposing lifestyle and health factors are modifiable. This implies that the apparent age-related decline in T may constitute a barometer of health and thus be potentially preventable and/or reversible.
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    Age induced decline in Testosterone is more associated with a decline in leydig cell function and thus elevated LH will be associated.  In contrast, obesity is more of a HPA axis disruption and thus LH may be normal to low.  The pulse amplitude is decrease.  No change in pulse frequency is noted.   With obesity, a decline in TT and fT was independent of SHBG. Aging is associated with a greater decrease in fT versus TT.
Nathan Goodyear

Sex hormone synthesis, regulation, and function | McMaster Pathophysiology Review - 0 views

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    Good review of the HPA-sex hormone pathways, called the Hypothalamic-Pituitary-Gondal axis, including HP feedback.  This is not a study but has nice diagrams. This is based on 14 referenced articles and 1 book chapter.
Nathan Goodyear

A Cohort Effect on Serum Testosterone Levels in Finnish Men - 0 views

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    Finnish study of 3,271 men found that there was a decline in serum free testosterone levels in recently born boys compared to previous generations.  Additionally, they found inappropriate HPA response to this decline in testicular testosterone.
Nathan Goodyear

Salivary cortisol monitoring: de... [Allergy Asthma Proc. 2012 Jul-Aug] - PubMed - NCBI - 0 views

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    This study found salivary cortisol testing is a better technique for children, in evaluating HPA axis function in children with asthma.
Nathan Goodyear

Acute and delayed effects of a single-dose inject... [Metabolism. 1998] - PubMed - NCBI - 0 views

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    IL-6 is known to stimulate the HPA and increase cortisol production.  Both, IL-6 and cortisol can decrease TSH production.
Nathan Goodyear

Activation of the hypothalamo-pituitary-a... [Intensive Care Med. 1999] - PubMed - NCBI - 0 views

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    Septic illnesses found to be associated with suppression of TSH centrally in the HPA axis. The cytokines found to be elevated were IL-1beta, TNF-alpha, and IL-6.
Nathan Goodyear

Thyrotropin suppression by metformin in a cohort of patients with differentiated thyroid cancer in follow-up - 0 views

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    Again, showing that metformin suppresses TSH secretion without change in actual thyroid hormone levels.  We know that inflammation plays a role in HPA suppression, why not with TSH?
Nathan Goodyear

HPA Axis Reactivity and Lymphocyte Glucocorticoid Sensitivity in Fibromyalgia Syndrome and Chronic Pelvic Pain - 0 views

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    Individuals with Fibromyalgia shown to have lowered salivary cortisol levels.  This study suggested that this could be due to reduced adrenal reactivity to ACTH.  Another thought, is there increased metabolism of cortisol in these clients.  This would be found in the urinary metabolites.
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