2022
DOI: 10.3389/fphys.2022.820398
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Cortical–Hypothalamic Integration of Autonomic and Endocrine Stress Responses

Abstract: The prevalence and severity of cardiovascular disease (CVD) are exacerbated by chronic stress exposure. While stress-induced sympathetic activity and elevated glucocorticoid secretion impair cardiovascular health, the mechanisms by which stress-responsive brain regions integrate autonomic and endocrine stress responses remain unclear. This review covers emerging literature on how specific cortical and hypothalamic nuclei regulate cardiovascular and neuroendocrine stress responses. We will also discuss the curr… Show more

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Cited by 23 publications
(12 citation statements)
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“…The responses evoked by stressful stimuli are mediated by limbic networks in the central nervous system involving cortical, subcortical, hypothalamic, and brainstem structures ( Dampney, 2015 ; Myers, 2017 ; Schaeuble and Myers, 2022 ). In this sense, the insular cortex (IC) has been described as a part of the brain network implicated in the integration and processing of limbic information in humans subjects and animals ( Augustine, 1996 ; Nieuwenhuys, 2012 ; Uddin, 2014 ; Gogolla, 2017 ).…”
Section: Introductionmentioning
confidence: 99%
“…The responses evoked by stressful stimuli are mediated by limbic networks in the central nervous system involving cortical, subcortical, hypothalamic, and brainstem structures ( Dampney, 2015 ; Myers, 2017 ; Schaeuble and Myers, 2022 ). In this sense, the insular cortex (IC) has been described as a part of the brain network implicated in the integration and processing of limbic information in humans subjects and animals ( Augustine, 1996 ; Nieuwenhuys, 2012 ; Uddin, 2014 ; Gogolla, 2017 ).…”
Section: Introductionmentioning
confidence: 99%
“…Finally, prefrontal cortex may be important in conveying highly processed sensory information to the hypothalamus in general (e.g., (88,89)), though no major efferent pathways to the hypothalamus from the avian analog have yet been described. An important next step will be using intersectional tracing approaches to identify brain regions that link auditory pallium and the VMHl.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, the medial acropallium is also thought to be analogous to the mammalian medial amygdala (8486); in mammals the medial amygdala is thought to route salient olfactory sensory information from pallium to the VMH to guide decision-making (87). Finally, prefrontal cortex may be important in conveying highly processed sensory information to the hypothalamus in general (e.g., (88, 89)), though no major efferent pathways to the hypothalamus from the avian analog have yet been described. An important next step will be using intersectional tracing approaches to identify brain regions that link auditory pallium and the VMHl.…”
Section: Discussionmentioning
confidence: 99%
“…Projections to the PVN from various brain regions, including the amygdala and the mPFC, the brainstem, and other hypothalamic brain regions, also affect PVN activation. These projections are activated under stress, thereby promoting the release of CRH, and further, ACTH and GCs, from the HPA axis, which ultimately act on peripheral organs [ 84 ]. The PVN, in addition to the neuroendocrine system, is also involved in the sympathetic network.…”
Section: Stress Accelerates Tumor Progression Via the Hpa Axismentioning
confidence: 99%