Corticotropin-releasing hormone (CRH) is a small peptide with diverse biological functions. Initially identified as the central modulator of the mammalian hypothalamic-pituitary-adrenal (HPA) axis and playing a key role in mediating neuroendocrine effects in response to stress, CRH research of the last decade has uncovered additional roles of the CRH. On the basis of findings that the CRH system is disturbed in neurodegenerative disorders and that the receptors for CRH are also widely expressed in brain areas not directly related to the stress response, a potential role for CRH in neuroprotection has been proposed. Until now, various investigations have demonstrated a direct protective role of CRH and its related peptides at the cellular level and also in vivo. The molecular downstream targets of the neuroprotective CRH activity are just starting to evolve. CRH and CRH receptors are back on the map and are in the focus of many researchers working on novel approaches to prevention and treatment of neurodegenerative syndromes.
IntroductionCRH is the stress hormone of the body. CRH (also called corticotropin-releasing factor, CRF) regulates the activity of the HPA axis and is released upon stressful stimuli. It is secreted by the hypothalamus and mediates neuroendocrine effects [1]. CRH, an oligopeptide consisting of 41 amino acids, was discovered by Vale et al. in 1981 [2, 3] and has been found to regulate the stress response by turning on the HPA axis. As for other releasing hormones of the hypothalamus, CRH is derived from a larger precursor and is released following proteolytic processing. Neuroendocrine hypothalamic neurons are molecular interfaces that turn electrophysiological signals from the periphery into biochemical signals which then switch on the respective hormone axis, such as the HPA, activated by the molecular player CRH. Initially believed to be involved in just regulating the endocrine stress response, by studying the expression of CRH and its receptors it rapidly became clear that CRH has a rather broad spectrum of activities, including mediating the autonomic, behavioral, and immunological stress response. Owing to its central Hormones in Neurodegeneration, Neuroprotection, and Neurogenesis.