Chapter 11: Stress Flashcards
What is Stress?
Stress is a state of threatened homeostasis or disruption in homeostatic balance
The thing responsible for the imbalance is the stressor.
Can be environmental, physiological, psychosocial.
The body’s response to the imbalance is the stress-response.
Suite of physiological and behavioral responses that help to reestablish homeostasis.
Non-specific i.e. all stressors elicit a similar stress response
The body’s response to imbalance?
The body’s response to the imbalance is the stress-response.
Suite of physiological & behavioral responses that help to reestablish homeostasis.
Non-specific, i.e. all stressors elicit a similar stress response
The Stress Response:
General Systems
1) SYMPATHETIC NERVOUS SYSTEM
2) HYPOTHALAMIC-PITUITARY-ADRENAL AXIS
3) OTHER BRAIN-DERIVED HORMONES
Sympathetic Nervous System
Projections to virtually every organ in body where norepinephrine (NE) released
Adrenal medulla secretes epinephrine (aka adrenaline) and norepinephrine (NE)
“Fight or flight”: low priority systems shut down; blood & oxygen sent to the most necessary parts of the body.
HPA AXIS
Involved in Stress Response
The paraventricular Hypothalamus (PVN) releases corticotrophin-releasing hormone (CRH), which affects the anterior pituitary
The anterior Pituitary releases tropic hormone: ACTH
In response to ACTH, the Adrenal glands release cortisol or corticosterone (CORT)
CORT influences many neurons in the brain, increasing the release of several neurotransmitters
Amygdala also stimulates CRH release in the PVN
ACTH
Adrenocorticotropic hormone, also known as corticotropin
Tropic hormone.
Produced and Released by Anterior Pituitary
An important component of the hypothalamic-pituitary-adrenal (HPA) axis and is often produced in response to biological stress (along with its precursor corticotropin-releasing hormone from the hypothalamus).
A polypeptide hormone produced and secreted by the anterior pituitary gland.
Its principal effects are increased production & release of cortisol by the cortex of the adrenal gland.
ACTH is also related to the circadian rhythm in many organisms.
Cushing’s disease, Addison’s disease.
A polypeptide hormone produced and secreted by the anterior pituitary gland.
Primary adrenal insufficiency, called Addison’s disease, occurs when adrenal gland production of cortisol is chronically deficient, resulting in chronically elevated ACTH levels.
When a pituitary tumor is the cause of elevated ACTH (from the anterior pituitary) this is known as Cushing’s disease and the signs & symptoms of the excess cortisol (hypercortisolism) is known as Cushing’s syndrome.
Conversely, deficiency of ACTH is a cause of secondary adrenal insufficiency, often as a result of hypopituitarism.
In addition to its endogenous role, ACTH is used clinically as a diagnostic agent in assessing adrenal function.
CORT
Adrenal glands release cortisol or corticosterone (CORT) in response to ACTH
CORT influences many neurons in the brain, increasing the release of several neurotransmitters
Amygdala stimulates the release of _____ in the ____.
Amygdala stimulates the release of Corticotrophin-Releasing Hormone (CRH) in the Paraventricular Hypothalamus (PVN).
Other hormones involved in the stress response:
Posterior pituitary: vasopressin
Anterior pituitary: β-endorphin, prolactin
Pancreas: glucagon
Hormonal Changes in Humans in Response to Social Stressors
10% Increase in passengers caused high epinephrine recreation… high stress
Levels of epinephrine and norepinephrine speak at graduate exams, showing the stress response students have to exams.
Cortisol concentrations are altered by the stress of parachute jumps
pre-jump: baseline
Right before jump: super high
Right after jump: even higher
Cortisol before & after was decreased until 5 days after initial jump.
11 days, a little increased cortisol before & after.
The stress response:
Acute vs. Chronic
In the short term, the stress response produces adaptive changes that help the animal cope with emergency situations
Ideally, the stress response is initiated by stressful stimuli and then is deactivated shortly after.
If the stress response is activated too long, too frequently (i.e. chronic stress), or if is not activated for a physiological reason (i.e. psychological and social stressors), the stress response can be maladaptive and can endanger health.
Chronic Stress Has Systemic Effects:
Brain
Dendritic Atrophy
Enhanced Benzodiazepine Tone
Impaired Neurogenesis & Synaptic Plasticity.
Chronic Stress Has Systemic Effects:
Heart
Basal Hypertension
Sluggish Response to Stress
Sluggish Recovery from Stress
Pathogenic Cholesterol Profile
Chronic Stress Has Systemic Effects:
Ovary
Decreased Levels of Gonadal Hormones
Increased Risk of Anovulation and Miscarriage
Chronic Stress Has Systemic Effects:
Testis
Testicular Atrophy
Decreased Levels of Gonadal Axis Hormones
Chronic Stress Has Systemic Effects:
Adrenal Gland
Elevated Basal Levels of Glucocorticoids
Sluggish Response to Stress
Sluggish Recovery from Stress
Feedback Resistance
Chronic Stress Has Systemic Effects:
Immune System
Basal Immunosuppression
Decreased Immune Responsiveness to Challenges.
Metabolic Stress Response
2 metabolic responses to stress which increase glucose in the blood stream to provide energy:
1) Prevent energy storage via glucagon inhibition of insulin secretion from pancreas
2) Release of energy store via increased secretion of glucocorticoids, catecholamines (i.e. NE and E), glucagon
Lipolysis (triglycerides into fatty acids)
Glycogenolysis (glycogen into glucose)
Proteolysis (proteins into amino acids)
Gluconeogenesis (fatty acids and amino acids into glucose)
Pathological consequence:
Lack of energy reserves leads to myopathy (muscle loss), weakness and fatigue
Prevent energy storage via glucagon inhibition of insulin secretion from pancreas
Metabolic stress response.
The body prevents energy storage, promotes energy release by making the pancreas stop releasing insulin.
Glucagon inhibits insulin release.
Release of energy store via increased secretion of glucocorticoids, catecholamines (i.e. NE and E), glucagon
Metabolic stress response.
The body promotes energy release by secreting more Glucocorticoids, Catecholamines (i.e. NE and E), and Glucagon
Lipolysis (triglycerides into fatty acids)
Glycogenolysis (glycogen into glucose)
Proteolysis (proteins into amino acids)
Gluconeogenesis (fatty acids and amino acids into glucose)
Gluconeogenesis
Process by which fatty acids and amino acids are changed into glucose
Metabolic stress response.
Gluconeogenesis (GNG) is a metabolic pathway that results in the generation of glucose from non-carbohydrate carbon substrates such as pyruvate, lactate, glycerol, and glucogenic amino acids.
Lipolysis
triglycerides are broken down into into fatty acids
Metabolic stress response.
the breakdown of lipids.
Involves hydrolysis of triglycerides into glycerol and free fatty acids.
The following hormones induce lipolysis:
epinephrine, norepinephrine, ghrelin, growth hormone, testosterone, and cortisol.
Proteolysis
The breakdown of proteins into smaller polypeptides or amino acids.
Metabolic stress response.
Uncatalysed, the hydrolysis of peptide bonds is extremely slow, taking hundreds of years.
Proteolysis is typically catalysed by cellular enzymes called proteases, but may also occur by intra-molecular digestion.
The following hormones induce lipolysis:
epinephrine, norepinephrine, ghrelin, growth hormone, testosterone, and cortisol.
Metabolic stress response.
Glycogenolysis
glycogen breaks down into glucose
Metabolic stress response.
Glycogenolysis is the breakdown of glycogen (n) to glucose-6-phosphate and glycogen (n-1).
Glycogen branches are catabolized by the sequential removal of glucose monomers via phosphorolysis, by the enzyme glycogen phosphorylase.
Pathological Consequences of Metabolic Stress Response.
Lack of energy reserves leads to myopathy (muscle loss), weakness, and fatigue
Cardiovascular Stress Response
Increase Cardiovascular Tone:
Stimulation of SNS: Increased heart rate, blood pressure, decreased blood flow to some organs (i.e. digestive tract)
Increased Secretion of Vasopressin: Increased blood volume and blood pressure
Pathological Consequence:
Chronic hypertension damages heart muscle, weakens blood vessel walls, promotes deposition of cholesterol, and the formation of plaques.
Over time, could lead to heart attack and stroke.
Increase Cardiovascular Tone:
Stimulation of SNS:
Increased heart rate, blood pressure, decreased blood flow to some organs (i.e. digestive tract)
Increased Secretion of Vasopressin:
Increased blood volume and blood pressure
Cardiovascular Stress Response
Gastrointestinal Stress Response
Inhibition of GI tract:
primarily mediated by shift from parasympathetic to sympathetic tone
Pathological consequence:
Gastric ulcers: stress makes the stomach more vulnerable to certain damaging bacteria which increase inflammation and compromise the ability of cells lining the walls of the stomach to defend themselves against acid
GI tract:
Stress and the Microbiome
We are colonized by billions of bacteria, many are protective
Stress changes makeup of this microbiome
Bacteria can signal to the brain: Make serotonin, hormones like testosterone
Changes in gut microbes could possibly lead to increased stress-related behavior (anxiety, depression)
Reproductive Stress Response
Inhibition of Reproduction:
- Hypothalamus: CRH and β-endorphin inhibit GnRH
- Pituitary: GC & Prolactin cause reduced responsiveness to GnRH, which causes decreased LH & FSH release
- Gonads: GC decreases sensitivity to LH
In females: secretion of E & P and the release of an egg less likely and reduces chances that a fertilized egg will implant into the uterine wall
In males: decreased T secretion and sperm production
Pathological consequence:
Anovulation, infertility, impotency, loss of libido
Luteinizing Hormone (LH) is important for ________.
LH is important for the production of hormones
The Hypothalamus’ CRH and β-endorphin inhibit ______
The Hypothalamus’ CRH and β-endorphin inhibit GnRH