Lecture 11 Stress Basics Flashcards
Three physiological stress systems
- Parasympathetic Nervous system
- Sympathetic Nervous system
- Hypothalamus-Pituitary Adrenal Axis (HPA)
Nor =
in the CNS (for the purposes of this course)
CNS vs HPA
CNS is much faster
HPA lasts longer
SNS
Spine > Medulla > Adrenaline
The Hypothalamus Pituitary Adrenal Axis: Major stress axis of the organism
HPA axis is relevant to stress
CNS > Hypothalamus > CRH > Anterior pituitary > ACTH > Adrenal Cortex > Free cortisol
Has a third order feedback loop that limits it
Free vs. Bound Cortisol
- CBG is a binding globulin
- Binds steroid hormones
- Regulates the amount that can bind to receptors
Hence we are mostly interested in FREE CORTISOL levels
Characteristics of the HPA
There is a baseline level of HPA activity
-Every 60-90 mins there is a pulse timed via negative feedback
Ultradian rhythm =more than once per day
When there is psychological stress = additional secretory burst
Circadian rhythm
daily pattern, nadir around midnight
peak in the morning to help us get up
Third Order feedback loop
like the HPG axis we know and love
Functional Tests of The HPA Axis
5 tests
(1) CRH
(2) ACTH
Both stimulate the system to increase cortisol
-Cannot cross the BBB but can cause Cortisol release via the adrenal cortex
-This can cross the BBB and exert negative feedback
-If these are administered constantly, they will overwhelm negative feedback
(3) Dexamethasone
Metabolite of cortisol
Decreases pituitary activity
(4)Combined DEX / CRH
Stimulates ACTH and inhibits - this tells you about pituitary function
-baseline (circadian rhythm) testing
-Do in AM at wake before stressors exert an influence
(5) Stress test
Lab controlled, standard stressor
-Watch the HPA axis
Glucocorticoid receptors (GCs) : DISTRIBUTION
Both types:
- Present in hippocampus
- Present in amygdala
- Present in hypothalamus
- Present in pituitary
Type 1
-Provides positive feedback
Not present elsewhere in the cortex
Type 2
-Provides negative feedback
Present in high concentrations in cortex, especially the frontal lobes
The balance of these receptors determines the effect inn the 4 common regions. Outside this, always has inhibitory effects
Processive vs systematic
Neurons in hippocampus, amygdala, frontal cortex, hypothalamus, brainstem
-projections to hypothalamus to regulate HPA
Differentiate processive vs systematic stressors: how fast is response needed?
- Ether hypoxia immediate (systemic)
- Midterm not death inducing (processive)
Systematic direct activation
Processive indirect effects
through GABA modulation
Systematic direct activation
Brainstem
Something life threatening e.g. hypoxia Does not need appraising Pain/hot/cold/hypoxia PVN > Increased HPA activity Direct excitation
Processive indirect effects
through GABA modulation
GABA neurons in the Preoptic area and the Hypothalamus have inhibit the PVN
These neurons:
(1) Receives excitatory input from the Ventral Hippocampus and PFC
- Increases the activity of GABA neurons
- Therefore indirectly excites the HPA axis
- More stress = more inhibition of the cortex and so less excitation of the GABA neurons
- More stress at the PVN
(2) Receives Inhibitory input from the amygdala
- When this activity is high, less GABA activity and therefore less inhibition of the PVN
- More stress
Type 2 GC receptors
- Are in the cortex
- More circulating cortisol leads to more inhibition of the cortex’s excitatory effect on the POA of the hypothalamus.
- This area has GABA projections to the PVN
- This lack of cortical situation drops the activity of the GABA neurons
- Hence activity at the PVN increases
So there is more stress
Lazarus: Primary / secondary appraisal
Stress can be good or bad
Demand > Resources: stress (distress)
-This type of stress is bad
Resources > Demand: challenge (eustress)
-This type is good (i.e. prep for midterm)
The stress appraisal theory
Environmental event is appraised
Primary - based on past XP and beliefs > threat or challenge or Benign
If benign, ignore
If threat go to secondary appraisal
Secondary appraisal
-What resources, options and effectiveness do I have
-Do I have enough
Perception matters here
Decide how to act (or not!)