Neuroendocrine regulation in stroke.

Trends Endocrinol Metab

Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research (NIPER), Ahmedabad, Gandhinagar, Gujarat-382355, India. Electronic address:

Published: May 2023

AI Article Synopsis

  • The neuroendocrine system connects the brain and hormone-secreting glands, playing a crucial role in hormone regulation and function.
  • After a stroke, this system can become dysregulated, affecting hormone levels and receptor activity, especially in critical pathways like the HPT and HPA axes.
  • These hormonal changes contribute to severe stroke consequences, including cognitive issues and depression, highlighting the need to understand neurohormonal relationships for improving stroke treatment and outcomes.

Article Abstract

The neuroendocrine system, a crosstalk between the central nervous system and endocrine glands, balances and controls hormone secretion and their functions. Neuroendocrine pathways and mechanisms often get dysregulated following stroke, leading to altered hormone secretion and aberrant receptor expression. Dysregulation of the hypothalamus-pituitary-thyroid (HPT) axis and hypothalamus-pituitary-adrenal (HPA) axis often led to severe stroke outcomes. Post-stroke complications such as cognitive impairment, depression, infection etc. are directly or indirectly influenced by the altered neuroendocrine activity that plays a crucial role in stroke vulnerability and susceptibility. Therefore, it is imperative to explore various neurohormonal inter-relationships in regulating stroke, its outcome, and prognosis. Here, we review the biology of different hormones associated with stroke and explore their regulation with a view towards prospective therapeutics.

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Source
http://dx.doi.org/10.1016/j.tem.2023.02.005DOI Listing

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