A clinical study investigates the role of the hypothalamus–pituitary–adrenal (HPA) axis integrating nervous and endocrine responses to acute psychological stress. Twenty healthy volunteers perform a 10-minute public speaking task. Blood samples are taken before the task (baseline), immediately after (0 min), and at 30 and 60 minutes after the task.
Time point — Plasma cortisol (
μg/dL) — Plasma ACTH (pg/mL) — Heart rate (bpm)
Baseline — 10 — 20 — 70
0 min — 25 — 60 — 110
30 min — 35 — 45 — 80
60 min — 15 — 22 — 72
Additional information:
- HPA axis pathway: stress
→ hypothalamus releases CRH
→ anterior pituitary releases ACTH
→ adrenal cortex releases cortisol; cortisol exerts negative feedback on the hypothalamus and anterior pituitary.
- The sympathetic nervous system is activated during stress, releasing noradrenaline from nerve terminals and adrenaline from the adrenal medulla.