Corticotropin-releasing factor and adrenal function in major depression

J Endocrinol Invest. 1988 Nov;11(10):697-701. doi: 10.1007/BF03350921.

Abstract

We investigated ACTH and cortisol responses after ovine CRF injection (1 microgram/kg one bolus) in a group of 11 drug-free patients suffering from major depression. When compared to sex- and age-matched normal controls, our depressed patients showed: Higher ACTH basal values (p less than 0.002); higher cortisol basal values (p less than 0.009); blunted ACTH response to oCRF administration (p less than 0.23); higher cortisol response to oCRF (p less than 0.001). Our data show that in depressed patients the feed-back mechanism is functionally intact at the pituitary level on one hand, while on the other, a hyperresponsiveness of adrenal cortex (even to minimal stimuli) seems to be present. Moreover, a hypersecretion of endogenous CRF in these patients seems to be likely.

Publication types

  • Comparative Study

MeSH terms

  • Adrenal Glands / metabolism*
  • Adrenocorticotropic Hormone / blood
  • Animals
  • Corticotropin-Releasing Hormone / pharmacology*
  • Depressive Disorder / blood
  • Depressive Disorder / metabolism*
  • Humans
  • Hydrocortisone / blood
  • Reference Values
  • Sheep

Substances

  • Adrenocorticotropic Hormone
  • Corticotropin-Releasing Hormone
  • Hydrocortisone