4.7 Review

Psychotropic Drug Effects on Steroid Stress Hormone Release and Possible Mechanisms Involved

Journal

Publisher

MDPI
DOI: 10.3390/ijms23020908

Keywords

cortisol; aldosterone; antipsychotic drugs; lithium; molecular pathways; neurotransmitters

Funding

  1. Slovak Research and Development Agency [APVV-20-0202]
  2. Scientific Grant Agency of the Ministry of Education of Slovak Republic [VEGA 2/0022/19]

Ask authors/readers for more resources

Chronic stress and adrenocortical hormone release have an impact on the development and treatment outcome of mental disorders. This review focuses on the modulation of cortisol and aldosterone secretion by antipsychotic drugs under stress and non-stress conditions.
There is no doubt that chronic stress accompanied by adrenocortical stress hormone release affects the development and treatment outcome of several mental disorders. Less attention has been paid to the effects of psychotropic drugs on adrenocortical steroids, particularly in clinical studies. This review focuses on the knowledge related to the possible modulation of cortisol and aldosterone secretion under non-stress and stress conditions by antipsychotic drugs, which are being used in the treatment of several psychotic and affective disorders. The molecular mechanisms by which antipsychotic drugs may influence steroid stress hormones include the modulation of central and/or adrenocortical dopamine and serotonin receptors, modulation of inflammatory cytokines, influence on regulatory mechanisms in the central part of the hypothalamic-pituitary axis, inhibition of corticotropin-releasing hormone gene promoters, influencing glucocorticoid receptor-mediated gene transcription, indirect effects via prolactin release, alteration of signaling pathways of glucocorticoid and mineralocorticoid actions. Clinical studies performed in healthy subjects, patients with psychosis, and patients with bipolar disorder suggest that single and repeated antipsychotic treatments either reduce cortisol concentrations or do not affect its secretion. A single and potentially long-term treatment with dopamine receptor antagonists, including antipsychotics, has a stimulatory action on aldosterone release.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Biochemistry & Molecular Biology

Salivary testosterone, testosterone/cortisol ratio and non-verbal behavior in stress

Z. Romanova, K. Hrivikova, I Riecansky, D. Jezova

Summary: The present study explored the relationship between hormone release and non-verbal communication under stress conditions. The findings revealed that individuals with higher stress perception showed more pronounced changes in non-verbal behavior during acute psychosocial stress situations, and these changes were associated with salivary testosterone concentrations and testosterone/cortisol ratios.

STEROIDS (2022)

Article Biochemistry & Molecular Biology

Stress Hormones Cortisol and Aldosterone, and Selected Markers of Oxidative Stress in Response to Long-Term Supplementation with Omega-3 Fatty Acids in Adolescent Children with Depression

Henrieta Oravcova, Barbora Katrencikova, Iveta Garaiova, Zdenka Durackova, Jana Trebaticka, Daniela Jezova

Summary: Late childhood and adolescence are crucial periods of brain development vulnerable to environmental insults. This study aimed to test the effect of omega-3 fatty acid supplementation on stress hormone concentrations and daily rhythm in adolescents with depression, and explore the correlation between stress hormones and oxidative stress markers.

ANTIOXIDANTS (2022)

Article Biochemistry & Molecular Biology

Effects of acute and chronic administration of trace amine-associated receptor 1 (TAAR1) ligands on in vivo excitability of central monoamine-secreting neurons in rats

Daniil Grinchii, Marius C. Hoener, Talah Khoury, Roman Dekhtiarenko, Reyhaneh Nejati Bervanlou, Daniela Jezova, Eliyahu Dremencov

Summary: Trace amine-associated receptor 1 (TAAR1) has been identified as a potential target for future antidepressant, antipsychotic, and anti-addiction drugs. Studies have shown that TAAR1 agonists can produce antidepressant, antipsychotic, and anti-addiction behavioral effects in rodents and primates, and these effects are associated with the modulation of serotonin (5-HT) and dopamine.

MOLECULAR PSYCHIATRY (2022)

Article Biochemistry & Molecular Biology

Chronic treatment with enhancer drugs modifies the gene expression of selected parameters related to brain plasticity in rats under stress conditions

K. Hrivikova, D. Zelena, J. Graban, A. Puhova, I. Miklya, D. Balazsfi, D. Jezova

Summary: In a study on chronically stressed rats, concurrent treatment with enhancer drugs did not cause significant neuroendocrine changes, but altered gene expression in selected parameters associated with brain plasticity. The observed changes may indicate a positive influence of enhancer drugs on brain plasticity, which is important for preventing negative consequences of chronic stress and enhancing stress resilience.

NEUROCHEMISTRY INTERNATIONAL (2022)

Article Endocrinology & Metabolism

Testosterone but not cortisol concentrations in hair correlate between mothers and their prepubertal children under real-life stress conditions

Z. Romanova, L. Karailievova, A. Garafova, N. Hlavacova, H. Oravcova, D. Jezova

Summary: The aim of this study was to investigate the association between the neuroendocrine state of mothers and their children under real-life stress conditions (COVID-19 pandemic) by measuring testosterone and cortisol concentrations in hair. The results showed significantly higher cortisol and testosterone concentrations in mothers compared to their children. While the cortisol concentrations did not support the hypothesis, the testosterone measurements in hair revealed a positive correlation between mothers and their children, especially in women with intense subjective feelings of anger. This suggests that chronic testosterone secretion may reflect the association between the neuroendocrine function of mothers and their children under real-life stress conditions.

PSYCHONEUROENDOCRINOLOGY (2022)

Review Endocrinology & Metabolism

A viewpoint on aldosterone and BMI related brain morphology in relation to treatment outcome in patients with major depression

Harald Murck, Lisa Lehr, Daniela Jezova

Summary: An abundance of knowledge has been collected on neuroendocrine parameters in major depression, with the hypothalamic-pituitary-adrenocortical (HPA) axis and its regulation of cortisol receiving extensive study. However, attempts to pharmacologically target the HPA axis for treating major depression have been unsuccessful. This review focuses on the role of aldosterone, released by adrenocorticotropic hormone and angiotensin, and the mineralocorticoid receptor (MR) in depression. Depressed patients, especially those with atypical depression, show signs of central hyperactivation of the aldosterone sensitive MR, potentially due to reactive aldosterone release induced by low blood pressure and low peripheral MR sensitivity.

JOURNAL OF NEUROENDOCRINOLOGY (2023)

Editorial Material Endocrinology & Metabolism

Transdisciplinary soup and interdisciplinary fruit salad: Associate editors write the recipe for a successful journal

Elizabeth A. Shirtcliff, Daniela Jezova, Blazej Misiak, Urs Nater, Heather Brenhouse

PSYCHONEUROENDOCRINOLOGY (2023)

Article Biochemistry & Molecular Biology

Role of miR-124-3p in regulatory mechanisms of Gpm6a expression in the hippocampus of chronically stressed rats

Sofia Elisa Alzuri, Nicolas Matias Rosas, Natasa Hlavacova, Daniela Jezova, Beata Fuchsova

Summary: The neuronal membrane glycoprotein M6a (GPM6A) plays a role in neuronal remodeling and plasticity. Chronic stress can regulate the expression of Gpm6a through miR-124-mediated impact on Hdac5 and Mef2c. BDNF can activate Gpm6a expression.

JOURNAL OF NEUROCHEMISTRY (2023)

Article Pharmacology & Pharmacy

Effects of chronic delta-opioid receptor agonist on the excitability of hippocampal glutamate and brainstem monoamine neurons, anxiety, locomotion, and habituation in rats

Eliyahu Dremencov, Daniil Grinchii, Zuzana Romanova, Pavol Chomanic, Lubica Lacinova, Daniela Jezova

Summary: Chronic treatment with the non-peptide agonist SNC80 increases excitability of hippocampal glutamate and ventral tegmental area dopamine neurons, leading to anxiolytic effects. However, it does not affect the ability to cope with stress or habituation processes in a novel environment.

PHARMACOLOGICAL REPORTS (2023)

Article Health Care Sciences & Services

Association of HTTLPR, BDNF, and FTO Genetic Variants with Completed Suicide in Slovakia

Aneta Bednarova, Viera Habalova, Silvia Farkasova Iannaccone, Ivan Tkac, Dominika Jarcuskova, Michaela Krivosova, Matteo Marcatili, Natasa Hlavacova

Summary: Since suicide and suicidal behavior are highly heritable, identifying genetic markers for predicting suicide risk is crucial in clinical practice. This case-control study explored the associations between completed suicide and genetic polymorphisms in BDNF (rs6265, rs962369), SLC6A4 (5-HTTLPR), and FTO (rs9939609) genes, considering sex and BMI. The findings revealed a significant association between BDNF rs962369 variant and completed suicide, particularly in males. Furthermore, an association between BDNF rs962369 variant and BMI was observed, indicating that heterozygotes with the TC genotype had lower average BMI. The FTO polymorphism did not influence BMI in Slovak suicide completers, but an inverse association between BMI and completed suicide was found.

JOURNAL OF PERSONALIZED MEDICINE (2023)

Article Multidisciplinary Sciences

Selected neuroendocrine factors as potential molecular biomarkers of early non-affective psychosis course in relation to treatment outcome: A pilot study

Marie Obdrzalkova, Libor Ustohal, Natasa Hlavacova, Michaela Mayerova, Eva Ceskova, Tomas Kasparek, Daniela Jezova

Summary: This pilot study aimed to investigate whether dysregulation of neuroendocrine biomarker signaling pathways in the first episode of non-affective psychosis is a predictive factor of treatment outcome. The study revealed that lower baseline aldosterone and higher baseline cortisol concentrations may predict a more favorable treatment outcome for patients with the first episode of psychosis.

HELIYON (2023)

Article Psychology, Experimental

Bridging the mood and stress hormone levels between mothers and their babies: The study design and first preliminary results

Alexandra Garafova, Zuzana Romanova, Henrieta Oravcova, Lubomira Izakova, Natasa Hlavacova, Daniela Jezova

Summary: The ongoing study aims to investigate the impact of post-partum maternal mood fluctuations on child development and explore the correlation between the neuroendocrine function of mothers and their neonates. The study design involves testing the hypothesis under stress and non-stress conditions in mothers and babies at different ages. Preliminary analyses indicate the feasibility of saliva sampling in neonates and reveal increased cortisol concentrations during the third trimester of pregnancy. Results also show a positive correlation between salivary cortisol values before and after a stress test in mother-infant dyads. Understanding the mechanisms involved in the mother-child relationship will facilitate the development of interventions for mothers in the early postpartum period.

ACTA PSYCHOLOGICA (2023)

No Data Available