Beyond the HPA Axis: Progesterone-Derived Neuroactive Steroids in Human Stress and Emotion. 2011

Michelle M Wirth
Department of Psychology, University of Notre Dame Notre Dame, IN, USA.

Stress and social isolation are well-known risk factors for psychopathology. However, more research is needed as to the physiological mechanisms by which social support buffers the impacts of stress. Research in animal models suggests important roles for progesterone (P) and its product, the neuroactive steroid allopregnanolone (ALLO), in stress and psychopathology. These hormones are produced in brain and periphery during stress in rodents, and down-regulate anxiety behavior and hypothalamic-pituitary-adrenal axis activity. Human clinical populations, including depressed patients, have alterations in ALLO levels, but it is unclear whether these basal hormone level differences have clinical import. To begin to address this question, this review examines the role of P and ALLO in stress physiology, and the impact of these hormones on mood, in healthy humans. Evidence largely supports that P and ALLO increase during stress in humans. However, P/ALLO administration appears to cause only mild effects on mood and subjective anxiety, while exerting effects consistent with gamma-aminobutyric acid receptor modulation. Additionally, P is linked to motivation for affiliation/social contact; P (and ALLO) release may be especially responsive to social rejection. These observations lead to the novel hypothesis that stress-related P/ALLO production functions not only to down-regulate stress and anxiety, but also to promote social contact as a long-term coping strategy. Malfunctioning of the P/ALLO system could therefore underlie depression partly by decreasing propensity to affiliate with others.

UI MeSH Term Description Entries

Related Publications

Michelle M Wirth
June 2016, The Journal of steroid biochemistry and molecular biology,
Michelle M Wirth
January 2018, Frontiers in neuroendocrinology,
Michelle M Wirth
January 2001, International review of neurobiology,
Michelle M Wirth
December 1997, The Journal of clinical endocrinology and metabolism,
Michelle M Wirth
October 2007, Pharmacology & therapeutics,
Michelle M Wirth
January 2007, European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology,
Copied contents to your clipboard!