Review: A role for corticosteroid-binding globulin variants in stress-related disorders, 2014, Marathe & Torpey

Andy · Feb 23, 2019

Not sure why this has come up as recently published but thought I'd still post it. I think this should be in biomed research but obviously it can be moved if appropriate.

Abstract
Primary stress-related diseases such as chronic fatigue syndrome, fibromyalgia or chronic widespread pain have been associated with altered activity of the hypothalamic–pituitary–adrenal axis due to measured relative hyper- or hypo-cortisolism in basal or experimentally stimulated states. A hereditary risk to development of these diseases has been proposed. Corticosteroid-binding globulin (CBG), a plasma transport vehicle for cortisol, may play a more active role in the hypothalamic–pituitary–adrenal axis. Chronically altered hypothalamic–pituitary–adrenal axis has been associated with common medical problems. Hypocortisolism has been observed in kindred studies of rare mutations of the SERPIN A6 (CBG) gene and more common SERPIN A6 polymorphisms associated with reduced CBG levels or CBG:cortisol-binding affinity.

Over the last decade, studies of five different CBG gene mutations in humans, human genetic associations and transgenic mouse models have suggested that CBG may have hitherto unexpected roles in modulation of the stress response. Naturally occurring CBG variants may alter susceptibility to disorders associated with chronic stress and relative hypocortisolism. On the other hand, hypercortisolism has been linked with Cushing's disease and metabolic syndrome and CBG gene polymorphisms have been linked to obesity in animal models. In this article, we look at the evidence suggesting a role for CBG in stress-related disorders, focusing particularly on CBG gene polymorphisms and chronic pain/fatigue syndromes.
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Paywalled at https://www.tandfonline.com/doi/abs/10.1586/eem.12.20?journalCode=iere20
Sci hub, https://sci-hub.tw/10.1586/eem.12.20

Peter Trewhitt · Feb 23, 2019

'Primary stress-related diseases', why do researchers take their prejudged beliefs as a starting point?

We have no clear understanding of the relationship between 'stress' and these conditions, and unjustified covert assumptions surely undermine rather than support this research.

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Review: A role for corticosteroid-binding globulin variants in stress-related disorders, 2014, Marathe & Torpey

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Review: A role for corticosteroid-binding globulin variants in stress-related disorders, 2014, Marathe & Torpey

Andy Committee Member & Outreach

Peter Trewhitt Senior Member (Voting Rights)

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