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Corticolimbic regulation of cardiovascular responses to stress
1Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Insights
Stress significantly impacts cardiovascular disease risk. This review explores how brain regions like the prefrontal cortex, amygdala, and hippocampus regulate heart rate and blood pressure during stress, offering insights for future research.
Area of Science:
- Neuroscience
- Cardiology
- Psychology
Background:
- Cardiovascular disease (CVD) is a major global health concern.
- Stress is a known factor that initiates or worsens CVD.
- Chronic stress and acute stress responses are linked to increased cardiovascular morbidity.
Purpose of the Study:
- To review the mechanisms by which corticolimbic nuclei regulate cardiovascular responses to psychological stress.
- To examine human and rodent data on the role of the prefrontal cortex, amygdala, and hippocampus in stress and CVD.
- To identify limitations and opportunities for future research in this field.
Main Methods:
- Literature review of basic studies in humans and rodents.
- Focus on corticolimbic nuclei (prefrontal cortex, amygdala, hippocampus).
- Examination of stress appraisal and emotional reactivity mechanisms.
Main Results:
- Corticolimbic nuclei play a critical role in stress-induced cardiovascular changes.
- Specific brain regions like the prefrontal cortex, amygdala, and hippocampus are key regulators.
- Existing research reveals limitations in understanding the precise circuitry involved.
Conclusions:
- Further investigation into the stress-cardiovascular circuitry is needed.
- Understanding these mechanisms can inform strategies to reduce the burden of cardiovascular illness.
- Identifying neural pathways offers potential for novel therapeutic targets.
Abstract:
Cardiovascular disease, a leading cause of death worldwide, is frequently initiated or exacerbated by stress. In fact, chronic stress exposure and heightened reactions to acute psychological stress are both associated with increased cardiovascular morbidity. This brief review focuses on the mechanisms by which corticolimbic nuclei, critical for stress appraisal and emotional reactivity, regulate heart rate and blood pressure responses to psychological stress. Both human and rodent data are examined with a major emphasis on basic studies investigating prefrontal cortex, amygdala, and hippocampus. A detailed literature review reveals substantial limitations in our understanding of this circuitry, as well as significant opportunities for future investigation that may ultimately reduce the burden of cardiovascular illness.
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