Document 0482 DOCN M9550482 TI Hypothalamic-pituitary-adrenal axis and immune system. DT 9505 AU Savastano S; Tommaselli AP; Valentino R; Scarpitta MT; D'Amore G; Luciano A; Covelli V; Lombardi G; Chair of Endocrinology, C.E.O.S. National Research Council (CNR),; Italy. SO Acta Neurol (Napoli). 1994 Aug;16(4):206-13. Unique Identifier : AIDSLINE MED/95159844 AB Complex and bidirectional relationships operate between the hypothalamic-pituitary-adrenal (HPA) axis and the immune system (IS) and either in vivo or in vitro evidence supports a physiological role of the HPA axis-IS network. A part of the well-known pharmacological effects of glucocorticoid hormones (GC) as immunodepressive agents, the direct effects of many HPA axis hormones on IS functions are actually documented also in physiologic conditions. Conversely, numerous IS soluble mediators are reported to affect the HPA axis functions at various steps of HPA axis regulation, in both physiologic and pathologic conditions. Stress and aging may represent two paradigmatic conditions to show the relevance of the bidirectional network between HPA axis and IS, as in both HPA activation and IS impairment are frequently coexistent. Finally, in the context of the wide spectrum of HIV-related HPA axis abnormalities, a case of a Cushing's syndrome associated to an acquired immunodeficiency syndrome (AIDS-related complex) in a 24-year-old homosexual drug abuser is reported. DE Adult Animal AIDS-Related Complex/COMPLICATIONS/PHYSIOPATHOLOGY Case Report Corticotropin/PHYSIOLOGY Corticotropin-Releasing Hormone/PHYSIOLOGY Cushing's Syndrome/COMPLICATIONS/PHYSIOPATHOLOGY Feedback Glucocorticoids/*PHYSIOLOGY Human Hypothalamo-Hypophyseal System/*PHYSIOLOGY Immune System/*PHYSIOLOGY Male Neuroimmunomodulation/*PHYSIOLOGY Neurotransmitters/PHYSIOLOGY Pituitary-Adrenal System/*PHYSIOLOGY Rats Rats, Inbred Lew JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).