Evidence map›Paper›PMID 18999898›Full record

SynthesisEndocrine regulations2008

Adrenomedullary, adrenocortical, and sympathoneural responses to stressors: a meta-analysis.

David S Goldstein, Irwin J Kopin

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Endocrine regulations, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 169 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Peripheral catecholamine systems: an evolutionary perspective.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    Review
  6. Article
  7. Review
  8. Validity of mental and physical stress models.Neuroscience and biobehavioral reviews · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Gestational Sympathetic Stress Programs the Fertility of Offspring: A Rat Multi-Generation Study.International journal of environmental research and public health · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Epinephrine levels decrease in responders after electroconvulsive therapy.Journal of neural transmission (Vienna, Austria : 1996) · 2021
    Article
  19. Stress and the "extended" autonomic system.Autonomic neuroscience : basic & clinical · 2021
    Review
  20. Article

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

David S GoldsteinClinical Neurocardiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892-1620, USA. goldsteind@ninds.nih.gov
Irwin J Kopin
National Institute of Neurological Disorders and Stroke · USNational Institutes of Health · US

Funding

Biomarkers of Parkinson Disease and Related DisordersZIANS003034 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI GOLDSTEIN, DAVID · 2009 to 2025
$22.8M
Mechanisms of Parkinson Disease and Related DisordersZIANS003033 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI GOLDSTEIN, DAVID · 2009 to 2022
$8.2M
Intramural NIH HHS ZIA NS003033
6 · The paper itself

Abstract

objectiveExposure to stressors alters activities of the adrenomedullary hormonal system (AHS), hypothalamic-pituitary-adrenocortical (HPA) axis, and sympathetic nervous system (SNS). Here we report results of a meta-analysis of the literature, examining inter-relationships among AHS, HPA, and SNS responses to stressors, as measured by plasma epinephrine (EPI), corticotrophin (ACTH), and norepinephrine (NE) levels.

methodsThe medical scientific literature was culled by PubMed searches, to retrieve publications describing original data about plasma EPI, ACTH, and NE levels measured before and during or after exposure to stressors. Magnitudes of responses were graded from a score of 0 for no response to 4 for a massive increase to >or=10 times the baseline value.

resultsA total of 15 stressors were identified for which at least 2 publications reported data for EPI, ACTH, and NE responses. A total of 60 reports were included. Mean EPI responses were strongly positively correlated with mean ACTH responses (r=0.93) and less strongly with NE responses (r=0.40). Plasma EPI responses were disproportionately larger than NE responses during hypoglycemia and smaller than NE responses during cold exposure without hypothermia, orthostasis, and active escape/avoidance. Plasma NE responses were disproportionately larger than ACTH responses during cold exposure without hypothermia and severe/exhausting exercise and smaller than ACTH responses during hypoglycemia. DISCUSSION: The results of this meta-analysis indicate a close association between adrenomedullary and hypothalamic-pituitary-adrenocortical responses across a variety of stressors. This association seems to be if anything stronger than that between adrenomedullary and sympathetic noradrenergic responses.

Indexed as

Adaptation, PsychologicalAdrenal CortexAdrenal MedullaAdrenocorticotropic HormoneAnimalsEpinephrineHumansNorepinephrineStress, PhysiologicalSympathetic Nervous SystemAdrenocorticotropic HormoneEpinephrineNorepinephrine

Identifiers

PMID18999898
PMCPMC5522726
OpenAlexW2438471694

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.