Evidence map›Paper›PMID 30111811›Full record

ReviewNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2019

Sex differences in the hypothalamic-pituitary-adrenal axis' response to stress: an important role for gonadal hormones.

Ashley L Heck, Robert J Handa

Open access · bronzeAbstract readReview
In one paragraph

Review in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 272 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
272citing papers in PubMed, 2 pooled it
13.3field-weighted citation impact, top 1% 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

272 citing papers in PubMed, 2 syntheses or guidelines pooled it, 478 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Prefrontal cortex stimulation prevents stress-induced HPA axis reactivity in people at familial risk of schizophrenia.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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  11. Corticosterone Under Experimental Manipulation of Nutrition and Parasite Burden in a Wild Rodent System.Journal of experimental zoology. Part A, Ecological and integrative physiology · 2026
    Article
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212 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 1 institution in 1 country.

Ashley L HeckDepartment of Biomedical Sciences, Colorado State University, Fort Collins, CO, 80523, USA.
Robert J HandaDepartment of Biomedical Sciences, Colorado State University, Fort Collins, CO, 80523, USA. Bob.Handa@colostate.edu.
Colorado State University · US

Funding

Estrogen Regulation of the Hypothalamo-Pituitary-Adrenal AxisR01DK105826 · NIDDK · COLORADO STATE UNIVERSITY · PI MYERS, BRENT PHILIP · 2015 to 2020
$2.1M
NIDDK NIH HHS R01 DK105826
6 · The paper itself

Abstract

The hypothalamic-pituitary-adrenal (HPA) axis, a neuroendocrine network that controls hormonal responses to internal and external challenges in an organism's environment, exhibits strikingly sex-biased activity. In adult female rodents, acute HPA function following a stressor is markedly greater than it is in males, and this difference has largely been attributed to modulation by the gonadal hormones testosterone and estradiol. These gonadal hormones are produced by the hypothalamic-pituitary-gonadal (HPG) axis and have been shown to determine sex differences in adult HPA function after acute stress via their activational and organizational effects. Although these actions of gonadal hormones are well supported, the possibility that sex chromosomes similarly influence HPA activity is unexplored. Moreover, questions remain regarding sex differences in the activity of the HPA axis following chronic stress and the underlying contributions of gonadal hormones and sex chromosomes. The present review examines what is currently known about sex differences in the neuroendocrine response to stress, as well as outstanding questions regarding this sex bias. Although it primarily focuses on the rodent literature, a brief discussion of sex differences in the human HPA axis is also included.

Indexed as

Sex CharacteristicsAnimalsFemaleGonadal Steroid HormonesHumansHypothalamo-Hypophyseal SystemMalePituitary-Adrenal SystemStress, PhysiologicalStress, PsychologicalGonadal Steroid Hormones

Identifiers

PMID30111811
PMCPMC6235871
OpenAlexW2887873477

What OpenQuestion holds

Textmetadata
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.