HSD2 neuron

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Green-HSD2 red-MR in NTS

HSD2 neurons are a specific type of neuron found within the brain, particularly in the nucleus of the solitary tract (NTS) of the brainstem. These neurons are characterized by their expression of the enzyme 11β-Hydroxysteroid dehydrogenase type 2 (11β-HSD2), which converts active glucocorticoids like cortisol in humans (or corticosterone in rodents) into their inactive forms. This unique feature allows HSD2 neurons to be involved in the regulation of the hypothalamic-pituitary-adrenal axis (HPA axis), playing a crucial role in the body's response to stress and in maintaining homeostasis.

Function[edit | edit source]

HSD2 neurons are primarily involved in the feedback inhibition of the HPA axis. By converting active glucocorticoids into their inactive forms, these neurons can protect themselves from the suppressive effects of high glucocorticoid levels, thereby maintaining their excitability in the face of stress. This mechanism allows HSD2 neurons to modulate the body's stress response, ensuring that it is appropriate to the level of stress encountered. Additionally, HSD2 neurons are implicated in salt appetite and blood pressure regulation, highlighting their importance in both neuroendocrine and cardiovascular homeostasis.

Location[edit | edit source]

The nucleus of the solitary tract, where HSD2 neurons are located, is a critical structure in the brainstem that receives and integrates visceral sensory information from the gastrointestinal tract, heart, and other organs. It plays a pivotal role in autonomic and neuroendocrine control. The presence of HSD2 neurons within the NTS underscores the importance of this region in modulating physiological responses to internal and external stressors.

Research and Implications[edit | edit source]

Research on HSD2 neurons has provided insights into the complex mechanisms underlying stress response and salt appetite regulation. Studies have shown that dysregulation of the HPA axis, possibly involving abnormalities in HSD2 neuron function, may contribute to the development of stress-related disorders, such as depression and anxiety disorders, as well as cardiovascular diseases like hypertension. Understanding the role of HSD2 neurons in these processes may lead to new therapeutic targets for these conditions.

Conclusion[edit | edit source]

HSD2 neurons represent a unique and important neuronal population within the brainstem, with critical roles in stress response regulation, salt appetite, and cardiovascular homeostasis. Further research into these neurons may uncover novel insights into the neuroendocrine regulation of stress and metabolism, offering potential new avenues for treating related disorders.

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Contributors: Prab R. Tumpati, MD