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ISSN 2522-9028 (Print)
ISSN 2522-9036 (Online)
DOI: https://doi.org/10.15407/fz

Fiziologichnyi Zhurnal

(English title: Physiological Journal)

is a scientific journal issued by the

Bogomoletz Institute of Physiology
National Academy of Sciences of Ukraine

Editor-in-chief: V.F. Sagach

The journal was founded in 1955 as
1955 – 1977 "Fiziolohichnyi zhurnal" (ISSN 0015 – 3311)
1978 – 1993 "Fiziologicheskii zhurnal" (ISSN 0201 – 8489)
1994 – 2016 "Fiziolohichnyi zhurnal" (ISSN 0201 – 8489)
2017 – "Fiziolohichnyi zhurnal" (ISSN 2522-9028)

Fiziol. Zh. 2026; 72(2): 90-102


Hormones and Neuromediators – Markers of Stress Resistance

P. Yanchuk, I. Pampukha, O. Mykolaychuk

  1. National Taras Shevchenko University of Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz72.02.090


Abstract

The review analyses the scientific literature on stress reaction development and the role of hormones and neurotransmitters in this process, as well as in the body’s resistance to stress. It also considers the possibility of using these substances as markers of stress resistance. Stress resistance is characterized by a balanced interaction in the central nervous system (CNS) of the processes of excitation, primarily with the participation of glutamate, and inhibition, with the involvement of γ-aminobutyric acid (GABA) and glycine, through the hypothalamic-pituitary-adrenal (HPA) axis and the CNS activation chain, in particular, dehydroepiandrosterone (DHEA), serotonin, and dopamine. Any dysregulation in these links makes the body vulnerable. Therefore, a more optimal marker is not the individual content of these markers, but their ratio. Cortisol signals stress. Meanwhile, glutamate, GABA, and glycine influence the plasticity of neural activity to balance brain activity, while DHEA, serotonin, and dopamine modulate it. There is a synchronous interaction between DHEA and cortisol. DHEA counteracts the effects of cortisol, acting as an anti-stress hormone that determines the level of adaptation to stress. High cortisol and low serotonin levels are observed in less stress-resistant individuals compared to more stress-resistant individuals. The balanced interaction of serotonin and dopamine is crucial for stress resistance, determining flexible behavioural adaptation, emotional regulation, and the maintenance of cognitive functions. Thus, during psycho-emotional stress, significant changes in the content of hormones and neurotransmitters — markers of stress resistance are observed. Therefore, determining their levels and personalised balance in the bodies of military personnel is important for establishing their degree of stress resistance.

Keywords: stress resistance; hypothalamic-pituitary-adrenal axis; cortisol; glutamate; dehydroepiandrosterone; serotonin; dopamine; γ-aminobutyric acid; glycine

References

  1. Knezevic E, Nenic K, Milanovic V , Knezevic N. The role of cortisol in chronic stress, neurodegenerative diseases, and psychological disorders. Cells. 2023;12(23):2726. doi: 10.3390/cells12232726.
  2. Spiegel K, Leproult R, Van Cauter E. Impact of sleep debt on metabolic and endocrine function. Lancet. 1999;354:1435-9. doi: 10.1016/S0140-6736(99)01376-8.
  3. Rumantir MS, Vaz M, Jennings GL, Collier G, Kaye DM, Seals DR, Wiesner GH, Rocca HPB-L, Esler MD. Neural mechanisms in human obesity-related hypertension. J Hypertens. 1999;17:1125-33. doi: 10.1097/00004872- 199917080-00012.
  4. Aguiló Mir S, García Pagès E, López Barbeito S, Ri-beiro TC, Garzón-Rey JM, Aguiló Llobet J. Design and validation of an electrophysiological based tool to assess chronic stress. Case study: burnout syndrome in caregivers. Stress. 2021;24(4):384-93.
  5. Yanchuk PI, Mykolaychuk OM, Veselsky SP, Pam-pukha IV , Loza VM. The state of energy metabolism in military personnel with emotional burnout. Physiol J. 2025;71(3):12-7. doi: 10.15407/fz71.03.012.
  6. Boudarene M, Legros J, Timsit-Berthier M. Study of the stress response: role of anxiety, cortisol and DHEAs. Гормони і нейромедіатори – маркери стресостійкості 101 Encephale. 2002;28(2):139-46. PMID: 11972140.
  7. de Kloet E. Brain corticosteroid receptor balance in health and disease. Endocr Rev. 1998;19:269-301. doi:10.1210/ er.19.3.269.
  8. Panton KK, Mikkelsen G, Irgens W, Hovde AK, Killingmo MW, Øien MA, Thorsby PM, Åsberg A. New reference intervals for cortisol, cortisol binding globulin and free cortisol index in women using ethinyl estradiol. Scand J Clin Lab Invest. 2019;79:314-9. doi: 10.1080/00365513.2019.1622031.
  9. Verbeeten KC, Ahmet AH. The role of corticosteroid-binding globulin in the evaluation of adrenal insufficiency. J Pediatr Endocrinol Metab. 2017;31:107-15. doi: 10.1515/jpem-2017-0270.
  10. Ramamoorthy S, Cidlowski JA. Corticosteroids: Me-chanisms of action in health and disease. Rheum Dis Clin North Am. 2016;42(1):15-31.
  11. Kuo T, McQueen A, Chen TC, Wang JC. Regulation of glucose homeostasis by glucocorticoids. Adv Exp Med Biol. 2015;872:99-126.
  12. Kadmiel M, Cidlowski JA. Glucocorticoid receptor signaling in health and disease. Trend Pharmacol Sci. 2013;34(9):518-30.
  13. Cohen S, Janicki-Deverts D, Doyle WJ, Miller GE, Frank E, Rabin BS, Turner RB. Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. Proc Natl Acad Sci USA. 2012;109:5995-9. doi: 10.1073/ pnas.1118355109.
  14. Ahn CH, Kim JH, Park MY , Kim SW.J epidemiology and comorbidity of adrenal cushing syndrome: A nationwide cohort study. Clin Endocrinol Metab. 2021;106(3):e1362- 72. doi: 10.1210/clinem/dgaa752.
  15. Attwell D, Laughlin SB. An energy budget for signaling in the grey matter of the brain. J Cerebr Blood Flow Metab. 2001;21(10):1133‐45. doi: 10.1097/00004647- 200110000-00001.
  16. Zhou Y , Danbolt NC. Glutamate as a neurotransmitter in the healthy brain. J Neural Transm. 2014;121:799-817. doi:10.1007/s00702-014-1180-8.
  17. Mia Michaela Pal. Glutamate: The Master Neurotransmit-ter and Its Implications in Chronic Stress and Mood Disorders. Front Hum Neurosci. 2021;15:722323. doi: 10.3389/fnhum.2021.722323.
  18. Watkins JC, Jane DE. The glutamate story. Br J Pharmacol. 2006;147: 100-8. 10.1038/sj.bjp.0706444.
  19. Zhang D, Hua Z, Li Zh. The role of glutamate and glutamine metabolism and related transporters in nerve cells. Neurosci Ther. 2024;30(2):e14617. doi: 10.1111/cns.14617.
  20. Reznikov LR, Fadel JR, Reagan LP. Glutamate-medi-ated neuroplasticity deficits in mood disorders. In: Neuroplasticity, eds Costa e Silva JA, Macher JP, Olié JP. Tarporley: Springer; 2011;13-26. doi:10.1007/978- 1-908517-18-0_2.
  21. Yang L, Venneti S, Nagrath D. Glutaminolysis: a Hallmark of cancer metabolism. Annu Rev Biomed Eng. 2017;19:163‐94. doi: 10.1146/annurev-bioeng-071516-044546.
  22. Andersen JV , Markussen KH, Jakobsen E, et al. Glutamate metabolism and recycling at the excitatory synapse in health and neurodegeneration. Neuropharmacology. 2021;196:108719. doi:10.1016/j.neuropharm.2021. 108719.
  23. Bak LK, Schousboe A, Waagepetersen HS. The glu-tamate/GABA‐glutamine cycle: aspects of transport, neurotransmitter homeostasis and ammonia transfer. J Neurochem. 2006;98(3):641‐53. doi: 10.1111/j.1471- 4159.2006.03913.x.
  24. Swinkels L, Ross H, Smals A, Benraad T. Concentrations of total and free dehydroepiandrosterone in plasma and dehydroepiandrosterone in saliva of normal and hirsute women under basal conditions and during administration of dexamethasone/synthetic corticotropin. Clin Chem. 1990 Dec;36(12):2042-6.
  25. Morgan CA, Southwick S, Hazlett G, Rasmusson A, Hoyt G, Zimolo Z, et al. Relationships among plasma dehydroepiandrosterone sulfate and cortisol levels, symptoms of dissociation, and objective performance in humans exposed to acute stress. Arch Gen Psychiatr. 2004;61:819- 25. doi:10.1001/archpsyc.61.8.819.
  26. Theorell T. Anabolism and catabolism-antagonistic part-ners in stress and strain. Scand J Work Environ Health. 2008:136-43.
  27. Hechter O, Grossman A, Chatterton RT. Relationship of dehydroepiandrosterone and cortisol in disease. Med Hypotheses. 1997; 49:85-91. doi: 10.1016/S0306- 9877(97)90258-9.
  28. Pérez-Neri I, Montes S, Ojeda-López C, Ramírez-Bermúdez J, Ríos C. Modulation of neurotransmitter systems by dehydroepiandrosterone and dehydroepiandrosterone sulfate: Mechanism of action and relevance to psychiatric disorders. Prog Neuro-Psychopharmacol Biol Psychiatr. 2008;32:1118-30.
  29. Teixeira CJ, Veras K, de Oliveira Carvalho CR. Dehyd-roepiandrosterone on metabolism and the cardiovascular system in the postmenopausal period. J Mol Med (Berl). 2020;98:39-57. doi:10.1007/s00109-019-01842-5.
  30. Layunta E, Latorre E, Grasa L, Arruebo MP, Buey B, Alcalde AI, Mesonero JE. Intestinal serotonergic system is modulated by Toll-like receptor 9. J Physiol Biochem. 2022 Aug;78(3):689-701.
  31. Raghupathi R, Duffield MD, Zelkas L, Meedeniya A, Brookes SJ, Sia TC, Wattchow DA, Spencer NJ, Keating DJ. Identification of unique release kinetics of serotonin from guinea-pig and human enterochromaffin cells. J Physiol. 2013 Dec 01;591(23):5959-75.
  32. Matsunaga D, Nakagawa H, Ishiwata T. Difference in the brain serotonin and its metabolite level and anxietylike behavior between forced and voluntary exercise conditions in rats. Neurosci Lett. 2021;744. doi:10.1016/ j.neulet.2020.135556.
  33. Mohammad-Zadeh LF, Moses L, Gwaltney-Brant SM. Serotonin: a review. J Vet Pharmacol Ther. 2008;31(3):187-99.
  34. Cellini B, Zelante T, Dindo M, Bellet MM, Renga G, П.І. Янчук, І.В. Пампуха, О.М. Миколайчук 102 Romani L, Costantini C. Pyridoxal 5'-phosphatedependent enzymes at the crossroads of host-microbe tryptophan metabolism. Int J Mol Sci. 2020;21(16).
  35. Lee BH, Hille B, Koh DS. Serotonin modulates melatonin synthesis as an autocrine neurotransmitter in the pineal gland. Proc Natl Acad Sci USA. 2021;118(43).
  36. Berger M, Gray JA, Roth BL. The expanded biology of serotonin. Annu Rev Med. 2009;60:355-66.
  37. Neumann J, Hofmann B, Dhein S, Gergs U. Cardiac roles of serotonin (5-HT) and 5-HT-receptors in health and disease. Int J Mol Sci. 2023;24(5) 16.
  38. Greenwood B.N. The role of dopamine in overcoming aversion with exercise. Brain Res. 2019;1713:102-8. doi:10.1016/j. Brainres. 2018.08.030/
  39. Haavik J, Toska K. Tyrosine hydroxylase and Parkinson's disease. Mol Neurobiol. 1998;16(3):285-309.
  40. Sibley DR, Monsma FJ, Shen Y . Molecular neurobiology of dopaminergic receptors. Int Rev Neurobiol. 1993; 35:391-415.
  41. Meiser J, Weindl D, Hiller K. Complexity of dopamine metabolism. Cell Commun Sign. 2013;11(1):34.
  42. Feng J, Nestler EJ. Epigenetic mechanisms of drug addiction. Curr Opin Neurobiol. 2013 Aug;23(4):521-8.
  43. Velasco M, Luchsinger A. Dopamine: pharmacologic and therapeutic aspects. Am J Ther. 1998 Jan;5(1):37-43.
  44. Cho JR, Treweek JB, Robinson JE, Xiao C, Bremner LR, Greenbaum A, Gradinaru V. Dorsal raphe dopamine neurons modulate arousal and promote wakefulness by salient stimuli. Neuron. 2017 Jun 21;94(6):1205-19.e8.
  45. Koh W, Kwak H, Cheong E, Lee CJ. GABA tone regulation and its cognitive functions in the brain. Nat Rev Neurosci. 2023;24(9):523-39. doi:/10.1038/s41583-023-00724-7.
  46. Andersen JV , Schousboe A, Wellendorph P. Astrocytes regulate inhibitory neurotransmission through GABA uptake, metabolism, and recycling. Essays Biochem. 2023;67(1):77-91. doi: 10.1042/EBC20220208.PMID: 36806927.
  47. Ozkan E, Koh W. Potential role of astrocyte on gamma-aminobutyric acid tone regulation during developmental period. Neural Regen Res. 2025;21(3):1118-9. doi: 10.4103/NRR.NRR-D-24-01484 PMID: 40522764.
  48. Allen MJ, Sabir S, Sharma S. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL):2023. GABA Receptor.
  49. Andersen J. The glutamate/GABA-glutamine cycle: Insights, updates, and advances. J Neurochem. 2025; 169(3):1-12. doi: 10.1111/jnc.70029.
  50. Lynch JW. Native glycine receptor subtypes and their physiological roles. Neuropharmacology. 2009;56:303-9. doi: 10.1016/j.neuropharm.2008.07.034.
  51. Collingridge GL, V olianskis A, Bannister N, France G, Hanna L, Mercier M, Tidball P, Fang G, Irvine MW, Costa BM, et al. The NMDA receptor as a target for cognitive enhancement. Neuropharmacology. 2013;64:13-26. doi: 10.1016/j.neuropharm.2012.06.051.
  52. Al-Khrasani M, Mohammadzadeh A, Balogh M, Király K, Barsi S, Hajnal B, Köles L, Zádori ZS, Harsing LG, Jr. Glycine transporter inhibitors: A new avenue for managing neuropathic pain. Brain Res Bull. 2019;152:143-58. doi: 10.1016/j.brainresbull.2019.07.008.
  53. Zhang Y , Jia H, Jin Y , Liu N, Chen J, Yang Y , Dai Z, Wang C, Wu G, Wu Z. Glycine attenuates LPS-induced apoptosis and inflammatory cell infiltration in mouse liver. J Nutr. 2020;150:1116-25. doi: 10.1093/jn/nxaa036.
  54. Gaggini M, Carli F, Rosso C, Buzzigoli E, Marietti M, Della Latta V , et al. Altered amino acid concentrations in NAFLD: Impact of obesity and insulin resistance. Hepatology. 2018;67:145-58. doi: 10.1002/hep.29465.
  55. Gonzalez-Piña R, Nuño-Licona A. Effects of glycine on motor performance in rats after traumatic spinal cord injury. Proc West Pharmacol Soc. 2007;50:131-3.
  56. Gusev EI, Skvortsova VI, Dambinova S, Raevskiy KS, Alekseev AA, Bashkatova VG, Kovalenko A V , Kudrin VS, Yakovleva EV . Neuroprotective effects of glycine for therapy of acute ischaemic stroke. Cerebrovascul Dis. 2000;10:49-60. doi: 10.1159/000016025.
  57. Godonu S, Francis-Lyons N. role of cortisol in the synthesis of glutamate during oxidative stress. Int J Stientific Res Tech. 2025;2(1):100-4. |doi:10.5281/ zenodo.14603350.
  58. Andersen J. The glutamate/GABA-glutamine cycle: insights, updates, and advances. J Neurochem. 2025; 169;3:1-37. doi:/10.1111/jnc.70029.
  59. Kampmann M. Molecular and cellular mechanisms of selective vulnerability in neurodegenerative diseases. Nat Rev Neurosci. 2024;25: 351-71.
  60. Cubelos B, Leite C, Giménez C, Zafra F. Localization of the glycine transporter GLYT1 in glutamatergic synaptic vesicles. Neurochem Int. 2014;73:204-10. doi: 10.1016/j. neuint.2013.09.002.
  61. Daw ND, Kakade S, Dayan P. Opponent interactions between serotonin and dopamine. Neural Network. 2002;15:603-16. doi: 10.1016/s0893-6080(02)00052-7.
  62. De Simoni MG, Dal Toso G, Fodritto F, Sokola A, Algeri S. Modulation of striatal dopamine metabolism by the activity of dorsal raphe serotonergic afferences. Brain Res. 1987;411:81-8. doi: 10.1016/0006- 8993(87)90683-4.
  63. Mkrtchian A, Qiu Z, Abir Y . Dopamine and seroto nin differentially associated with reward and puni sh ment processes in humans: A systematic re view and meta-analysis. bioRxiv. 2025; 08. doi:10.1101/2025.01.08.631868.

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