HPA STRESS AXIS AND SEROTONIN
IN MAJOR DEPRESSION
Hypothalamic Pituitary Adrenal Axis (HPA) overactivity
(elevated CRH and cortisol, dexamethasone resistance) is
present in many patients with severe depression.
Corticosteroids reduce hippocampal 5-HT1A receptor sites in
animal studies and may explain reduced hippocampal damage
in depression.