Hair cortisol as chronic stress parameter in patients with acute ST-segment elevation myocardial infarction
HERZ
Authors: Crom, Helena; Trappe, Hans-Joachim
Abstract
Introduction Stress is a risk factor for the development of cardiovascular diseases. New analytical methods enable the determination of cortisol concentrations in hair (HCC) as a retrospective long-term parameter for chronic stress. So far, it is still uncertain whether stress objectively measured by an increase in HCC might be a predictive factor associated with the development of an acute myocardial infarction. Methods Included in this study were 40 patients with an acute ST-segment elevation myocardial infarction (STEMI), confirmed by electrocardiography (ECG). The control group consisted of 80 patients without coronary artery disease (CAD). Results Patients with STEMI did not show significantly higher HCCs (p= 0.846) compared to the control group and there was no correlation with the extent of myocardial infarction (p= 0.701, r= 0.038). Correlations were found between HCC, diabetes mellitus (p= 0.046, odds ratio, OR= 6.346), low high-density lipoprotein (HDL) cholesterol concentration (p= 0.107) and glycated hemoglobin A (HbA1c) concentration (p= 0.083, r= 0.236). Furthermore, there was an association between an increased HCC and chronic heart failure (p= 0.110) and an association to the red blood cell distribution width (RDW) concentration (p= 0.005, r= 0.293). Conclusion The results of this study showed that patients with acute ST-segment elevation myocardial infarction did not have significantly higher levels of hair cortisol compared to the reference group; however, long-term metabolic changes as well as advanced chronic heart failure appear to be long-acting stress factors for the organism and increase cortisol levels in hair.
Testosterone and cortisol are negatively associated with ritualized bonding behavior in male macaques
PSYCHONEUROENDOCRINOLOGY
Authors: Rincon, Alan, V; Heistermann, Michael; Schuelke, Oliver; Ostner, Julia
Abstract
Neuroendocrine research on the formation of social bonds has primarily focused on the role of nonapeptides. However, steroid hormones often act simultaneously to either inhibit or facilitate bonding. Testosterone is proposed to mediate a trade-off between male mating effort and nurturing behavior; therefore, low levels are predicted during periods of nurturing infant care and social bonding. In species where social bonding and support regulates hypothalamic-pituitary-adrenal axis activity, we also expect glucocorticoid levels to be low during bonding periods. We investigated how immunoreactive urinary testosterone (iuT) and cortisol (iuC) were related to triadic male-infant-male interactions - a ritualized male bonding behavior - as well as infant care in male Barbary macaques (Macaca sylvanus). We collected > 3000 h of behavioral observation data during full-day focal animal follows from 14 adult males and quantified iuT and iuC from 650 urine samples. iuT was negatively correlated with rates of triadic interactions within subjects, but positively correlated between subjects. iuC was negatively correlated with triadic interactions both within and between subjects. Time spent caring for infants was positively correlated to both iuT and iuC within subjects, but not between subjects. The observed negative relationship between iuT and triadic interactions within subjects may be beneficial to lower competitive tendencies between adult males and to not inhibit bond formation. However, the positive correlation of iuT with triadic interactions between subjects was unexpected. We speculate that it could be due to a link between triadic interactions and coalition formation. A negative relationship between triadic interactions and iuC could reflect increased bonding and perceived social support as triadic interactions predict future coalition formation in this species, or reflect buffered tensions between males. The positive relationship of iuT and iuC with infant care suggests that the handling of infants may be less nurturing but rather protective or competitive in this species. Measuring steroid hormones in relation to bonding and nurturing can help us interpret behaviors within the ecological contexts that they occur.