Inclusion of the glucocorticoid receptor in a hypothalamic pituitary adrenal axis model reveals bistability.
Gupta, Shakti, Aslakson, Eric, Gurbaxani, Brian M et al.·Theoretical biology & medical modelling·2007
This study created a mathematical model of the body's stress-response system (the HPA axis) that helps explain why some people with chronic stress develop low cortisol levels. The model shows that when stress is repeated over a long time, the body can get 'stuck' in a low-cortisol state, similar to what happens in ME/CFS. The research suggests this happens because of how cortisol's receptor proteins build up and change how the stress system works.