The effect of sex and irritable bowel syndrome on HPA axis response and peripheral glucocorticoid receptor expression
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Cortisol response to ACTH is affected by sex and irritable bowel syndrome (IBS).

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Response is increased in men but blunted in women with IBS compared to controls.

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Glucocorticoid receptor α (GRα) mRNA is reduced in IBS and negatively correlates with ACTH response.

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Low expression of GRα is associated with increased symptom severity in IBS.

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