Since its initial identification and characterization
1
,
corticotropin-releasing factor (CRF) has been shown
to have a major role in coordinating the endocrine,
autonomic and behavioural response to stress
2,3
. CRF
is released into the periphery from the paraventricular
nucleus of the hypothalamus (PVN) and steers the acti-
vation of the hypothalamic–pituitary–adrenal (HPA)
axis by triggering the release of adrenocorticotropic
hormone from the anterior pituitary, which in turn stim-
ulates the synthesis and secretion of glucocorticoids from
the adrenal gland
1
. CRF also steers the sympathetic stress
response by acting on the locus coeruleus (LC), adrenal
medulla and peripheral sympathetic nervous system
4,5
.
CRF plays a crucial part in coordinating the periph-
eral stress-response systems and the central release of
noradrenaline in reaction to stressful challenges.
However, centrally released CRF also contributes
directly to (and may even be necessary for) a behavioural
state of anxiety, independently of its effects on the pitui-
tary and sympathetic systems
3,6
. In rodents, central over-
expression of CRF induces an anxiogenic behavioural
phenotype
2,7,8
, whereas suppressing CRF expression
has anxiolytic effects in both basal anxiety
9
and stress-
induced anxiety
10
. Interestingly, CRF levels are elevated
in the CNS of individuals affected by stress-related psy-
chiatric diseases such as major depressive disorder
11
and
post-traumatic stress disorder (PTSD)
12
, and in some
cases are normalized after antidepressant treatment
13,14
.
The anxiogenic effects of CRF have been attributed
to the activation of CRF receptor type 1 (CRFR1), one
of the two G protein-coupled receptors to which CRF
binds (BOX 1). CRFR1 blockade in rodents prevented
the CRF-induced anxiogenic phenotype
15
, and mice
lacking CRFR1 display reduced anxiety-like behaviour
as assessed in a wide range of anxiety-related tests
16–18
.
These findings have led to a suggested (causative) role for
CRFR1 overactivation in stress-related psychopatholo-
gies, triggering the development of CRFR1 antagonists as
potential next-generation anxiolytics and antidepressants,
with varying levels of success (BOX 2).
In contrast to CRFR1, the role of CRFR2 activation in
mediating anxiety and depression has been less clear, and
two prominent theories circulate to explain its role. The
most common view is that CRFR2 activation is responsible
for ensuring physiological and psychological homeostasis
and counteracts the initial stress-response-provoking
effects and anxiety-like behaviours induced by CRFR1 acti-
vation
3
. This view is primarily based on evidence obtained
from Crfr2-knockout mice, which display an increased
corticosterone response to stress
19,20
, an anxiogenic
phenotype
19,21
and impaired stress recovery
22
(the latter of
which was also seen in mice lacking all three urocortins
(UCN1–UCN3), the primary ligands for CRFR2 (REF. 23)
(BOX 1). The alternative hypothesis of the role of CRFR2
is that CRFR1 and CRFR2 contribute to opposite modes
of stress-coping behaviour, with CRFR1 mediating active
defensive behaviour (as triggered by controllable stress)
and CRFR2 mediating passive coping behaviour and
depression-like responses (such as learned helplessness,
which is triggered by uncontrollable stress)
24,25
. This
hypothesis is primarily based on the observation that
intact CRFR2 signalling in the dorsal raphe nucleus
1
Department of
Neurobiology, Weizmann
Institute of Science,
Rehovot 7610001, Israel.
2
Department of Stress
Neurobiology and
Neurogenetics, Max Planck
Institute of Psychiatry,
80804 Munich, Germany.
3
Department of Cognitive
Neuroscience,
Donders Institute for Brain,
Cognition and Behaviour,
Radboud University Medical
Centre, 6500 HB Nijmegen,
The Netherlands.
Correspondence to A.C.
alon.chen@weizmann.ac.il
doi:10.1038/nrn.2016.94
Published online 02 Sep 2016
Controllable stress
A stress paradigm in which
exposure to a stressor (usually
footshock or tailshock) can
either be avoided or escaped.
Learned helplessness
A paradigm in which exposure
to a severe inescapable
stressor induces ‘helpless’
behaviour when it becomes
possible to escape the stressor.
Region-specific roles of the
corticotropin-releasing factor–
urocortin system in stress
Marloes J. A. G. Henckens
1–3
, Jan M. Deussing
2
and Alon Chen
1,2
Abstract | Dysregulation of the corticotropin-releasing factor (CRF)–urocortin (UCN) system has
been implicated in stress-related psychopathologies such as depression and anxiety. It has been
proposed that CRF–CRF receptor type 1 (CRFR1) signalling promotes the stress response and
anxiety-like behaviour, whereas UCNs and CRFR2 activation mediate stress recovery and the
restoration of homeostasis. Recent findings, however, provide clear evidence that this view is
overly simplistic. Instead, a more complex picture has emerged that suggests that there are brain
region- and cell type-specific effects of CRFR signalling that are influenced by the individual’s
prior experience and that shape molecular, cellular and ultimately behavioural responses to
stressful challenges.
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