Adrenocorticotropic hormone (ACTH) is secreted by corticotrophic cells
in pulsatile bursts. This paper reviews the extant literature on the
phenomenon of phenomenon of pulsatile. ACTH after addressing basic iss
ues of hormone pulsatility in neuroendocrine systems. The following th
emes emerged from reviewing 51 studies measuring plasma ACTH at interv
als of 20 min or less: marked inter-individual variability in the patt
ern of ACTH, the dependence of pulse identification on sampling freque
ncy, the similarity in ACTH pulse amplitude and frequency across speci
es, and rite predominance of amplitude over frequency changes in ACTH
pulses in altered physiological states. As the hypothalamic-pituitary-
adrenocortical (HPA) axis plays a critical role in orchestrating adapt
ation and survival, the ability to modulate the shape of ACTH signals
may prove to be an important means of transmitting complex information
, to ACTH responsive cells. The clinical and neurobiological significa
nce of temporal alterations in ACTH secretion represents an area for f
uture investigation. (C) 1997 Society of Biological Psychiatry.