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This action exerted by the stress hormones is mediated by mineralocorticoid receptors (MRs), which are expressed abundantly in the limbic circuitry, particularly in the hippocampus. Limbic MR is down\u2010regulated by chronic stress and during depression but induced by antidepressants. Increased MR activity inhibits hypothalamic\u2010pituitary\u2010adrenal axis activity, promotes slow wave sleep, reduces anxiety and switches circuit connectivity to support coping. Cortisol and emotion\u2010cognition are affected by MR gene haplotypes based on rs5522 and rs2070951. Haplotype 1 (GA) moderates the effects of (early) life stressors, reproductive cycle and oral contraceptives. MR haplotype 2 (CA) is a gain of function variant that protects females against depression by association with an optimistic, resilient phenotype. Activation of MR therefore may offer a target for alleviating depression and cognitive dysfunction. Accordingly, the MR agonist fludrocortisone was found to enhance the efficacy of antidepressants and to improve memory and executive functions in young depressed patients. In conclusion, CORT coordinates via MR the networks underlying how an individual copes with stress, and this action is complemented by the widely distributed lower affinity glucocorticoid receptor (GR) involved in the subsequent management of stress adaptation. In this MR:GR regulation, the MR is an important target for promoting resilience.<\/jats:p>","DOI":"10.1111\/jne.12379","type":"journal-article","created":{"date-parts":[[2016,3,12]],"date-time":"2016-03-12T21:47:39Z","timestamp":1457819259000},"source":"Crossref","is-referenced-by-count":157,"title":["Stress and Depression: a Crucial Role of the Mineralocorticoid Receptor"],"prefix":"10.1111","volume":"28","author":[{"given":"E. 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