Evidence map›Paper›PMID 41683768›Full record

ReviewInternational journal of molecular sciences2026

Energy Allocation Resilience and Endocrine Integration.

Corey B Schuler, Allison B Sayre, Lara Zakaria, Shawn Tassone, Alexander Rinehart, Richard Harris

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Corey B SchulerDepartment of Nursing, Augsburg University, Minneapolis, MN 55454, USA.ORCID 0009-0001-8898-650X
Allison B SayreIndependent Researcher, White Bear Lake, MN 55110, USA.
Lara ZakariaCollege of Nutrition, Sonoran University of Health Sciences, Tempe, AZ 85282, USA.
Shawn TassoneIndependent Researcher, Austin, TX 78681, USA.
Alexander RinehartIndependent Researcher, Scottsdale, AZ 85255, USA.
Richard HarrisIndependent Researcher, Houston, TX 77027, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resilience is commonly framed as a psychological trait, yet clinical and experimental evidence demonstrates that resilience failures emerge concurrently across metabolic, endocrine, immune, and cognitive domains. This review examines resilience as a bioenergetic property constrained by how organisms allocate finite metabolic resources under stress. We synthesize evidence from endocrinology, mitochondrial biology, immunometabolism, and stress physiology to propose a parsimonious, hypothesis-driven Energy Allocation System (EAS) in which the hypothalamic-pituitary-adrenal (HPA), thyroid (HPT), and gonadal (HPG) axes are conceptualized as a coordinated energy-governance network. Despite extensive investigation within these individual fields, the literature lacks an integrative physiological framework explaining why multisystem stress responses co-occur in predictable endocrine and metabolic patterns. Within this framework, mitochondrial reserve capacity serves as the limiting substrate through which hormonal signals regulate mobilization, metabolic pacing, immune tolerance, and recovery. The reviewed literature supports predictable patterns of endocrine reorganization during energetic strain, including prioritization of glucocorticoid-mediated mobilization, constrained thyroid hormone activation, suppression of long-term anabolic investment, and impaired recovery following stress. These configurations reflect adaptive energy-conserving strategies rather than isolated organ dysfunction. The novelty of this review lies in organizing established biological mechanisms into a unified, energy-allocation-based framework that generates falsifiable predictions linking endocrine coordination to bioenergetic capacity and recovery dynamics. We further discuss how routinely available biomarkers and validated psychometric measures can be interpreted as functional readouts of energetic allocation rather than static disease markers. Framing resilience through coordinated energy governance offers a unifying mechanistic lens for interpreting multisystem stress responses and generates testable predictions for future experimental and clinical investigation.

Indexed as

Endocrine SystemEnergy MetabolismAnimalsHumansHypothalamic-Pituitary-Gonadal AxisHypothalamo-Hypophyseal SystemMitochondriaPituitary-Adrenal SystemStress, Physiologicalenergy allocationenergy governancehypothalamic-pituitary-adrenal axishypothalamic-pituitary-gonadal axishypothalamic-pituitary-thyroid axisimmunometabolismmitochondrial reserve capacityresiliencestress physiologythyroid hormone metabolism

Identifiers

PMID41683768
PMCPMC12898343

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.