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Endocrine System

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 3 min read

The system of glands that release their secretions (hormones) directly into the circulatory system.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (536 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

The system of glands that release their secretions (hormones) directly into the circulatory system. In addition to the endocrine glands, included are the chromaffin system and the neurosecretory systems.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Endocrine Systems; System, Endocrine; Systems, Endocrine.

Where it fits in the MeSH classification

Broader topics
Anatomy Category
Narrower topics
Chromaffin System; Endocrine Glands; Enteroendocrine Cells; Neurosecretory Systems

Related concepts

  • Endocrine Glands
  • Chromaffin System
  • Neurosecretory Systems

Research landscape

PubMed indexes 493,278 records tagged with the MeSH heading “Endocrine System” (counts retrieved 2026-10-31). 48,263 of them (9.8%) were published from 2020 onward, and the busiest period so far is through 1999 with 286,730 records.

Reviews account for 47,305 records (9.6%) and meta-analyses for 983. Randomized controlled trials number 4,209 (0.9%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 286,730 records; 2000-2009: 77,212 records; 2010-2019: 81,073 records; 2020 onward: 48,263 records286,730through 199977,2122000-200981,0732010-201948,2632020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 1999286,730
2000-200977,212
2010-201981,073
2020 onward48,263
Share of records by publication typeReviews: 9.6 percent; Meta-analyses: 0.2 percent; Randomized controlled trials: 0.9 percentReviews9.6% (47,305)Meta-analyses0.2% (983)Randomized controlled trials0.9% (4,209)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 493,278 PubMed records
TypeRecordsShare
Reviews47,3059.6%
Meta-analyses9830.2%
Randomized controlled trials4,2090.9%

Method: PubMed query "Endocrine System"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Resolving human α versus β cell fate allocation for the generation of stem cell-derived islets
Akgün Canan M, Cozzitorto C, Sterr M, Saber L, Setyono ESA, Dema A, et al.
2026Research article
Design not recorded in structured metadata
3cc by
PMID 42426000 · DOI · PMC13351057
Ovarian Extracellular Matrix Mechanics Regulate Oocyte-Follicle Interactions During Female Reproductive Aging
Shen X, Wang H, Cao G, Lee Y, Zhu J, Wang LC, et al.
2026Research article
Design not recorded in structured metadata
2cc by
PMID 42593156 · DOI · PMC13471645
Polystyrene Microplastic Exposure Adversely Affects Oocyte Quality and Ovary Health Status in Mytilus galloprovincialis
Chianese T, Galati M, Cappello T, Maisano M, Balsamo S, Locascio A, et al.
2026Research article
Design not recorded in structured metadata
2cc by
PMID 42450090 · DOI · PMC13362473

Resolving human α versus β cell fate allocation for the generation of stem cell-derived islets [1]

Research article Akgün Canan M, Cozzitorto C, Sterr M, Saber L, Setyono ESA, Dema A, et al. · · 2026 · cited 3 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Stem cell-derived glucagon-(α) and insulin-producing (β) cells allow to engineer in vitro biomimetics of islet of Langerhans, the micro-organ controlling glycemia; however, a knowledge gap in the mechanism by which human stem cell-derived α and β cells are specified persists.
Closing excerpt
Studying mechanisms of endocrinogenesis and fate segregation enables the engineering of islets in vitro, and has broader implications for cell-replacement therapy, disease modelling and drug screening.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (166 words)

Stem cell-derived glucagon-(α) and insulin-producing (β) cells allow to engineer in vitro biomimetics of islet of Langerhans, the micro-organ controlling glycemia; however, a knowledge gap in the mechanism by which human stem cell-derived α and β cells are specified persists. Mouse studies postulated that Aristaless Related homeobox (Arx) and Paired box 4 (Pax4) transcription factors cross-inhibit each other in endocrine progenitors to promote α/β fate allocation, respectively. To test this model in human, we combine lineage labelling with single-cell multiomic analysis in our newly generated ARXCFP/CFP; PAX4mCherry/mCherry knock-in induced pluripotent stem cell reporter line. Lineage tracing, proteomic and gene regulatory network analysis and potency assays reveal a human specific regulation of α/β cell fate allocation. Pharmacological perturbations previously proposed to trigger α-to-β transdifferentiation or identified by our gene regulatory network lead to enhanced endocrine induction and directed α/β cell fate. Studying mechanisms of endocrinogenesis and fate segregation enables the engineering of islets in vitro, and has broader implications for cell-replacement therapy, disease modelling and drug screening.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42426000 · DOI · PMC13351057

Ovarian Extracellular Matrix Mechanics Regulate Oocyte-Follicle Interactions During Female Reproductive Aging [2]

Research article Shen X, Wang H, Cao G, Lee Y, Zhu J, Wang LC, et al. · · 2026 · cited 2 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Female reproductive aging is associated with ovarian functional decline, leading to infertility.
Closing excerpt
These findings provide mechanistic insight into how changes in ECM mechanics contribute to ovarian aging functional decline and reveal potential therapeutic targets to counter fertility loss associated with tissue aging and fibrosis.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (182 words)

Female reproductive aging is associated with ovarian functional decline, leading to infertility. During aging, biochemical and biophysical changes in the ovarian extracellular matrix (ECM) occur, yet how these properties affect follicle growth and oocyte quality remains poorly understood. Here we describe spatiotemporal changes in the ovarian ECM with age using mass spectrometry, immunohistochemistry, and nanoindentation. While follicle stiffness remains unchanged, stromal matrix remodeling is associated with a ~2.5-fold increase in stiffness. To understand how this increase in stromal stiffness affects age-related follicular dysfunction, isolated young follicles were cultured in soft and stiff hydrogels mimicking young and aged ovarian stromal stiffness, respectively. Higher stiffness lead to a decrease in granulosa cell (GC) proliferation, oocyte quality, and GC-oocyte interactions mediated via transzonal projections (TZPs). RNA-seq revealed TGF-β signaling as a major pathway affected by stiffness, and activation of TGF-β signaling through Smad7 silencing rescued TZP formation and oocyte quality in stiff matrix. These findings provide mechanistic insight into how changes in ECM mechanics contribute to ovarian aging functional decline and reveal potential therapeutic targets to counter fertility loss associated with tissue aging and fibrosis.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42593156 · DOI · PMC13471645

Polystyrene Microplastic Exposure Adversely Affects Oocyte Quality and Ovary Health Status in Mytilus galloprovincialis [3]

Research article Chianese T, Galati M, Cappello T, Maisano M, Balsamo S, Locascio A, et al. · · 2026 · cited 2 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Microplastics pose a growing threat to marine ecosystems as they can accumulate in aquatic organisms, interfering with essential physiological processes including reproduction.
Closing excerpt
galloprovincialis, highlighting their vulnerability.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (188 words)

Microplastics pose a growing threat to marine ecosystems as they can accumulate in aquatic organisms, interfering with essential physiological processes including reproduction. This study analyzed the effects of short-term exposure (48 h) to two concentrations (0.5 and 1 µg/mL) of 5 µm diameter polystyrene microplastic bead particles in female Mytilus galloprovincialis mussels, a bioindicator species of the Mediterranean Sea. Histological analyses revealed progressive oocyte degeneration and the development of hypertrophic PAS-positive mucous cells, indicative of a stress response, in a dose-dependent manner. Changes in hemocyte classes, which are major effectors of bivalve immunity, were evidenced by the May-Grünwald Giemsa reaction. Biochemical data showed that microplastics increased levels of stress proteins, such as HSP70 and p53, and altered the composition of ovarian glycoproteins. Metabolomic analysis based on 1H NMR spectrometry revealed significant alterations in metabolites involved in energy (glucose, glycogen, and malonate) and amino acid (branched-chain amino acids arginine, glycine, glutamate, histidine, betaine, and choline) metabolism, suggesting impairment to bioenergetic and antioxidant pathways. Overall, these results suggest that even short-term exposure to polystyrene microplastic beads can alter the ovarian function and metabolism of female M. galloprovincialis, highlighting their vulnerability.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42450090 · DOI · PMC13362473

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Cortisol stress reactivity across psychiatric disorders: A systematic review and meta-analysis [4]
    Zorn JV, Schür RR, Boks MP, Kahn RS, Joëls M, Vinkers CH · Psychoneuroendocrinology · 2017 · cited 539 times (Europe PMC)
  • Research article HPA axis and aging in depression: systematic review and meta-analysis [5]
    Belvederi Murri M, Pariante C, Mondelli V, Masotti M, Atti AR, Mellacqua Z, et al. · Psychoneuroendocrinology · 2014 · cited 277 times (Europe PMC)
  • Research article Impact of type 2 diabetes susceptibility variants on quantitative glycemic traits reveals mechanistic heterogeneity [6]
    Dimas AS, Lagou V, Barker A, Knowles JW, Mägi R, Hivert MF, et al. · Diabetes · 2014 · cited 277 times (Europe PMC)
  • Research article The HPA axis in bipolar disorder: Systematic review and meta-analysis [7]
    Belvederi Murri M, Prestia D, Mondelli V, Pariante C, Patti S, Olivieri B, et al. · Psychoneuroendocrinology · 2016 · cited 271 times (Europe PMC)
  • Research article Gonadotropin-Releasing Hormone Agonists During Chemotherapy for Preservation of Ovarian Function and Fertility in Premenopausal Patients With Early Breast Cancer: A Systematic Review and Meta-Analysis of Individual Patient-Level Data [8]
    Lambertini M, Moore HCF, Leonard RCF, Loibl S, Munster P, Bruzzone M, et al. · J Clin Oncol · 2018 · cited 260 times (Europe PMC)
  • Research article Association of maternal thyroid function with birthweight: a systematic review and individual-participant data meta-analysis [9]
    Derakhshan A, Peeters RP, Taylor PN, Bliddal S, Carty DM, Meems M, et al. · Lancet Diabetes Endocrinol · 2020 · cited 207 times (Europe PMC)

References

  1. Akgün Canan M, Cozzitorto C, Sterr M, Saber L, Setyono ESA, Dema A, et al.. Resolving human α versus β cell fate allocation for the generation of stem cell-derived islets. . 2026. PMID 42426000 · DOI · PMC13351057
  2. Shen X, Wang H, Cao G, Lee Y, Zhu J, Wang LC, et al.. Ovarian Extracellular Matrix Mechanics Regulate Oocyte-Follicle Interactions During Female Reproductive Aging. . 2026. PMID 42593156 · DOI · PMC13471645
  3. Chianese T, Galati M, Cappello T, Maisano M, Balsamo S, Locascio A, et al.. Polystyrene Microplastic Exposure Adversely Affects Oocyte Quality and Ovary Health Status in Mytilus galloprovincialis. . 2026. PMID 42450090 · DOI · PMC13362473
  4. Zorn JV, Schür RR, Boks MP, Kahn RS, Joëls M, Vinkers CH. Cortisol stress reactivity across psychiatric disorders: A systematic review and meta-analysis. Psychoneuroendocrinology. 2017. PMID 28012291 · DOI
  5. Belvederi Murri M, Pariante C, Mondelli V, Masotti M, Atti AR, Mellacqua Z, et al.. HPA axis and aging in depression: systematic review and meta-analysis. Psychoneuroendocrinology. 2014. PMID 24495607 · DOI
  6. Dimas AS, Lagou V, Barker A, Knowles JW, Mägi R, Hivert MF, et al.. Impact of type 2 diabetes susceptibility variants on quantitative glycemic traits reveals mechanistic heterogeneity. Diabetes. 2014. PMID 24296717 · DOI · PMC4030103
  7. Belvederi Murri M, Prestia D, Mondelli V, Pariante C, Patti S, Olivieri B, et al.. The HPA axis in bipolar disorder: Systematic review and meta-analysis. Psychoneuroendocrinology. 2016. PMID 26547798 · DOI
  8. Lambertini M, Moore HCF, Leonard RCF, Loibl S, Munster P, Bruzzone M, et al.. Gonadotropin-Releasing Hormone Agonists During Chemotherapy for Preservation of Ovarian Function and Fertility in Premenopausal Patients With Early Breast Cancer: A Systematic Review and Meta-Analysis of Individual Patient-Level Data. J Clin Oncol. 2018. PMID 29718793 · DOI · PMC6804855
  9. Derakhshan A, Peeters RP, Taylor PN, Bliddal S, Carty DM, Meems M, et al.. Association of maternal thyroid function with birthweight: a systematic review and individual-participant data meta-analysis. Lancet Diabetes Endocrinol. 2020. PMID 32445737 · DOI · PMC8168324

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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All 542 articles in Anatomy and Physiology →

At a glance

493,278
PubMed records on this heading
10%
published since 2020
47,305
review articles
4,209
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • Immune SystemAnatomy and Physiology
  • Respiratory SystemAnatomy and Physiology
  • Nervous SystemNeuroscience
  • PancreasAnatomy and Physiology
  • Peripheral Nervous SystemNeuroscience

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Sources

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