Cited by 1,564Stress Responses and CortisolNeuropeptides and Animal PhysiologyVagus Nerve Stimulation Research

Immune-neuro-endocrine interactions: facts and hypotheses.

BESEDOVSKY, HUGO OSCAR, REY, ADRIANA DEL·1996·Endocrine Reviews

Abstract

I. Introduction THE existence of mechanisms that provide immunity to an infective agent was inferred from empirical observations obtained through the ingenuity and deductive capacity of early investigators. The first procedures for vaccinations and serotherapy resulted from these observations. The implementation of these procedures, probably the most important contribution of immunology to medical science, was, at first, based on a very rudimentary knowledge of the immune system. During the first half of the 20th century, this rather primitive knowledge coincided with evidence showing that the endocrine and nervous systems integrate and regulate different bodily functions. Therefore, based on some supportive data, it was considered that immune mechanisms may also be influenced by these systems. However, at the beginning of the second half of the 20th century, most efforts were directed at understanding the molecular and cellular basis of the immune response and the mechanisms of acquisition of immunological diversity and self-tolerance.

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Crossref · 10.1210/edrv-17-1-64

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300 of 300 references verified0 citation errors · 0 not checkable

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  • Innate immune cytokines are potent stimulators of the neuroregulatory peptide corticotropin-releasing factor (CRF).

    “innate immune cytokines are potent stimulators of the neuroregulatory peptide corticotropin-releasing factor (CRF).31”

    From Cytokines and Glucocorticoid Receptor Signaling (2009) · cites this paper as [31]

  • Pro-inflammatory cytokines released during infection and inflammation can affect behavior, mood, and functioning of the central nervous system.

    “The release of pro-inflammatory cytokines during infection and inflammation can affect behavior, mood, and functioning of the central nervous system (CNS) [1], [2], [3].”
  • Pro-inflammatory cytokines such as IL-1, IL-6, and TNF-α play a pivotal role in mediating sickness-related behavior and cognitive impairments by communicating peripheral inflammation to the brain.

    “Animal and human studies suggest that pro-inflammatory cytokines such as interleukin (IL)-1, IL-6, and tumor necrosis factor (TNF)-α play a pivotal role in mediating sickness-related behavior and cognitive impairments by communicating peripheral inflammation to the brain [1], [3], [15], [16], [17].”
  • Corticotropin-releasing hormone, adrenocorticotropic hormone, and cortisol have been found to be elevated in patients with major depression.

    “all of which have been found to be elevated in patients with major depression (99–101)”
  • Cytokines can affect neuroendocrine function by increasing hypothalamic-pituitary-adrenal axis activity.

    “Cytokines can also affect neuroendocrine function by increasing hypothalamic-pituitary-adrenal (HPA) axis activity.”

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Authors
BESEDOVSKY, H. O., & REY, A. D.
Affiliations
Philipps University of Marburg (DE)
Corresponding author
BESEDOVSKY, HUGO OSCAR
Venue
Endocrine Reviews
Published
1996-02
Volume
17
Issue
1
Pages
64-102
ISSN
  • 0163-769X (ISSN-L)
  • 1945-7189
OpenAlex
W1998086688
Cited by
1,564
References
300
Citations by year
2026: 21 · 2025: 12 · 2024: 18 · 2023: 17 · 2022: 33 · 2021: 29 · 2020: 29 · 2019: 22 · 2018: 25 · 2017: 40 · 2016: 40 · 2015: 37 · 2014: 42 · 2013: 49 · 2012: 58
FWCI
43.09
Type
journal article
Language
en
Open access
closed
Locations
  • Endocrine Reviews (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
  • Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
Keywords
neuroimmunology, endocrine regulation of immunity, history of immunology, vaccination, serum therapy, self-tolerance
MeSH terms
Animals, Homeostasis, Hormones, Humans, Hypothalamo-Hypophyseal System, Immune System, Neuropeptides, Neurosecretory Systems, Cytokines, Neurotransmitter Agents

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