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Calcitonin gene-related peptide is a key neurotransmitter in the neuro-immune axis
Open accessAbstract
The question of how the neural and immune systems interact in host defense is important, integrating a system that senses the whole body with one that protects. Understanding the mechanisms and routes of control could produce novel and powerful ways of promoting and enhancing normal functions as well as preventing or treating abnormal functions. Fragmentation of biological research into specialities has resulted in some failures in recognizing and understanding interactions across different systems and this is most striking across immunology, hematology, and neuroscience. This reductionist approach does not allow understanding of the in vivo orchestrated response generated through integration of all systems. However, many factors make the understanding of multisystem cross-talk in response to a threat difficult, for instance the nervous and immune systems share communication molecules and receptors for a wide range of physiological signals. But, it is clear that physical, hard-wired connections exist between the two systems, with the key link involving sensory, unmyelinated nerve fibers (c fibers) containing the neuropeptide calcitonin gene-related peptide (CGRP), and modified macrophages, mast cells and other immune and host defense cells in various locations throughout the body. In this review we will therefore focus on the induction of CGRP and its key role in the neuroimmune axis.
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“Type II afferents express neuropeptides such as CGRP (37, 38, 54), which in somatic C-fibers (55) modulates the activity of immune cells that proliferate after trauma (56).”
From Damage-evoked signals in cochlear neurons and supporting cells (2024) · cites this paper as [55]
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Calcitonin Gene-Related Peptide Level in Cystic Fibrosis Patients
Galiniak, S., Biesiadecki, M., Rościszewska-Żukowska, I., & Rachel, M. (2024) · Life · doi:10.3390/life14050565 · Cited by 1
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Ray, J. C., McDonald, S. J., Todaro, M., Baker, J., Yeh, W. Z., Hutton, E. J., Matharu, M. S., & Butzkueven, H. (2025) · Journal of Neurology · doi:10.1007/s00415-025-13400-w · Cited by 1
Assas, M. B. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1841366 · Cited by 1
Chen, C.-S., Gillis, J. E., Cohen, J. A., Glathar, A. R., Chen, Y., Weiss, E. S., McKendrick, L. M., Bacon, C. O., Smith, C. J., Spencer, N. J., et al. (2026) · Immunity · doi:10.1016/j.immuni.2026.07.010 · Cited by 1
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Васильевич, K. В. (2022) · Springer eBooks · doi:10.1007/978-3-031-04309-3_4 · Cited by 1
Wright, A., Murphy, S. F., & VandeVord, P. J. (2024) · Neurobiology of Pain · doi:10.1016/j.ynpai.2024.100178 · Cited by 3
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Keck, S., Galati-Fournier, V., Kym, U., Moesch, M., Usemann, J., Subotic, U., Tharakan, S. J., Krebs, T. F., Stathopoulos, E., Schmittenbecher, P., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.06.15.151621 · Cited by 1
Immunology of Tooth Movement and Root Resorption in Orthodontics
Hassan, W. N. W., & Waddington, R. J. (2023) · Wiley eBooks · doi:10.1002/9781119893035.ch10 · Cited by 1
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Scalf, C. (2018) · TopSCHOLAR (Western Kentucky University)
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Watabe, D., Tominaga, M., Matsuda, H., Takamori, K., & Amano, H. (2019) · Acta Dermato Venereologica · doi:10.2340/00015555-3177
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Metadata
- Authors
- Assas, B. M., Pennock, J. I., & Miyan, J. A.
- Affiliations
- University of Manchester (GB)
- ORCID
- Miyan, Jaleel A.
- Venue
- Frontiers in Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2014
- Volume
- 8
- Pages
- 23-23
- ISSN
- 1662-453X (ISSN-L)
- PMC
- PMC3924554
- OpenAlex
- W2104082801
- Cited by
- 226
- References
- 143
- Citations by year
- 2026: 21 · 2025: 26 · 2024: 24 · 2023: 25 · 2022: 13 · 2021: 25 · 2020: 26 · 2019: 25 · 2018: 15 · 2017: 13 · 2016: 5 · 2015: 7 · 2014: 1
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Neuroscience (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
- Keywords
- calcitonin gene-related peptide, neuroimmune axis, neuroimmune interactions, unmyelinated C fibers, sensory nerves, neuropeptides, mast cells, macrophages, host defense, innate immunity
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