The immune system and the neuroendocrine system are closely interconne
cted having such means of bidirectional communication and regulation.
In this review, a hypothesis is put forward regarding the possible rol
e of beta-endorphins in the pathogenesis of autoimmune diseases: It is
suggested that the increased cytokine production in immunoinflammator
y disorders induces production of beta-endorphins from the pituitary a
nd the lymphocytes; the enhanced level of beta-endorphin causes inhibi
tion of human T helper cell function, which potentially down-regulate
the antibody production. Also the beta-endorphin-induced enhancement o
f the natural killer cell activity may suppress the B cell function. I
n addition, beta-endorphin also exerts a direct inhibitory effect on t
he antibody production. Thus, in autoimmune disorders the enhanced cyt
okine level may via stimulation of the production of beta-endorphins e
xert a negative feed back on the antibody production and potentially s
o on the production of autoantibodies.