Sf. Maier et Lr. Watkins, CYTOKINES FOR PSYCHOLOGISTS - IMPLICATIONS OF BIDIRECTIONAL IMMUNE-TO-BRAIN COMMUNICATION FOR UNDERSTANDING BEHAVIOR, MOOD, AND COGNITION, Psychological review, 105(1), 1998, pp. 83-107
The brain and immune system form a bidirectional communication network
in which the immune system operates as a diffuse sense organ, informi
ng the brain about events in the body. This allows the activation of i
mmune cells to produce physiological, behavioral, affective, and cogni
tive changes that are collectively called sickness, which function to
promote recuperation. Fight-flight evolved later and coopted this immu
ne-brain circuitry both because many of the needs of fight-flight were
met by this circuitry and this cooptation allowed the immune system t
o respond to potential injury in anticipatory fashion. A?any sequelae
of exposure to stressors can be understood from this view and can take
on the role of adaptive responses rather than pathological manifestat
ions. Finally, it is argued that activation of immune-brain pathways i
s important for understanding diverse phenomena related to stress such
as depression and suppression of specific immunity.