Interleukin-1 (IL-1) and tumor necrosis factor alpha (TNF alpha) are proinf
lammatory cytokines that are constitutively expressed in healthy, adult bra
in where they mediate normal neural functions such as sleep. They are neuro
modulators expressed by and acting on neurons and glia, IL-1 and TNF alpha
expression is upregulated in several important diseases/disorders, Upregula
tion of IL-1 and/or TNF alpha expression, elicited centrally or systemicall
y, propagates through brain parenchyma following specific spatio-temporal p
atterns. We propose that cytokine signals propagate along neuronal projecti
ons and extracellular diffusion pathways by molecular cascades that need to
be further elucidated, This elucidation is a prerequisite for better under
standing of reciprocal interactions between nervous, endocrine and immune s
ystems.