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Preliminary results indicate that TLRs are likely to be involved in inflammation
and in physiological regulation as well. TLRs may play a role in neuropathic pain,
Alzheimer's disease, other inflammatory conditions in the brain, spinal cord injury,
and multiple sclerosis.
Adaptive immune responses are sensed by the brain via cytokine feedback signals.
The CNS exerts a regulatory influence either through innervation or by hormones
and other soluble mediators, such as catecholamines, acetylcholine, tachykinins,
somatostatin, galanin, cytokines, and chemokines.
Mast cells are innervated and are regulated by sensory neuropeptides (e.g., tachy-
kinins, somatostatin, galanin). Here the CNS is informed by mediators released
by mast cells after the mast cells are activated by antigen via their membrane-
bound antibodies (IgE and IgG). These antibodies recognize about 10 11 epitopes.
Bradykinin and complement components C3a and C5a signal the brain via mast
cells. Malfunctions of the sensory nerve mast cell regulatory pathway may cause
allergy, asthma, arthritis, airway inflammation, and migraine headache.
The acute phase response is an emergency defense reaction mediated by the rapid
stimulation of NATIM. APR is initiated by IL-1, -6, TNF- and CSF. When hypo-
thalamic CRH and VP activate the HPA axis, GC and CATs then amplify NATIM
and stimulate Tsrs, which have the characteristics of innate immune cells. GLHs are
decreased, the thymus becomes atrophic, and ADIM suppressed by Tsrs.
It is now clear that the nervous, endocrine, and immune systems form a neuroim-
mune supersystem, which is characterized by continuous interaction and mutual
reliance on each other and which coordinates and regulates all physiological and
pathological events in higher organisms for their entire lifetime [3] .
References
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and London: Garland Science, Taylor and Francis Group; 2005.
3. Berczi I. Integration and regulation of higher organisms by the neuroimmune supersystem.
Int J Integr Biol 2007;1(3):216-31.
4. Blalock JE. The immune system as a sensory organ. J Immunol 1984;132:167-70.
5. Ma Y, Haynes RL, Sidman RL, Vartanian T. TLR8: an innate immune receptor in brain,
neurons and axons. Cell Cycle 2007;6(23):2859-68.
6. Downes CE, Crack PJ. The role of the toll-like receptors in neuropathology. In: Berczi I,
Arnason BG, editors; Berczi I, series editor. The brain and host defence. Neuroimmune
biology, vol. 9. Amsterdam: Elsevier.
7. Nishimura M, Naito S. Tissue-specific mRNA expression profiles of human toll-like recep-
tors and related genes. Biol Pharm Bull 2005;28(5):886-92.
8. Mishra BB, Mishra PK, Teale JM. Expression and distribution of toll-like receptors in the
brain during murine neurocysticercosis. J Neuroimmunol 2006;181(1-2):46-56.
9. Ohashi K, Burkart V, Flohe S, Kolb H. Cutting edge: heat shock protein 60 is a putative
endogenous ligand of the toll-like receptor-4 complex. J Immunol 2000;164(2):558-61.
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