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免疫器官的自主神经支配与神经免疫调节。

Autonomic innervation of immune organs and neuroimmune modulation.

作者信息

Mignini F, Streccioni V, Amenta F

机构信息

Sezione di Anatomia Umana, Dipartimento di Scienze Farmacologiche e Medicina Sperimentale, Università di Camerino, Via Scalzino 3, 62032 Camerino, Italy.

出版信息

Auton Autacoid Pharmacol. 2003 Feb;23(1):1-25. doi: 10.1046/j.1474-8673.2003.00280.x.

Abstract
  1. Increasing evidence indicates the occurrence of functional interconnections between immune and nervous systems, although data available on the mechanisms of this bi-directional cross-talking are frequently incomplete and not always focussed on their relevance for neuroimmune modulation. 2. Primary (bone marrow and thymus) and secondary (spleen and lymph nodes) lymphoid organs are supplied with an autonomic (mainly sympathetic) efferent innervation and with an afferent sensory innervation. Anatomical studies have revealed origin, pattern of distribution and targets of nerve fibre populations supplying lymphoid organs. 3. Classic (catecholamines and acetylcholine) and peptide transmitters of neural and non-neural origin are released in the lymphoid microenvironment and contribute to neuroimmune modulation. Neuropeptide Y, substance P, calcitonin gene-related peptide, and vasoactive intestinal peptide represent the neuropeptides most involved in neuroimmune modulation. 4. Immune cells and immune organs express specific receptors for (neuro)transmitters. These receptors have been shown to respond in vivo and/or in vitro to the neural substances and their manipulation can alter immune responses. Changes in immune function can also influence the distribution of nerves and the expression of neural receptors in lymphoid organs. 5. Data on different populations of nerve fibres supplying immune organs and their role in providing a link between nervous and immune systems are reviewed. Anatomical connections between nervous and immune systems represent the structural support of the complex network of immune responses. A detailed knowledge of interactions between nervous and immune systems may represent an important basis for the development of strategies for treating pathologies in which altered neuroimmune cross-talking may be involved.
摘要
  1. 越来越多的证据表明免疫和神经系统之间存在功能上的相互联系,尽管关于这种双向交流机制的现有数据常常不完整,且并非总是聚焦于它们与神经免疫调节的相关性。2. 初级(骨髓和胸腺)和次级(脾脏和淋巴结)淋巴器官接受自主(主要是交感神经)传出神经支配以及传入感觉神经支配。解剖学研究揭示了供应淋巴器官的神经纤维群体的起源、分布模式和靶点。3. 神经源性和非神经源性的经典(儿茶酚胺和乙酰胆碱)及肽类递质在淋巴微环境中释放,并参与神经免疫调节。神经肽Y、P物质、降钙素基因相关肽和血管活性肠肽是参与神经免疫调节的最主要神经肽。4. 免疫细胞和免疫器官表达(神经)递质的特异性受体。这些受体已被证明在体内和/或体外对神经物质有反应,对其进行操控可改变免疫反应。免疫功能的变化也会影响神经在淋巴器官中的分布以及神经受体的表达。5. 本文综述了供应免疫器官的不同神经纤维群体的数据及其在建立神经和免疫系统联系中的作用。神经和免疫系统之间的解剖学联系是免疫反应复杂网络的结构支撑。深入了解神经和免疫系统之间的相互作用可能是制定治疗可能涉及神经免疫交流改变的疾病策略的重要基础。

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