Hörbelt T, Hetze S, Schedlowski M, Lückemann L
Institut für Medizinische Psychologie und Verhaltensimmunbiologie, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstr. 55, 45122, Essen, Deutschland.
Klinik für Neurochirurgie und Wirbelsäulenchirurgie, Universitätsklinikum Essen, Universität Duisburg-Essen, Essen, Deutschland.
Nervenarzt. 2020 Aug;91(8):667-674. doi: 10.1007/s00115-020-00945-6.
The learned placebo response of the immune system is based on the mutual interaction between the brain and the immune system; both systems continually exchange information via humoral and neural communication pathways. This communication network enables the modification, i.e. suppression or stimulation, of peripheral immune functions by classical or Pavlov's conditioning. The present article provides an overview of the results of recent experimental animal studies, which also document the potential clinical relevance of learned immune responses. Learned immunological responses mediated by classical conditioning have also been demonstrated in humans. The knowledge gained from experimental data and clinical observations paves the way for a potential implementation of learned immune responses as supportive measures to standard immunopharmacological treatment strategies to reduce drug dosage as well as adverse side effects while simultaneously maximizing the therapeutic effect.
免疫系统习得性安慰剂反应基于大脑与免疫系统之间的相互作用;这两个系统通过体液和神经通讯途径持续交换信息。该通讯网络能够通过经典条件作用或巴甫洛夫条件作用对外周免疫功能进行调节,即抑制或刺激。本文概述了近期实验动物研究的结果,这些研究也证明了习得性免疫反应的潜在临床相关性。经典条件作用介导的习得性免疫反应在人类中也得到了证实。从实验数据和临床观察中获得的知识为将习得性免疫反应作为标准免疫药理学治疗策略的支持措施进行潜在应用铺平了道路,以减少药物剂量以及不良副作用,同时最大限度地提高治疗效果。