Fleshner M, Goehler L E, Schwartz B A, McGorry M, Martin D, Maier S F, Watkins L R
Department of Kinesiology and Applied Physiology, University of Colorado at Boulder, 80309-0354, USA.
J Neuroimmunol. 1998 Jun 15;86(2):134-41. doi: 10.1016/s0165-5728(98)00026-5.
The brain orchestrates changes in behavior and physiology as a consequence of peripheral immune activation and infection. These changes require that the brain receives signals from the periphery that an immunological challenge has occurred. Previous research has established that cytokines play a role in signalling the brain. What remains unclear, however, is how peripheral cytokines signal the central nervous system. A recent proposal is that cytokines signal the brain by stimulating peripheral nerves. The hypothesis states that following infection and the release of cytokines such as IL-1beta into local tissue or microvasculature, IL-1beta stimulates IL-1 receptors on vagal afferent terminals, or more likely on cells of vagal paraganglia. Vagal afferents, in turn, signal the brain. Previous work has demonstrated that transection of the vagus below the level of the diaphragm blocks or attenuates many illness consequences of intraperitoneally (i.p.) administered lipopolysaccharide (LPS) or IL-1beta. The present studies extend these findings by examining the effect of subdiaphragmatic vagotomy on illness consequences following intravenously (i.v.) administered IL-1beta and TNF-alpha. Subdiaphragmatic vagotomy attenuated both the fever response and corticosterone response produced by i.v. administered cytokines. This effect was dose dependent. The results add support to the hypothesis that vagal afferents are involved in peripheral cytokine-to-brain communication.
作为外周免疫激活和感染的结果,大脑会协调行为和生理的变化。这些变化要求大脑接收来自外周的信号,表明发生了免疫挑战。先前的研究已经证实细胞因子在向大脑传递信号方面发挥作用。然而,尚不清楚的是外周细胞因子如何向中枢神经系统传递信号。最近有一种观点认为,细胞因子通过刺激外周神经向大脑传递信号。该假说指出,在感染以及诸如白细胞介素-1β等细胞因子释放到局部组织或微脉管系统后,白细胞介素-1β刺激迷走神经传入末梢上的白细胞介素-1受体,或者更有可能刺激迷走神经节旁细胞上的受体。迷走神经传入纤维继而向大脑发送信号。先前的研究表明,在横膈膜以下切断迷走神经会阻断或减弱腹腔内注射脂多糖(LPS)或白细胞介素-1β所导致的许多疾病后果。本研究通过检查膈下迷走神经切断术对静脉注射白细胞介素-1β和肿瘤坏死因子-α后疾病后果的影响,扩展了这些发现。膈下迷走神经切断术减弱了静脉注射细胞因子所产生的发热反应和皮质酮反应。这种效应具有剂量依赖性。这些结果为迷走神经传入纤维参与外周细胞因子与大脑之间的通信这一假说提供了支持。