Ferencík M, Novák M, Rovenský J
Imunologický ústav Lekárskej fakulty Univerzity Komenského v Bratislave.
Bratisl Lek Listy. 1998 Aug-Sep;99(8-9):454-64.
For far too long, the immune system has been viewed in isolation from the rest of the body's organ system. But now it is clear that the immune system is an integral part of the organ and physiological systems of whole organism. Especially, the immune and endocrine systems share many ligands and receptors that result in constant and important bidirectional communication. A new and important function for the immune system is to serve as a sensory organ for noncognitive stimuli such as infectious agents and tumours. On the other hand the neuroendocrine system can perform important immunoregulatory activities. It also suggest that brain is not more an immunologically privileged site. Recent studies provide a new view of immunoreactivity to antigens from the nervous system and to immune and inflammatory responses in brain. These may be influenced both by the circulating cytokines derived from the immune system and/or those endogenously produced within the neuroendocrine system. There is a growing body of evidence that cytokines are an integral part of the central nervous system with an important neuromodulatory role in neural mechanisms regulating stress responses, hormonal changes and various kinds of behavior. The mutual informatory circuit inside of the immune, nervous and endocrine systems suggest that they all form the superinformation system with pivotal regulatory role in living organisms. Overall, the recognition of the immune system as our sixth sense may ultimately provide the new understanding of physiology required for successful diagnostic and therapeutic programs against disease and stress involving immune-neuroendocrine communication. (Tab. 5, Ref. 35.)
长期以来,免疫系统一直被看作是与身体其他器官系统相隔离的。但现在很清楚,免疫系统是整个生物体器官和生理系统的一个组成部分。特别是,免疫系统和内分泌系统共享许多配体和受体,从而产生持续且重要的双向通讯。免疫系统一项新的重要功能是作为对诸如传染原和肿瘤等非认知刺激的感觉器官。另一方面,神经内分泌系统可进行重要的免疫调节活动。这也表明大脑不再是一个免疫特惠部位。最近的研究提供了对来自神经系统的抗原以及大脑中的免疫和炎症反应的免疫反应性的新观点。这些可能受到源自免疫系统的循环细胞因子和/或神经内分泌系统内源性产生的细胞因子的影响。越来越多的证据表明,细胞因子是中枢神经系统的一个组成部分,在调节应激反应、激素变化和各种行为的神经机制中具有重要的神经调节作用。免疫、神经和内分泌系统内部的相互信息回路表明,它们共同构成了在生物体中具有关键调节作用的超级信息系统。总体而言,将免疫系统视为我们的第六感,最终可能会为针对涉及免疫 - 神经 - 内分泌通讯的疾病和应激的成功诊断和治疗方案提供所需的生理学新认识。(表5,参考文献35。)