Neuro-immune interactions in inflammation and host defense: Implications for transplantation.

Neuro-immune interactions in inflammation and host defense: Implications for transplantation.
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DOI:
10.1111/ajt.14515
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发表时间:
2018-03
期刊:
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
影响因子:
--
通讯作者:
Chiu IM
Chiu IM
中科院分区:
其他
文献类型:
--
作者:
Chavan SS;Ma P;Chiu IM

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外周神经系统(PNS)的感觉神经元和自主神经元在组织炎症和宿主防御过程中对免疫系统起着关键的调节作用。最近的研究已经确定了神经系统和免疫系统之间双向通信的分子机制。在这里,我们重点介绍了证明神经免疫相互作用在健康和疾病中的重要性的研究。伤害性感受器感觉神经元检测免疫介质来产生疼痛,并释放作用于免疫系统的神经肽来调节炎症。同时,包括迷走神经炎症反射在内的神经反射回路是炎症反应和细胞因子产生的生理调节。在移植中,神经免疫沟通可以显著影响宿主-病原体防御、器官排斥和伤口愈合的过程。针对PNS的新兴方法,如生物电子学,可能有助于改善移植的结果。因此,了解神经系统如何塑造免疫反应可能对移植医学具有重要的治疗意义。
Sensory and autonomic neurons of the peripheral nervous system (PNS) play a critical role in regulating the immune system during tissue inflammation and host defense. Recent studies have identified the molecular mechanisms underlying the bidirectional communication between the nervous system and the immune system. Here, we highlight the studies that demonstrate the importance of the neuro-immune interactions in health and disease. Nociceptor sensory neurons detect immune mediators to produce pain, and release neuropeptides that act on the immune system to regulate inflammation. In parallel, neural reflex circuits including the vagus nerve-based inflammatory reflex are physiological regulators of inflammatory responses and cytokine production. In transplantation, neuro-immune communication could significantly impact the processes of host-pathogen defense, organ rejection, and wound healing. Emerging approaches to target the PNS such as bioelectronics could be useful in improving the outcome of transplantation. Therefore, understanding how the nervous system shapes the immune response could have important therapeutic ramifications for transplantation medicine.
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