The Immune System as a Sensory System: Implications for Psychology

The brain and immune system form a bidirectional communication network in which the immune system operates as a sense organ to provide the brain with information about infection and injury, thereby allowing the brain to coordinate a defense. Activated immune cells release proteins called cytokines, which signal the brain by both blood and neural routes. Information that reaches the brain across this sensory channel produces large changes in neural activity, behavior, mood, and cognitive functioning. Appreciation of the functioning of this network may illuminate poorly understood aspects of stress, depression, and intraindividual variability in behavior, mood, and cognition.     

When good pain turns bad

Classically, pain is viewed as being mediated solely by neurons. However, recent research has shown that activated glial cells (astrocytes and microglia) within the spinal cord amplify pain. These nonneuronal cells play a major role in the creation and maintenance of pathological pain. Glia become activated by immune challenges (viral or bacterial infection) and by substances released by neurons within the pain pathway. Activated glia amplify pain by releasing proinflammatory cytokines. Taken together, research findings suggest a novel approach to human pain control that targets glia. In addition, it is likely that such glial-neuronal interactions are not unique to pain, but rather reflect a general rule of sensory processing.     

Body mass index,inflammatory biomarkers and neurocognitive impairment in HIV-infected persons

To determine the relationships among body mass index (BMI), and HIV-associated neurocognitive impairment and the potential mediating effects of inflammatory cytokines. Among the HIV-infected individuals (N = 90) included in this study, obesity was associated with slower processing speed (β = ?.229, standard error (SE) = 2.15, p = .033), compared to participants with a normal BMI, after controlling for psychosocial and HIV clinical factors. Serum concentrations of the interleukin-16 (IL-16) cytokine were significantly associated with slowed processing speed (β = ?.235, SE = 1.62, p = .033) but did not mediate the relationship between obesity and processing speed These findings suggest that obesity may contribute to cognitive processing speed deficits in HIV-infected adults. Elevated concentrations of IL-16 are also associated with slowing, though the results suggest that obesity and IL-16 may exert independent effects.     

用现代医学理论阐明阴虚证的本质和发病学机理

用现代医学理论阐明阴虚证的本质具有重大科学意义,但我国半个世纪的研究未能取得根本突破。用现代医学理论阐述了阴虚证的本质和发病学机理,即阴虚证的本质是细胞因子,其发病学机理是由于机体在各种致病因素的作用下,白细胞介素1和肿瘤坏死因子等炎性细胞因子基因的表达水平增强、生物学活性相对升高,引起细胞因子网络紊乱的结果。     

In judo,Randori (free fight) and Kata (highly ritualized fight) differentially change plasma cortisol,testosterone, and interleukin levels in male participants

Two forms of competitive encounters namely Randori (free fight) and Kata (highly ritualized fight) were studied in 22 professional male judo fighters. The dyadic, symmetrical (in terms of body weight and fighting ability) encounters were videotaped to assess relationships between agonistic behavior and individual variations in plasma levels of testosterone (T), cortisol (C) and interleukins (IL‐6 and IL‐1β) measured before and after the competition. Unremarkably, winners showed longer attack but devoted less time to defensive behaviors when compared to losers. T increased only during Randori but the individual pre‐ and post‐competition T levels recorded in such fights were strongly correlated with the corresponding measures in the Kata for the same individuals. Interestingly, the pre‐ and post‐Randori competition T levels were higher in losers than in winners and T variations positively correlated with the frequencies of attacks and with the duration of defensive postures. The T response shows individual variation and seems to reflect evaluation of the likelihood of winning or losing. Both Randori and Kata induced a marked C increase, although the pre‐ and post‐Randori hormonal titers were higher than those found for the Kata. IL‐6 significantly increased between the pre‐ and the post‐Randori competition, but no such changes occurred during the Kata. No correlations were found between individual pre‐ and post‐competition C and IL‐6 and IL‐1β levels in either Randori or Kata. This suggests that C and cytokine release are unrelated to emotional or cognitive perception of the possible outcome of fighting but are a consequence of general motor activity. Martial arts appear to provide good human models to understand: (a) the relationships between conflict, hormones and the immune system and (b) the relationships between mood and physiological responses to competitive aggression. Aggr. Behav. 32:1–9, 2006. © 2006 Wiley‐Liss, Inc.     

认知行为治疗的生物学机制

现阶段认知行为治疗的生物学机制尚不明确。本文将从脑功能、神经电生理、神经内分泌与免疫以及遗传与表观遗传这四个方面对认知行为治疗的生物学机制进行讨论, 综合心理、生理和遗传三方面的结果, 从微观、中间和宏观多层面提出了认知行为治疗生物学机制的整合模型。并进一步对目前研究的局限性进行了讨论, 为未来探究认知行为治疗的生物学机制提供了新的方向。     

Sleep and Immunity: Cytokine Pathways Linking Sleep and Health Outcomes

ABSTRACT— The functions of sleep are enigmatic but are beginning to be delineated. Sleep has been long thought to be important for health, and poor sleep is prospectively associated with worsened health outcomes. Yet the mechanisms accounting for this are only partially understood. In this review, we suggest that the immune system plays a role in the relationship between sleep and health and that sleep processes and immunity show bidirectional interactions, as evidenced in both animal and human studies. Immunological signaling molecules, termed cytokines, are important in coordinating brain–immune system communication, and particular cytokines such as tumor necrosis factor, interleukin-1, and interleukin-6 play a crucial role in sleep regulation. Elevated levels of these cytokines are also associated with a number of chronic diseases and may provide a pathway linking poor sleep with health outcomes.     

抑郁症的心理神经免疫学研究：细胞因子的作用

免疫系统在一些心理精神障碍中具有重要作用,抑郁症可看作是一种心理神经免疫紊乱性疾病。生理应激和心理应激能激活免疫系统,导致细胞因子的产生,从而影响中枢神经系统的多个方面,包括神经递质代谢、神经内分泌功能、神经可塑性以及与行为改变有关的信息过程。细胞因子不仅由免疫活性细胞分泌,也能被神经胶质细胞和神经细胞合成和分泌,它在抑郁症中的作用可能会在揭示抑郁障碍机制上有新突破,并可能作为今后药物治疗的靶点进入临床领域