Can nerve damage disrupt neuroendocrine immune homeostasis? Leprosy as a case in point.

Abstract:

:The crucial clinical problem in leprosy is the occurrence of acute inflammatory episodes that lead to nerve damage, even after the infecting organisms have been killed by antibiotics. We suggest that the instability of these inflammatory sites is attributable to a disturbance of the role that nerves play in the regulation of inflammation. The destruction of sensory C fibers and sympathetic innervation will remove anti-inflammatory feedback circuits. Moreover, diminishing levels of neuropeptides and changes in the cytokine profile will affect the cortisol-sensitivity of infiltrating T cells, and modulate the cortisol-cortisone shuttle so that the inflammatory site becomes resistant to physiological levels of anti-inflammatory adrenocortical steroids.

journal_name

Trends Immunol

journal_title

Trends in immunology

authors

Rook GA,Lightman SL,Heijnen CJ

doi

10.1016/s1471-4906(01)02090-7

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

18-22

issue

1

eissn

1471-4906

issn

1471-4981

pii

S1471490601020907

journal_volume

23

pub_type

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