Alterations of monoamines in specific central autonomic nuclei following immunization in mice

Psychoneuroimmunology for the psychoneuroendocrinologist: a review of animal studies of nervous system-immune system interactions

Evidence for interactions between the nervous and immune systems arises from a number of experimental observations: the behavioral conditioning of immune responses, the effects of stimulation or lesion of brain sites on immune system function, the effects of stressors on immune responses and tumor growth, and physiological and neurochemical changes in the brain during immune responses. The links between the nervous and immune systems probably include glucocorticoids secreted from the adrenal gland, catecholamines and neuropeptides secreted by sympathetic terminals and the adrenal medulla, certain pituitary and gonadal hormones, and polypeptides produced by cells of the immune system. The effect of glucocorticoids is not exclusively immunosuppressive, nor is it adequate to explain all the effects of stress. The effects of opiates on immune function are complex; in vitro, endogenous opiates most often facilitate immune activity, but in vivo, opiates appear to inhibit immune responses and impair tumor rejection. The in vitro effects are rarely prevented by naloxone pretreatment and appear to require the integrity of the C- rather than the N-terminal of beta-endorphin, suggesting a nonopiate character. Infections or the administration of antigens increase circulating concentrations of glucocorticoids and activate cerebral catecholaminergic metabolism, especially in the hypothalamus. These responses suggest that challenges to the immune system are physiologic stressors. Interleukin-1 (IL-1) produced by immune cells may be the mediator of these effects, thus acting as an "immunoneurotransmitter". The cerebral responses suggest that the brain can monitor the progress of immune responses. IL-1 and the glucocorticoids together may form a regulatory feedback mechanism for immune responses.

Neurophysiological and endocrine consequences of immune activity

The studies presented herein demonstrate the potency with which activity of the immune system is able to influence the central nervous system. Electrophysiological recordings have demonstrated significant changes in preoptic area/anterior hypothalamic (PO/AH) multiunit electrical activity (MUA) following sensitization with sheep red blood cells. The peak of activity occurred on the fifth day after immunization, the same day that serum antibodies were first detected. A significant increase in paraventricular nucleus MUA was also demonstrated, but this appeared to be delayed with respect to that in the PO/AH, occurring on the sixth day. Further changes thought to be associated with the immune response also were found: Serum corticosterone levels were elevated on the eighth day of the response, and PO/AH tissue levels of norepinephrine were reduced between the sixth and tenth days. During induction of a secondary response, PO/AH MUA showed a different profile of activity from that recorded during the first response. Chronic administration of the immunosuppressive drug, cyclophosphamide, prevented the recorded changes in PO/AH MUA. These results suggest that some secretory product(s) of the activated immune system may be able to exert effects on the central nervous system. Various immunoactive substances therefore were administered intra-cerebroventricularly in order to examine their effects upon PO/AH MUA, cortical EEG and adrenocortical hormone secretory activity. alpha-Interferon and thymic humoral factor were both found to decrease PO/AH MUA, increase EEG synchronization, and decrease basal levels of circulating corticosterone. In contrast, histamine and interleukin-1 did not alter PO/AH MUA but did cause decreased EEG synchronization and increased serum corticosterone levels. With another preparation, a specific activating effect of interleukin-1 upon putative corticotropin-releasing factor-secreting neurones has also been found, identified vasopressinergic neurones not being affected.

Neuropsychological correlates of serum lymphocytotoxic antibodies in systemic lupus erythematosus

Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by frequent neuropsychiatric (NP) manifestations. At least two different pathogenetic mechanisms have been proposed for NP-SLE, including vasculitis and antibodies against neuronal antigens, the latter as expressed by the presence of brain cross-reactive lymphocyte antibodies. We have previously reported a high prevalence of cognitive dysfunction in SLE which can remain subclinical and which cannot be accounted for on the basis of disease activity, general distress, or steroid medication. In the present study, we undertook the same extensive, standardized neuropsychological testing in 98 consecutive female SLE patients in order to evaluate central nervous system functioning in relation to serum lymphocyte antibodies which were measured at the time of neuropsychological testing by a microcytotoxicity test. A significant association was observed between the presence of serum lymphocytotoxic antibodies (LCA) and cognitive impairment in patients with SLE. The pattern of impairment which predominated in the LCA-positive patients involved deficits in anteriorly associated, primarily visuospatial functions. These findings support the hypothesis of localization of a particular antigen-antibody interaction in the brain in SLE, suggesting the existence of immunological control mechanisms for normal brain functioning.

Interleukin-1 induces changes in norepinephrine metabolism in the rat brain

Interleukin-1 (IL-1) is a hormone that, apart from playing a key role in immune and inflammatory processes, can also affect mechanisms under brain control. To gain a better understanding of the action of this cytokine on the CNS, its effects on the contents of norepinephrine (NE), dopamine (DA) and serotonin (5-HT), and their main metabolites and precursors, were evaluated in different regions of the forebrain, brain stem, and spinal cord. Following administration of human recombinant IL-1 (beta form) to rats, a modest decrease in the content of NE was observed in the hypothalamus as well as in the dorsal posterior brain stem. However, the most relevant finding was that 3-methoxy-4-hydroxyphenylethylene glycol (MHPG), the main NE metabolite, and the relation MHPG/NE were increased in all the regions studied, revealing a stimulatory effect of IL-1 on NE metabolism in the CNS. This effect seems to be specific for NE since no comparable changes in the brain content of DA, 5-HT, or its metabolite, 5-hydroxyindole acetic acid, were detected after administration of the cytokine. However, tryptophan was significantly increased in all brain regions and in the cervical spinal cord. The capacity of IL-1 to affect the metabolism of NE, a neurotransmitter involved in the control of a variety of brain functions, provides further proof for the relevance of this cytokine in brain-immune interactions.

Systemic interleukin-1 administration stimulates hypothalamic norepinephrine metabolism parallelling the increased plasma corticosterone

Intraperitoneal injection of purified recombinant interleukin-1 (IL-1) into mice increased the cerebral concentration of the norepinephrine (NE) catabolite, 3-methoxy,4-hydroxyphenylethyleneglycol (MHPG), probably reflecting increased activity of noradrenergic neurons. This effect was dose-dependent and was largest in the hypothalamus, especially the medial division. Tryptophan concentrations were also increased throughout the brain. The increase of MHPG peaked around 4 hours after IL-1 administration, parallelling the increase of plasma corticosterone. Both the alpha- and beta-forms of IL-1 were effective, but the activity was lost after heat treatment of the IL-1. Noradrenergic neurons with terminals in the hypothalamus are known to regulate the secretion of corticotropin-releasing factor, thus our results suggest that IL-1 activates the hypothalamic-pituitary-adrenal axis by activating these neurons. Because initiation of an immune response is known to cause systemic release of IL-1, IL-1 may be an immunotransmitter communicating the immunologic activation to the brain. The IL-1-induced changes in hypothalamic MHPG may explain the increases of electrophysiological activity, the changes of hypothalamic NE metabolism, and the increases in circulating glucocorticoids previously reported to be associated with immunologic activation and frequently observed in infected animals.

Decreased locomotor activity produced by repeated, but not single, administration of murine-recombinant interferon-gamma in mice

A single treatment with murine-recombinant interferon-gamma (murIFN-gamma; 30 micrograms/mouse), whether evaluated immediately after, or four hrs after, intraperitoneal injection, does not alter open field activity levels. On the other hand, repeated murIFN-gamma administration (30 micrograms/mouse/day for 5 days) results in decreased spontaneous locomotor activity and an increase in body weight.

Noradrenergic sympathetic innervation of the spleen: V. Acute drug-induced depletion of lymphocytes in the target fields of innervation results in redistribution of noradrenergic fibers but maintenance of compartmentation

Sympathetic noradrenergic fibers follow the vasculature into the white pulp of the spleen and branch from the periarteriolar plexuses into T lymphocyte zones. These lymphocytes, reported to express adrenergic receptors, are contacted directly by norepinephrine (NE) terminals and are putative targets of the locally released NE. Although this splenic innervation has been studied extensively, the functional interdependence of the lymphocytes and the sympathetic innervation is not well understood. To assess the effect of acute lymphocyte loss on the splenic innervation, T and B lymphocytes were depleted through treatment with cyclophosphamide (CY) or hydrocortisone acetate (HC). Despite reductions in spleen weight and cellularity, the total NE content (pmol) per spleen did not change. However, the NE concentration increased in the treated spleens. Although the general compartmental organization of the noradrenergic fibers in the treated spleens was similar to that of controls, the NE fibers redistributed and increased in density around the smaller central arteries in lymphocyte depleted spleens. The accommodation of these NE fibers to the changing environment of the white pulp suggests that the innervation to the spleen remains chemically stable despite a large disruption to the normal splenic milieu, but is capable of plasticity in the face of a shrinking white pulp.