Abstract

Immune cells rely on cell-cell communication to specify and fine-tune their responses. They express an extensive network of cell communication modes, including a vast repertoire of cell surface and transmembrane receptors and ligands, membrane vesicles, junctions, ligand and voltage-gated ion channels, and transporters. During a crosstalk between the nervous system and the immune system these modes of cellular communication and the downstream signal transduction events are influenced by neurotransmitters present in the local tissue environments in an autocrine or paracrine fashion. Neurotransmitters thus influence innate and adaptive immune responses. In addition, immune cells send signals to the brain through cytokines, and are present in the brain to influence neural responses. Altered communication between the nervous and immune systems is emerging as a common feature in neurodegenerative and immunopathological diseases. Here, we present the mechanistic frameworks of immunostimulatory and immunosuppressive effects critical neurotransmitters — dopamine (3,4-dihydroxyphenethylamine), serotonin (5-hydroxytryptamine), substance P (trifluoroacetate salt powder), and L-glutamate — exert on lymphocytes and non-lymphoid immune cells. Furthermore, we discuss the possible roles neurotransmitter-driven neuroimmune networks play in the pathogenesis of neurodegenerative disorders, autoimmune diseases, cancer, and outline potential clinical implications of balancing neuroimmune crosstalk by therapeutic modulation.

Highlights

  • The nervous and immune systems present the body with two main interfaces to perceive, integrate, and respond to environmental insults or internal injuries

  • This allows immune cells to circulate within the meninges to carry out surveillance in the central nervous system (CNS) under homeostatic conditions and capture antigens draining from the brain parenchyma or cerebral spinal fluid via glymphatics into the cervical lymph nodes (LN) [3,4,5]

  • It is known that highly invasive bacterial pathogens, such as Streptococcus pyogenes promote their survival by hijacking pain and neuronal regulation of the immune response [13]

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Summary

Introduction

The nervous and immune systems present the body with two main interfaces to perceive, integrate, and respond to environmental insults or internal injuries. Both systems adapt to ever-changing conditions to mount their responses. While propounding his network theory of the immune system, Niels Jerne had highlighted functional similarities in the recognition mechanisms and memory formation capabilities of the nervous and immune systems [1]. Epithelial cells and immune cells stand at the frontline defense against the tissue insults arising from trauma, injury, or infection. Recent advances in neuroscience have added neurons to the frontline arsenal with an intricate bidirectional communication between the nervous and immune systems. Altered communication between the two systems is emerging as a common feature in neurodegenerative and immunopathological diseases

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