“…The acute phase of SAE is commonly characterized by delirium symptoms and acute changes in patient's consciousness ( 7 , 9 , 16 , 17 ) and by the occurrence of different complex pathophysiological mechanisms, including uncontrolled neuroinflammation, as result of neutrophils, monocytes and resident glial cells activation and infiltration; long-term expression of multiple cytokines and chemokine genes, also called “cytokine storm” ( 18 ) and is thought to be the major cause of organ dysfunction and acute symptoms like fever, fatigue and anorexia; and enhanced T helper (Th)1 and Th17 cells activity ( 4 ) ( Figure 1 ). These lead to dysfunction and massive apoptosis of brain cells, especially microglia, astrocytes, neurons and cerebral endothelial cells (CECs) ( 15 , 19 , 20 ). Indeed/accordingly, a study by Saito et al ( 12 ) showed that in a cecal slurry (CS)-induced septic mouse model, neutrophils infiltration, an hallmark feature of SAE acute phase, favors CD4 + and CD8 + T cells accumulation, microglial activation and neuroinflammation (IL-1β and IL-6) in the cerebral cortex, BBB disruption, and increase anxiety-like symptoms.…”