“…EM and AP form the interphase between the neuronal, endocrinal and immunological systems, involving the two stress axis hypothalamic-pituitary-adrenal (HPA) and the neurosympathico-axis (NSA). Activation of HPA and NSA results in the release of stress hormones cortisol and epinephrine, epinephrine, norepinephrine, cytokines, and NPY, which in turn interact with the brain via EM and AP and the lymph organs such as the spleen (Cynis et al 2013;Elenkov et al 2000a;Frerker et al 2009;Wagner et al 2015Wagner et al , 2016a. NE noradrenalin, NPY neuropeptide Y, SP substance P, CVO circumventricular organ, CRH cortico-releasing hormone, ACTH Adrenocorticotropic hormone, DPP4 dipeptidyl peptidase 4, solid red arrow stimulating HPA-axis, dotted red arrows stimulating NSA, green arrows secretion by HPA (solid line) and NSA (dotted line), black arrow feedback by neuropeptides, stress hormones, cytokines or chemokine resulting in supression (dark red) or stimulation (green) D dendritic cells and monocytes/macrophages as well as in Kupffer-and microglia cells, where it is localized in lysosomes (Klemann et al 2016;.…”