2002
DOI: 10.1159/000064933
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Review on the Influence of Stress on Immune Mediators, Neuropeptides and Hormones with Relevance for Inflammatory Bowel Disease

Abstract: Stress has long been postulated to influence the progression of inflammatory bowel disease (IBD). Our current understanding of the relationship between stress and IBD is still limited, and hence explanation for the occurrence of relapses has remained largely speculative. Stress affects the immune system, the neuroendocrine system and the intestinal epithelia. Stress induces the release of pro-inflammatory Th1 cytokines and neuropeptides, such as tachykinins. Thereby, stress may induce alterations of the intest… Show more

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Cited by 36 publications
(27 citation statements)
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“…[158][159][160] (Table 1). In addition, although there is debate regarding the precise pathophysiological classification of these syndromes, a blunted HPA axis has also been show in fibromyalgia, [161][162][163][164] irritable bowel syndrome 165,166 and chronic fatigue syndrome. 163,[167][168][169][170][171] Disruption of the HPA axis or glucocorticoid response at different levels can predispose to enhanced susceptibility to autoimmune and inflammatory disease.…”
Section: Neuroendocrine Dysregulations In Autoimmune Diseasesmentioning
confidence: 99%
“…[158][159][160] (Table 1). In addition, although there is debate regarding the precise pathophysiological classification of these syndromes, a blunted HPA axis has also been show in fibromyalgia, [161][162][163][164] irritable bowel syndrome 165,166 and chronic fatigue syndrome. 163,[167][168][169][170][171] Disruption of the HPA axis or glucocorticoid response at different levels can predispose to enhanced susceptibility to autoimmune and inflammatory disease.…”
Section: Neuroendocrine Dysregulations In Autoimmune Diseasesmentioning
confidence: 99%
“…In general terms, CD is characterized by inflammation associated with a Th1 response, [11][12][13] while UC is based on a Th2 inflammatory response. 12,14,15 More recently, the regulatory role of the neuroenteric immune axis in intestinal inflammation is gaining recognition. 16 -18 The mechanism by which the neuroendocrine system communicates with the immune system, creating a "neuro-immune dialogue," is through the release of cytokines and neuropeptides to end organ receptors.…”
Section: Immune System and The Enteric Nervous Systemmentioning
confidence: 99%
“…21,22 Inflammatory cells are located in the lamina propria of the gut, in close contact with enteric nerves, demonstrating an anatomical connection between enteric nerves and inflammatory cells. 15 Evidence of peripheral nerve fibers showing close anatomical association and functional communication with immune cells has not only been documented for lymphoid organs, but also for tertiary sites like mucosal surfaces. Neuroimmune communication is also facilitated via enteroglia, which are abundant and in close proximity to nerves, immune cells, and blood capillaries, enabling them to act as immunomodulatory cells in the ENS.…”
Section: Immune System and The Enteric Nervous Systemmentioning
confidence: 99%
“…As a matter of fact, the bi-directional communication between the immune and neuroendocrine systems plays a pivotal role in modulating the adequate response of the hypothalamic-pituitary-adrenal (HPA) axis to stimulatory influences of peptides and to stress-related mediators [1,2] . The ex-istence of interactions between emotional or psychopathological disorders and allergic and/or chronic diseases such as asthma is well established [3,4] .…”
Section: Introductionmentioning
confidence: 99%