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12 Cards in this Set

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  • Back
What is psychoneuroimmunology?
Psychoneuroimmunology is the study of the relationship between immunity, the endocrine system, and the central and peripheral nervous systems
what is Supersystem dysregulation
there is a connection btw the nervous system, immune system, and endocrine system,

when this connection is disrupted, health, function and well-being suffer (fatigue, sleep disturbance, impaired physical and mental function, and depression)
4. How does stress affect the immune system?
stress leads to the release of cytokines that can affect the HPA axis and lead to widespread effects on the body (TH1 and TH2 release is modified)
what is diathesis?
the vulnerability of an individual experiencing stress to a pathological consequence. Two such factors are an individual’s psychological status and social support.
what role do cytokines play in allergy?
Dominant Th2 response
Overproduction of histamine
IgE production

leads to....

Asthma, seasonal and perennial allergic rhinitis, eczema and IgE-mediated food allergy
what role do cytokines play in autoimmunity?
Dominant Th1 response
Excess IL-12 and TNF-
production

leads to....

Rheumatoid arthritis, multiple sclerosis, type 1 diabetes mellitus, and autoimmune thyroid disease
what role do cytokines play in depression?
Dominant pro-inflammatory
cytokine production

leads to..

depression
remember that Cells of the gut include immune cells (T cells, B cells, mast cells,
neutrophils, macrophages, NK cells, and dendritic cells) and non-immune cells (enterocytes, M cells, goblet cells, enteroendocrine cells, etc).
and all of them can be controlled by....
The Enteric NS
what is Indoleamine 2,3-dioxygenase (IDO)?

role?

what 2 substances does it effect, and what does this lead to?
An immunosuppressive enzyme

Rate-limiting enzyme of tryptophan catabolism

when Trp is depleted: arrests T cells, induces T cell apoptosis, induces Tregs

also leads to increased Kyn which generates tolerogenic DCs, suppresses T cell responses
in addition to cytokines, what role does IDO play?
affects serotonin and melatonin

can lead to depression, SZ, etc

these ppl will have higher IDO
psychoneuroimmunology is the study of the relationship btw what?

*TEST
Immune, endocrine, and nervous system
dude suffers from RA and he has just started med school. He is preparing for his first test in anatomy, he visits your office complaining of a marked increase in RA symptoms, what is responsible for this?

*TEST
Marked increase in Th1 response