3.8 Article

The immunology of stress and the impact of inflammation on the brain and behaviour

Journal

BJPSYCH ADVANCES
Volume 27, Issue 3, Pages 158-165

Publisher

CAMBRIDGE UNIV PRESS
DOI: 10.1192/bja.2020.82

Keywords

Neuroimmunology; post-traumatic stress disorder; depressive disorders; neuroendocrinology; anxiety disorders

Categories

Funding

  1. National Institute of Health [AG057235, MH115174, AG062334]

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Research suggests that chronic activation of the immune system due to long-term exposure to persistent stress may be related to stress-related psychiatric disorders such as depression and anxiety. This review focuses on the immunology of acute and chronic stress exposure, linking it with mood and anxiety disorders.
Exposure to acute versus chronic stressors and threats activates the immune system in adaptive and maladaptive manners respectively. Chronic activation arising from persistent stress exposure can contribute to an inflammatory response in the periphery and in the brain that has been implicated in stress-related psychopathology, including depression and anxiety. We review the immunology of acute and chronic stress exposure, integrate this discussion with the emerging literature linking heightened immune activation and inflammation to mood and anxiety disorders, and consider the translational implications of the immune system's role in these psychiatric conditions, with a brief overview of potential interventions.

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