Neuroimmunology of stress
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Neuroimmunology of stress : skin takes center stage. / Arck, Petra C; Slominski, Andrzej; Theoharides, Theoharis C; Peters, Eva M J; Paus, Ralf.
In: J INVEST DERMATOL, Vol. 126, No. 8, 08.2006, p. 1697-704.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Neuroimmunology of stress
T2 - skin takes center stage
AU - Arck, Petra C
AU - Slominski, Andrzej
AU - Theoharides, Theoharis C
AU - Peters, Eva M J
AU - Paus, Ralf
PY - 2006/8
Y1 - 2006/8
N2 - Like few other organs, the skin is continuously exposed to multiple exogenous and endogenous stressors. Superimposed on this is the impact of psychological stress on skin physiology and pathology. Here, we review the "brain-skin connection," which may underlie inflammatory skin diseases triggered or aggravated by stress, and we summarize relevant general principles of skin neuroimmunology and neuroendocrinology. Specifically, we portray the skin and its appendages as both a prominent target of key stress mediators (such as corticotropin-releasing hormone, ACTH, cortisol, catecholamines, prolactin, substance P, and nerve growth factor) and a potent source of these prototypic, immunomodulatory mediators of the stress responses. We delineate current views on the role of mast cell-dependent neurogenic skin inflammation and discuss the available evidence that the skin has established a fully functional peripheral equivalent of the hypothalamic-pituitary-adrenal axis as an independent, local stress response system. To cope with stress-induced oxidative damage, the skin and hair follicles also express melatonin, probably the most potent neuroendocrine antioxidant. Lastly, we outline major, as-yet unmet challenges in cutaneous stress research, particularly in the study of the cross-talk between peripheral and systemic responses to psychological stress and in the identification of promising molecular targets for therapeutic stress intervention.
AB - Like few other organs, the skin is continuously exposed to multiple exogenous and endogenous stressors. Superimposed on this is the impact of psychological stress on skin physiology and pathology. Here, we review the "brain-skin connection," which may underlie inflammatory skin diseases triggered or aggravated by stress, and we summarize relevant general principles of skin neuroimmunology and neuroendocrinology. Specifically, we portray the skin and its appendages as both a prominent target of key stress mediators (such as corticotropin-releasing hormone, ACTH, cortisol, catecholamines, prolactin, substance P, and nerve growth factor) and a potent source of these prototypic, immunomodulatory mediators of the stress responses. We delineate current views on the role of mast cell-dependent neurogenic skin inflammation and discuss the available evidence that the skin has established a fully functional peripheral equivalent of the hypothalamic-pituitary-adrenal axis as an independent, local stress response system. To cope with stress-induced oxidative damage, the skin and hair follicles also express melatonin, probably the most potent neuroendocrine antioxidant. Lastly, we outline major, as-yet unmet challenges in cutaneous stress research, particularly in the study of the cross-talk between peripheral and systemic responses to psychological stress and in the identification of promising molecular targets for therapeutic stress intervention.
KW - Animals
KW - Humans
KW - Neuroimmunomodulation/physiology
KW - Skin Diseases/immunology
KW - Stress, Psychological/immunology
U2 - 10.1038/sj.jid.5700104
DO - 10.1038/sj.jid.5700104
M3 - SCORING: Review article
C2 - 16845409
VL - 126
SP - 1697
EP - 1704
JO - J INVEST DERMATOL
JF - J INVEST DERMATOL
SN - 0022-202X
IS - 8
ER -