The Immune System as a Sensory System

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Abstract
The brain and immune system form a bidirectional communication network in which the immune system operates as a sense organ to provide the brain with information about infection and injury, thereby allowing the brain to coordinate a defense. Activated immune cells release proteins called cytokines, which signal the brain by both blood and neural routes. Information that reaches the brain across this sensory channel produces large changes in neural activity, behavior, mood, and cognitive functioning. Appreciation of the functioning of this network may illuminate poorly understood aspects of stress, depression, and intraindividual variability in behavior, mood, and cognition.