The physiological process involving the recognition of a threat (pathogen, damaged cell, or foreign substance) by immune cells, leading to a cascade of cellular and molecular events designed to neutralize the threat. While acute activation is protective, chronic or inappropriate Immune System Activation contributes to systemic inflammation and is intricately linked to endocrine dysfunction. Hormones, such as cortisol and thyroid hormones, are potent modulators of this immune response.
Origin
This concept is foundational to immunology, describing the initiation of the adaptive and innate immune responses. Activation refers to the functional state change of immune cells from quiescent to responsive. The clinical relevance in hormonal health stems from the emerging field of neuroendocrinology, which studies the bidirectional communication between the endocrine and immune systems.
Mechanism
Activation is initiated by pattern recognition receptors (PRRs) detecting danger signals, leading to the release of pro-inflammatory cytokines like Interleukin-6 (IL-6) and Tumor Necrosis Factor-alpha (TNF-α). These cytokines, in turn, signal to the hypothalamus, affecting the release of CRH and TSH, demonstrating a direct link to the HPA and HPT axes. Chronic activation can deplete adrenal reserves and impair peripheral hormone conversion, creating a vicious cycle of inflammation and hormonal imbalance.
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