A complex, interconnected series of biochemical signaling events initiated by the immune system in response to tissue injury, infection, or chronic stress, designed to restore homeostasis and eliminate pathogens. While acute inflammation is a protective process, the term often refers clinically to chronic, low-grade, sterile inflammation, a state termed inflammaging. This sustained activation is a key driver of age-related disease and systemic dysfunction.
Origin
The concept is fundamental to immunology, pathology, and cellular biology, describing the innate and adaptive immune responses. In the context of hormonal health, its origin relates to the bi-directional communication between the endocrine system and immune cells, where hormones modulate inflammatory responses and vice versa.
Mechanism
The pathway is typically activated by Pattern Recognition Receptors (PRRs) detecting danger signals, leading to the activation of key transcription factors like NF-κB. NF-κB then translocates to the nucleus to induce the transcription of pro-inflammatory cytokines such as IL-6, TNF-α, and IL-1β. Chronic hormonal imbalance, particularly elevated cortisol or low sex steroids, can disrupt the resolution phase of inflammation, leading to persistent cytokine production and subsequent tissue damage.
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