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Konsman. Neuroimmunol Neuroinflammation 2016;3:207-14            Neuroimmunology and
           DOI: 10.20517/2347-8659.2016.19
                                                                                  Neuroinflammation

                                                                                                www.nnjournal.net
            Review                                                                              Open Access


           Immune-to-brain signaling and substrates

           of altered behavior during inflammation



           Jan Pieter Konsman

           CNRS UMR 5287, Institute for Cognitive and Integrative Neurosciences in Aquitaine (INCIA), University of Bordeaux, 33076 Bordeaux, France.
           Correspondence to: Dr. Jan Pieter Konsman, CNRS UMR 5287, Institute for Cognitive and Integrative Neurosciences in Aquitaine (INCIA),
           University of Bordeaux, 146 rue Léo Saignat, 33076 Bordeaux, France. Email: jan-pieter.konsman@u-bordeaux.fr
           How to cite this article: Konsman JP. Immune-to-brain signaling and substrates of altered behavior during inflammation. Neuroimmunol
           Neuroinflammation 2016;3:207-14.

                                         ABSTRACT
            Article history:              During  the  systemic  inflammatory  response  to  acute  infection,  and  when  in  a  safe
            Received: 18-04-2016          environment, endothermic mammals typically display reduced activity and food intake,
            Accepted: 10-08-2016          increased sleep, and the adoption of a curled-up position. These changes in behavior, in
            Published: 26-09-2016         concert with fever, are adaptive in that they contribute to host survival. The present review
                                          addresses the immune-to-brain signaling pathways as well as possible neural substrates
            Key words:                    mediating reduced exploration and food intake during acute systemic inflammation. These
            Behavior,                     involve rapid activation of peripheral nerves and glutamatergic brainstem circuits as well
            cytokines,                    as slower IL-1β action in the brain activating limbic and possibly ventral hypothalamic
            inflammation                  structures. Although mostly adaptive acutely, behavioral changes during inflammation may
                                          also reflect brain dysfunction in severe sepsis-associated delirium or become maladaptive
                                          and result in depression due to medical conditions that involve long-term inflammatory
                                          episodes  with  pain  or  discomfort.  The  mechanisms  underlying  these  conditions  are
                                          presently  ill-understood  even  though  neuroinflammation  and  neurodegeneration  occur
                                          during and subsequent to sepsis-associated brain dysfunction, respectively.



           INTRODUCTION                                       fever is an energetically costly response often requiring
                                                              an increase in metabolism of 30-50%.  Text books of
                                                                                                [4]
           Fever and reduced activity and food intake as      human and veterinary medicine often have mentioned
           adaptive host responses to infection               reduced activity and appetite along with the occurrence
           The finding in the 1970s that peripheral administration   of  fever  during  infectious  disease.   From  an  energy
                                                                                             [4]
           of non-steroid anti-inflammatory drug-type antipyretics   balance point of view on endotherms, it makes sense
           lowered survival of different species of animals after   to reduce energy expenditure in the form of physical
           their  inoculation  with  bacteria  provided  a  conclusive   activity, such as exploration of one’s environment,
           piece evidence in favor of the idea that fever was   during fever. But, given the adaptive value as well as
           beneficial  for  survival  of  infected  organisms. [1-3]  But   the high energy costs of increasing body temperature in
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