PMID- 25358684 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20230921 IS - 1552-4175 (Electronic) IS - 1099-8004 (Linking) VI - 17 IP - 5 DP - 2015 Oct TI - May BDNF Be Implicated in the Exercise-Mediated Regulation of Inflammation? Critical Review and Synthesis of Evidence. PG - 521-39 LID - 10.1177/1099800414555411 [doi] AB - INTRODUCTION: Exercise attenuates inflammation and enhances levels of brain-derived neurotrophic factor (BDNF). Exercise also enhances parasympathetic tone, although its role in activating the cholinergic anti-inflammatory pathway is unclear. The physiological pathways of exercise's effect on inflammation are obscure. AIMS: To critically review the evidence on the role of BDNF in the anti-inflammatory effects of exercise and its potential involvement in the cholinergic anti-inflammatory pathway. METHODS: Critical literature review of studies published in MEDLINE, PubMed, CINAHL, Embase, and Cochrane databases. RESULTS: BDNF is critically involved in the bidirectional signaling between immune and neurosensory cells and in the regulation of parasympathetic system responses. BDNF is also intricately involved in the inflammatory response: inflammation induces BDNF production, and, in turn, BDNF exerts pro- and/or anti-inflammatory effects. Although exercise modulates BDNF and its receptors in lymphocytes, data on BDNF's immunoregulatory/anti-inflammatory effects in relation to exercise are scarce. Moreover, BDNF increases cholinergic activity and is modulated by parasympathetic system activation. However, its involvement in the cholinergic anti-inflammatory pathway has not been investigated. CONCLUSION: Converging lines of evidence implicate BDNF in exercise-mediated regulation of inflammation; however, data are insufficient to draw concrete conclusions. We suggest that there is a need to investigate BDNF as a potential modulator/mediator of the anti-inflammatory effects of exercise and of the cholinergic anti-inflammatory pathway during exercise. Such research would have implications for a wide range of inflammatory diseases and for planning targeted exercise protocols. CI - (c) The Author(s) 2014. FAU - Papathanassoglou, Elizabeth D E AU - Papathanassoglou ED AD - Department of Nursing, Cyprus University of Technology, Limassol, Cyprus e.papathanassoglou@cut.ac.cy. FAU - Miltiadous, Panagiota AU - Miltiadous P AD - Department of Nursing, Cyprus University of Technology, Limassol, Cyprus. FAU - Karanikola, Maria N AU - Karanikola MN AD - Department of Nursing, Cyprus University of Technology, Limassol, Cyprus. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20141029 PL - United States TA - Biol Res Nurs JT - Biological research for nursing JID - 9815758 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Brain-Derived Neurotrophic Factor/*physiology MH - Exercise/*physiology MH - Humans MH - Inflammation/*immunology/*prevention & control OTO - NOTNLM OT - brain-derived neurotrophic factor OT - cholinergic anti-inflammatory pathway OT - critical illness OT - early progressive mobility OT - exercise OT - immunity OT - inflammation OT - parasympathetic nervous system OT - physical activity EDAT- 2014/11/02 06:00 MHDA- 2016/12/15 06:00 CRDT- 2014/11/01 06:00 PHST- 2014/11/01 06:00 [entrez] PHST- 2014/11/02 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 1099800414555411 [pii] AID - 10.1177/1099800414555411 [doi] PST - ppublish SO - Biol Res Nurs. 2015 Oct;17(5):521-39. doi: 10.1177/1099800414555411. Epub 2014 Oct 29.