Vertebrate
development and growth are regulated by systemically acting hormones, by
cell-to-cell and cell-to-matrix interactions and by locally induced mediators
(cytokines). Accordingly, three categories of signal may be distinguished
as shown:
(1)The
competence signal will enable the cell to react to additional signals.
It is proposed that for most tissues and organs, GH or some other members
of the GLH, such as PRL or PL, will deliver this signal.
(2)
The second group of signals is delivered by cell-to-cell and cell-to-matrix
interactions. Adhesion molecules interacting with their respective counterparts
on other cells, or with matrix determinants, and membrane- and matrix-bound
growth factors are involved in the generation of these non-diffusible regulatory
signals which mediate positional regulation, i.e. determine whether or
not the cell will divide, differentiate, function, or perhaps undergo apoptosis,
according to the physiological requirements at the site where the cell
is located in the body.
(3)
The third signal is delivered by locally produced soluble mediators (cytokines)
and concludes the signalling cascade that leads to the assignment of function
to each particular cell according to its stage of differentiation and position.
Current
information indicates that there is redundancy at all three levels of cell
signalling The immune system is regulated according to the above scheme
where PRL and GH act as the hormones of immunocompetence enabling lymphoid
cells to react to antigen.
Antigen
receptors belong to the immunoglobulin family of adhesion molecules and
thus deliver the second signal.
Lymphocytes
express a number of other adhesion molecules that contribute to the regulation
of immune reactions. Some of these adhesion molecules also mediate lymphocyte
homing and recirculation.
Interleukins
and/or other lymphokines complete the cascade of lymphocyte signalling
which leads to cell proliferation, differentiation into effector cells
and function.
Additional
hormones and neurotransmitters contribute to immunoregulation, mostly by
signal modulation, which allows for the fine-tuning of the immune system,
so that it is able to function in homeostasis and harmony with the organism.

For
further details, please see the original paper in Neuroimmunomodulation,
1994;1:201-215)Abstract
Also
view article in Neuroimmune Biology: Vol
3: The Immune-Neuroendocrine Circuitry:
History
and Progress ,NIB 2003;3 pp281-299)
Immunocompetence
.(Istvan Berczi and Andor Szentivanyi, editors)