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Chunk #7 — Neuroimmune Signaling in the Alcoholic Brain — The Immune Response in the Brain

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Neuroimmune Function and the Consequences of Alcohol Exposure.
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The immune system is not normally active in the healthy brain. Thus, the healthy normal brain does not contain antibodies and has only one type of immune cell, the microglia. During fetal development, neurons, astrocytes, and all other brain cells are formed from one embryonic structure (i.e., the ectoderm), whereas microglia migrate from another embryonic structure (i.e., the mesoderm) to the brain at a specific time (Ginhoux et al. 2010). In the healthy brain, the number of ramified or “resting” microglia equals that of neurons, and these cells contribute to the integration of sensory systems and overall survey of the brain milieu (Raivich 2005). Along with astrocytes, they modulate important metabolic, trophic, and synaptic functions in addition to responding to brain–damage-induced neuroimmune responses (Farina et al. 2007; Streit et al. 2004). Microglia respond to endogenous or exogenous insults with distinct morphological changes in shape (i.e., they develop “bushy” or “amoeboid-like” phenotypes) as well as with marked alterations in gene expression, including proinflammatory innate immune-response genes (Graeber 2010). However, it sometimes is unclear whether microglia are responding to a brain insult