Several experimental models have demonstrated that the central
nervous system is functionally linked to the
immune system by means of the autonomic nervous system. Samples of 36 lymph
nodes of patients whose
ages ranged from 16 to 69 y were studied. In order to demonstrate the existence
and distribution of
sympathetic nerve fibres, a polyclonal antibody antityrosine hydroxylase
(TH), with the streptavidin-biotin
system of detection, was used. TH-positive nerve fibres appeared in all
reactive patterns of the lymph
nodes studied. Thin nerve fascicles ramified at the hilar region and also
in the connective tissue septae.
Adventitial adrenergic nerve fibres were found following afferent, and
to a lesser extent, efferent blood
vessels. Another source of incoming nerve fibres was found at capsular
level, accompanying blood vessels.
On the arterial side, the innervation ceased before reaching the follicular
arterioles. Our demonstration of
innervation in postcapillary venules could support a regulatory role of
adrenergic neurotransmitters in
lymphocyte traffic. Occasional nerve fibres were also seen in T areas among
parenchymatous cells. These
findings confirm the existence of sympathetic innervation in human lymph
nodes, and provide indirect
evidence that the psychoneuroimmune axis could also exist in humans.