EDITORIALAcute sickness behaviour : an immune system-to-brain communication ?"Over the past 20 years, psychoneuroimmunological research has produced a large body of evidence that challenges the historically dominant view that the immune system operates in an autonomous manner independent of other physiological systems. Today, there is little doubt that the brain and the immune system are intimately linked and capable of reciprocal communication (Ader et al. 1991). Despite the acknowledged bi-directional nature of the brain-immune system connection, the predominant focus of study has been on the effects of psychological and behavioural events (e.g. stress) on immune responses and disease processes, and the mechanisms underlying such effects (see Kusnekov & Rabin, 1994 ;Maier et al. 1994 ;Rozlog et al. 1999). However, considerable interest in the possibilities of immune-system-to-brain communication was initiated by a seminal paper considering the biological basis of behaviour in sick animals (Hart, 1988). Subsequently, the immunological determinants of the behavioural, cognitive and emotional changes associated with acute illness, as well as with more chronic psychopathological states (e.g. depression) have become the subject of rapidly expanding areas of research (e.g. Kent et al. 1992 ;Lloyd et al. 1992 ;Hickie & Lloyd, 1995 ;Rothwell & Hopkins, 1995 ;Dantzer et al. 1996 ;Maier & Watkins, 1998 ;Vollmer-Conna et al. 1998 ;Maes, 1999). The main objective of this editorial is to provide a succinct overview of current knowledge of the normal behavioural correlates of acute infective illness, their adaptive function and underlying mechanisms. Elucidation of the processes involved in the appearance, maintenance and inhibition of ' normal ' sickness behaviour is important if extrapolations from this phenomenon to more chronic psychopathological conditions are to provide more than a new label for poorly understood non-specific symptom clusters.
A ROLE FOR SICKNESS BEHAVIOUR IN THE HOST DEFENCE AGAINST INFECTION AND INFLAMMATIONAcute infective illnesses, both in animals and humans, are typically accompanied by a cluster of non-specific symptoms such as fever, an increased need to sleep, hyperalgesia, anorexia, loss of interest in usual activities, decreased social interaction and body care, depression and impaired concentration (Hart, 1988 ;Dantzer et al. 1996). Perhaps because they are prevalent and nonspecific concomitants of infective illnesses, these phenomena are commonly dismissed or relatively ignored by physicians. Yet, it has recently been argued that sickness behaviours constitute a highly organized and evolved strategy to combat infection and injury. Specifically, it has been suggested that the behavioural changes function to conserve energy and, thus, facilitate the role of fever in stimulating immune function and inhibiting the proliferation of thermo-sensitive pathogens (Hart, 1988).The adaptive nature of the fever response is well documented and apparent from numerous demonstrations that inhibition of fev...