Oct 12, 2026 · 48 min · 11 segments
Does your immune system have more say over your thoughts than you realize? Dr. Aoife O’Donovan, Professor of Psychiatry and Behavioral Sciences at UCSF and director of the THRIVE Lab, has spent nearly…
Brad HookHostSo a lot of the work that I've been involved in has been focused on understanding the influence of the immune system beyond immunity.
So, um, when we're sick, when we have the flu, or when we have a really bad cold, we know we have a whole lot of physical symptoms.
And at the same time that all that's happening, we actually have a lot of psychological symptoms happening as well.
So when you feel-- when you have a virus, it's not only that you can't go out to a party and have a great time, it's that you don't want to.
And decades of research in rodent models and, and cell models, and now more recently human models, is helping us to understand why that might be.
And a major reason is that your immune system produces proteins called cytokines that signal around the body and to the brain and actually change the functioning of your brain, change how you process information, and change-- and can change the structure of your brain as well in the long term.
So I think the immune system is a really underappreciated influence on our brain, on our mind, and psychological processes.
And by harnessing an understanding of how the immune system affects the brain, we may actually be able to get to higher levels of functioning.
Almost everything that happens to us psychologically, physiolo- physiologically, um, comes from a place of trying to protect us, trying to enhance our survival or enhance our ability to pass on our genes, and that's true for the immune system as well.
So in our evolutionary past, our ancestors who sh- shut down a little bit psychologically when they were sick would've had a survival advantage.
So by staying home, by hiding, by stopping engaging with other people, you would use less energy.
You would run a lower risk of getting another infection on top of the one that you have.
Um, and by, you know, reducing our appetite, for example, the need to take in food was lower, so you didn't have to go out and search for more food.
I think the key thing-- so, so we know that that's all happening in the context of an infection.
So a lot of the work that I've been involved in has been focused on understanding the influence of the immune system beyond immunity.
So, um, when we're sick, when we have the flu, or when we have a really bad cold, we know we have a whole lot of physical symptoms.
And at the same time that all that's happening, we actually have a lot of psychological symptoms happening as well.
So when you feel-- when you have a virus, it's not only that you can't go out to a party and have a great time, it's that you don't want to.
And decades of research in rodent models and, and cell models, and now more recently human models, is helping us to understand why that might be.
And a major reason is that your immune system produces proteins called cytokines that signal around the body and to the brain and actually change the functioning of your brain, change how you process information, and change-- and can change the structure of your brain as well in the long term.
So I think the immune system is a really underappreciated influence on our brain, on our mind, and psychological processes.
And by harnessing an understanding of how the immune system affects the brain, we may actually be able to get to higher levels of functioning.
Almost everything that happens to us psychologically, physiolo- physiologically, um, comes from a place of trying to protect us, trying to enhance our survival or enhance our ability to pass on our genes, and that's true for the immune system as well.
So in our evolutionary past, our ancestors who sh- shut down a little bit psychologically when they were sick would've had a survival advantage.
So by staying home, by hiding, by stopping engaging with other people, you would use less energy.
You would run a lower risk of getting another infection on top of the one that you have.
Um, and by, you know, reducing our appetite, for example, the need to take in food was lower, so you didn't have to go out and search for more food.
I think the key thing-- so, so we know that that's all happening in the context of an infection.
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