Piehl F, Lidman O
Department of Medicine, Neuroimmunology Unit, Karolinska Hospital, Stockholm, Sweden.
Immunol Rev. 2001 Dec;184:212-25. doi: 10.1034/j.1600-065x.2001.1840119.x.
Recent discoveries suggest that the resident cells of the central nervous system (CNS) the nerve cells and glia, play a more immunologically active role than was previously assumed. Neuroglial communication is of central interest in virtually all types of pathological conditions that affect the brain and several features of the activation that results from nerve cell damage resemble the type of innate immune reactions that occur in other parts of the body In particular, the characteristics of the activation of these CNS cells will affect both the interaction with cells of the immune system as well as processes related to neurodegeneration and regeneration. We here review data regarding 3 different aspects of local inflammatory activation in the rat nervous system: (i) the genetic heterogeneity of glial activation across inbred strains after nerve injury, (ii) expression of MHC class I genes in the CNS and (iii) neuroprotective effects of CNS antigen autoreactive immune reactions. Apart from neuroimmune diseases such as experimental autoimmune encephalomyelitis/multiple sclerosis, these features are also of relevance for a wider range of neurological diseases which present pathological signs of inflammation, such as Alzheimer's dementia, cerebrovascular diseases and CNS trauma.
最近的发现表明,中枢神经系统(CNS)的常驻细胞——神经细胞和神经胶质细胞,发挥着比之前所认为的更具免疫活性的作用。神经胶质细胞间的通讯在几乎所有影响大脑的病理状况中都是核心关注点,并且神经细胞损伤所引发的激活的若干特征类似于身体其他部位发生的先天性免疫反应类型。特别是,这些中枢神经系统细胞的激活特性将影响与免疫系统细胞的相互作用以及与神经退行性变和再生相关的过程。我们在此综述有关大鼠神经系统局部炎症激活的3个不同方面的数据:(i)神经损伤后近交系间神经胶质细胞激活的遗传异质性,(ii)中枢神经系统中MHC I类基因的表达,以及(iii)中枢神经系统抗原自身反应性免疫反应的神经保护作用。除了诸如实验性自身免疫性脑脊髓炎/多发性硬化症等神经免疫疾病外,这些特征对于更广泛的呈现炎症病理体征的神经疾病也具有相关性,如阿尔茨海默病性痴呆、脑血管疾病和中枢神经系统创伤。