Department of Neuroscience NC30, Lerner Research Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA.
J Virol. 2010 May;84(10):4878-88. doi: 10.1128/JVI.00051-10. Epub 2010 Mar 3.
Leukocyte access into the central nervous system (CNS) parenchyma is tightly regulated by the blood-brain barrier (BBB). Leukocyte migration through the endothelial cell wall into the perivascular space is well characterized; however, mechanisms regulating their penetration through the glia limitans into the parenchyma are less well studied, and the role of monocytes relative to neutrophils is poorly defined. Acute viral encephalitis was thus induced in CCL2-deficient (CCL2(-/-)) mice to specifically abrogate monocyte recruitment. Impaired monocyte recruitment prolonged T cell retention in the perivascular space, although no difference in overall CNS accumulation of CD4 or CD8 T cells was detected by flow cytometry. Delayed penetration to the CNS parenchyma was not associated with reduced or altered expression of either matrix metalloproteinases (MMP) or the T cell chemoattractants CXCL10 and CCL5. Nevertheless, decreased parenchymal leukocyte infiltration delayed T cell-mediated control of virus replication as well as clinical disease. These data are the first to demonstrate that the rapid monocyte recruitment into the CNS during viral encephalitis is dispensable for T cell migration across the blood vessel endothelium. However, monocytes facilitate penetration through the glia limitans. Thus, the rapid monocyte response to viral encephalitis constitutes an indirect antiviral pathway by aiding access of effector T cells to the site of viral infection.
白细胞进入中枢神经系统(CNS)实质的过程受到血脑屏障(BBB)的严格调节。白细胞穿过血管内皮细胞壁进入血管周围间隙的迁移过程已经得到很好的描述;然而,调节其穿过胶质界膜进入实质的机制研究较少,单核细胞相对于中性粒细胞的作用也未得到很好的定义。因此,在 CCL2 缺陷(CCL2(-/-))小鼠中诱导急性病毒性脑炎,以特异性消除单核细胞募集。单核细胞募集受损会延长 T 细胞在血管周围间隙的滞留时间,尽管通过流式细胞术检测到 CD4 或 CD8 T 细胞在中枢神经系统中的总积累没有差异。向中枢神经系统实质的延迟渗透与基质金属蛋白酶(MMP)或 T 细胞趋化因子 CXCL10 和 CCL5 的表达减少或改变无关。然而,白细胞浸润减少会延迟 T 细胞介导的病毒复制控制以及临床疾病的进展。这些数据首次证明,在病毒性脑炎期间,快速进入中枢神经系统的单核细胞对于 T 细胞穿过血管内皮细胞的迁移是可有可无的。然而,单核细胞有助于穿透胶质界膜。因此,病毒性脑炎的快速单核细胞反应通过帮助效应 T 细胞进入病毒感染部位构成了一种间接的抗病毒途径。