Viral Immunopathology Laboratory, Infection, Immunity and Inflammation Research Theme, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, 2006, Australia.
Sydney Cytometry Facility, The University of Sydney and Centenary Institute, Sydney, NSW, 2006, Australia.
Acta Neuropathol. 2022 Feb;143(2):179-224. doi: 10.1007/s00401-021-02384-2. Epub 2021 Dec 1.
In neurological diseases, the actions of microglia, the resident myeloid cells of the CNS parenchyma, may diverge from, or intersect with, those of recruited monocytes to drive immune-mediated pathology. However, defining the precise roles of each cell type has historically been impeded by the lack of discriminating markers and experimental systems capable of accurately identifying them. Our ability to distinguish microglia from monocytes in neuroinflammation has advanced with single-cell technologies, new markers and drugs that identify and deplete them, respectively. Nevertheless, the focus of individual studies on particular cell types, diseases or experimental approaches has limited our ability to connect phenotype and function more widely and across diverse CNS pathologies. Here, we critically review, tabulate and integrate the disease-specific functions and immune profiles of microglia and monocytes to provide a comprehensive atlas of myeloid responses in viral encephalitis, demyelination, neurodegeneration and ischemic injury. In emphasizing the differential roles of microglia and monocytes in the severe neuroinflammatory disease of viral encephalitis, we connect inflammatory pathways common to equally incapacitating diseases with less severe inflammation. We examine these findings in the context of human studies and highlight the benefits and inherent limitations of animal models that may impede or facilitate clinical translation. This enables us to highlight common and contrasting, non-redundant and often opposing roles of microglia and monocytes in disease that could be targeted therapeutically.
在神经疾病中,中枢神经系统实质驻留的髓样细胞——小胶质细胞的作用可能与募集的单核细胞的作用不同或相交,从而驱动免疫介导的病理。然而,由于缺乏能够准确识别它们的区分标记物和实验系统,因此确定每种细胞类型的确切作用一直受到阻碍。我们区分神经炎症中小胶质细胞和单核细胞的能力随着单细胞技术、新的标记物和能够识别和耗尽它们的药物的发展而得到了提高。尽管如此,个别研究对特定细胞类型、疾病或实验方法的关注限制了我们更广泛地将表型和功能联系起来的能力,也限制了我们在不同的中枢神经系统疾病中进行联系的能力。在这里,我们批判性地回顾、列表和整合了小胶质细胞和单核细胞的特定疾病功能和免疫特征,为病毒性脑炎、脱髓鞘、神经退行性变和缺血性损伤中的髓样细胞反应提供了一个全面的图谱。在这里,我们强调了小胶质细胞和单核细胞在病毒性脑炎这种严重神经炎症性疾病中的差异作用,将与同样使人丧失能力的疾病共同的炎症途径与炎症程度较轻的疾病联系起来。我们在人类研究的背景下检查了这些发现,并强调了可能阻碍或促进临床转化的动物模型的益处和内在局限性。这使我们能够突出小胶质细胞和单核细胞在疾病中常见的、但又不同的、非冗余的、往往是对立的作用,这些作用可以作为治疗的靶点。
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