脑膜各层在中枢神经系统自身免疫中的不同作用。
Distinct roles of the meningeal layers in CNS autoimmunity.
作者信息
Merlini Arianna, Haberl Michael, Strauß Judith, Hildebrand Luisa, Genc Nafiye, Franz Jonas, Chilov Dmitri, Alitalo Kari, Flügel-Koch Cassandra, Stadelmann Christine, Flügel Alexander, Odoardi Francesca
机构信息
Institute for Neuroimmunology and Multiple Sclerosis Research, University Medical Center Göttingen, Göttingen, Germany.
Institute of Neuropathology, University Medical Center Göttingen, Göttingen, Germany.
出版信息
Nat Neurosci. 2022 Jul;25(7):887-899. doi: 10.1038/s41593-022-01108-3. Epub 2022 Jun 30.
The meninges, comprising the leptomeninges (pia and arachnoid layers) and the pachymeninx (dura layer), participate in central nervous system (CNS) autoimmunity, but their relative contributions remain unclear. Here we report on findings in animal models of CNS autoimmunity and in patients with multiple sclerosis, where, in acute and chronic disease, the leptomeninges were highly inflamed and showed structural changes, while the dura mater was only marginally affected. Although dural vessels were leakier than leptomeningeal vessels, effector T cells adhered more weakly to the dural endothelium. Furthermore, local antigen-presenting cells presented myelin and neuronal autoantigens less efficiently, and the activation of autoreactive T cells was lower in dural than leptomeningeal layers, preventing local inflammatory processes. Direct antigen application was required to evoke a local inflammatory response in the dura. Together, our data demonstrate an uneven involvement of the meningeal layers in CNS autoimmunity, in which effector T cell trafficking and activation are functionally confined to the leptomeninges, while the dura remains largely excluded from CNS autoimmune processes.
脑膜由软脑膜(软膜和蛛网膜层)和硬脑膜(硬脑膜层)组成,参与中枢神经系统(CNS)自身免疫,但它们的相对作用仍不清楚。在此,我们报告了CNS自身免疫动物模型和多发性硬化症患者的研究结果,发现在急性和慢性疾病中,软脑膜高度发炎并出现结构变化,而硬脑膜仅受到轻微影响。虽然硬脑膜血管比软脑膜血管渗漏更严重,但效应T细胞与硬脑膜内皮的黏附较弱。此外,局部抗原呈递细胞呈递髓鞘和神经元自身抗原的效率较低,硬脑膜中自身反应性T细胞的激活低于软脑膜层,从而阻止了局部炎症过程。需要直接应用抗原才能在硬脑膜中引发局部炎症反应。总之,我们的数据表明脑膜各层在CNS自身免疫中的参与程度不均,其中效应T细胞的运输和激活在功能上局限于软脑膜,而硬脑膜在很大程度上被排除在CNS自身免疫过程之外。