National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, Shenzhen, Guangdong, China.
Front Immunol. 2024 Feb 1;15:1326859. doi: 10.3389/fimmu.2024.1326859. eCollection 2024.
The central nervous system (CNS) harbors its own special immune system composed of microglia in the parenchyma, CNS-associated macrophages (CAMs), dendritic cells, monocytes, and the barrier systems within the brain. Recently, advances in the immune cells in the CNS provided new insights to understand the development of tuberculous meningitis (TBM), which is the predominant form of () infection in the CNS and accompanied with high mortality and disability. The development of the CNS requires the protection of immune cells, including macrophages and microglia, during embryogenesis to ensure the accurate development of the CNS and immune response following pathogenic invasion. In this review, we summarize the current understanding on the CNS immune cells during the initiation and development of the TBM. We also explore the interactions of immune cells with the CNS in TBM. In the future, the combination of modern techniques should be applied to explore the role of immune cells of CNS in TBM.
中枢神经系统(CNS)拥有自己独特的免疫系统,由实质中的小胶质细胞、CNS 相关巨噬细胞(CAMs)、树突状细胞、单核细胞和脑内的屏障系统组成。最近,CNS 中的免疫细胞的研究进展为理解结核性脑膜炎(TBM)的发展提供了新的见解,TBM 是 CNS 中主要的感染形式,伴有高死亡率和残疾。CNS 的发育需要在胚胎发生过程中保护包括巨噬细胞和小胶质细胞在内的免疫细胞,以确保 CNS 的准确发育和病原体入侵后的免疫反应。在这篇综述中,我们总结了目前对 TBM 发生和发展过程中 CNS 免疫细胞的认识。我们还探讨了免疫细胞在 TBM 中与 CNS 的相互作用。未来,应结合现代技术来探索 CNS 免疫细胞在 TBM 中的作用。