Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Division of Neuroscience, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.
Front Immunol. 2024 May 28;15:1380063. doi: 10.3389/fimmu.2024.1380063. eCollection 2024.
Historically, the central nervous system (CNS) was regarded as 'immune-privileged', possessing its own distinct immune cell population. This immune privilege was thought to be established by a tight blood-brain barrier (BBB) and blood-cerebrospinal-fluid barrier (BCSFB), which prevented the crossing of peripheral immune cells and their secreted factors into the CNS parenchyma. However, recent studies have revealed the presence of peripheral immune cells in proximity to various brain-border niches such as the choroid plexus, cranial bone marrow (CBM), meninges, and perivascular spaces. Furthermore, emerging evidence suggests that peripheral immune cells may be able to infiltrate the brain through these sites and play significant roles in driving neuronal cell death and pathology progression in neurodegenerative disease. Thus, in this review, we explore how the brain-border immune niches may contribute to the pathogenesis of neurodegenerative disorders such as Alzheimer's disease (AD), Parkinson's disease (PD), and multiple sclerosis (MS). We then discuss several emerging options for harnessing the neuroimmune potential of these niches to improve the prognosis and treatment of these debilitative disorders using novel insights from recent studies.
从历史上看,中枢神经系统 (CNS) 被认为是“免疫特权”的,拥有自己独特的免疫细胞群体。这种免疫特权被认为是由紧密的血脑屏障 (BBB) 和血脑脊液屏障 (BCSFB) 建立的,它阻止了外周免疫细胞及其分泌因子进入中枢神经系统实质。然而,最近的研究揭示了外周免疫细胞存在于各种脑边界龛位附近,如脉络丛、颅骨髓 (CBM)、脑膜和血管周围间隙。此外,新出现的证据表明,外周免疫细胞可能能够通过这些部位渗透到大脑中,并在神经退行性疾病中驱动神经元细胞死亡和病理进展方面发挥重要作用。因此,在这篇综述中,我们探讨了脑边界免疫龛位如何有助于阿尔茨海默病 (AD)、帕金森病 (PD) 和多发性硬化症 (MS) 等神经退行性疾病的发病机制。然后,我们讨论了利用这些龛位的神经免疫潜力的几种新出现的选择,以利用最近研究中的新见解改善这些衰弱性疾病的预后和治疗。
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