Yuan Hang, Li Mengyuan, Lei Yingfeng, Zhang Qianqian
Department of Pathogenic Biology, Medical College of Yan'an University, Yan'an 716000; Department of Microbiology and Pathogenic Biology, Basic Medical Science Academy, Air Force Medical University, Xi'an 710032, China.
Department of Infectious Diseases, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China.
Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2024 Sep;40(9):849-853.
The brain is protected by the blood-brain barrier and surrounded by the meninges, which are classically composed of dura, arachnoid and pia mater from superficial to deep layers. In recent years, a series of scientific breakthroughs has demonstrated the presence of the lymphatic system and immune cells in the meninges. Meningeal lymphatic vessels have recently been recognized as important participants in exchange of materials between cerebrospinal fluid and peripheral blood, as well as in immune surveillance. These studies suggest that the brain is no longer considered an "immune-privileged organ" isolated from peripheral immune systems. Given its unique location, structural composition and immunological characteristics, how meningeal immunity affects the central nervous system under homeostatic and pathological conditions is increasingly being investigated as a source of potential pathogenic mechanisms and new targets for interventions in central nervous system diseases. This article reviews the basic components and functions of meningeal immunity, and summarizes the role and advancement of meningeal immunity in different viral infectious diseases.
大脑受到血脑屏障的保护,并被脑膜所包围,脑膜传统上由从浅层到深层的硬脑膜、蛛网膜和软脑膜组成。近年来,一系列科学突破表明脑膜中存在淋巴系统和免疫细胞。脑膜淋巴管最近被认为是脑脊液与外周血之间物质交换以及免疫监视的重要参与者。这些研究表明,大脑不再被视为与外周免疫系统隔离的“免疫特权器官”。鉴于其独特的位置、结构组成和免疫特性,脑膜免疫在稳态和病理条件下如何影响中枢神经系统正越来越多地作为潜在致病机制的来源和中枢神经系统疾病干预的新靶点进行研究。本文综述了脑膜免疫的基本组成和功能,并总结了脑膜免疫在不同病毒感染性疾病中的作用和进展。
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