Wheeler Michael A, Quintana Francisco J
The Gene Lay Institute of Immunology and Inflammation, Brigham & Women's Hospital, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Nature. 2025 Feb;638(8050):333-342. doi: 10.1038/s41586-024-08474-x. Epub 2025 Feb 12.
The nervous and immune systems have complementary roles in the adaptation of organisms to environmental changes. However, the mechanisms that mediate cross-talk between the nervous and immune systems, called neuroimmune interactions, are poorly understood. In this Review, we summarize advances in the understanding of neuroimmune communication, with a principal focus on the central nervous system (CNS): its response to immune signals and the immunological consequences of CNS activity. We highlight these themes primarily as they relate to neurological diseases, the control of immunity, and the regulation of complex behaviours. We also consider the importance and challenges linked to the study of the neuroimmune connectome, which is defined as the totality of neuroimmune interactions in the body, because this provides a conceptual framework to identify mechanisms of disease pathogenesis and therapeutic approaches. Finally, we discuss how the latest techniques can advance our understanding of the neuroimmune connectome, and highlight the outstanding questions in the field.
神经系统和免疫系统在生物体适应环境变化过程中发挥着互补作用。然而,介导神经系统和免疫系统之间相互作用(即神经免疫相互作用)的机制却鲜为人知。在本综述中,我们总结了在理解神经免疫通讯方面取得的进展,主要聚焦于中枢神经系统(CNS):它对免疫信号的反应以及中枢神经系统活动的免疫后果。我们主要围绕这些主题与神经疾病、免疫控制及复杂行为调节的关系展开阐述。我们还探讨了与神经免疫连接组研究相关的重要性和挑战,神经免疫连接组被定义为体内神经免疫相互作用的总和,因为它为确定疾病发病机制和治疗方法提供了概念框架。最后,我们讨论了最新技术如何推动我们对神经免疫连接组的理解,并突出了该领域尚未解决的问题。