What Guides Peripheral Immune Cells into the Central Nervous System?

Bibliographic Details
Title: What Guides Peripheral Immune Cells into the Central Nervous System?
Authors: Theresa Greiner, Markus Kipp
Source: Cells, Vol 10, Iss 8, p 2041 (2021)
Publisher Information: MDPI AG, 2021.
Publication Year: 2021
Collection: LCC:Cytology
Subject Terms: cuprizone, experimental autoimmune encephalomyelitis, multiple sclerosis, inflammation, Cytology, QH573-671
More Details: Multiple sclerosis (MS), an immune-mediated demyelinating disease of the central nervous system (CNS), initially presents with a relapsing-remitting disease course. During this early stage of the disease, leukocytes cross the blood–brain barrier to drive the formation of focal demyelinating plaques. Disease-modifying agents that modulate or suppress the peripheral immune system provide a therapeutic benefit during relapsing-remitting MS (RRMS). The majority of individuals with RRMS ultimately enter a secondary progressive disease stage with a progressive accumulation of neurologic deficits. The cellular and molecular basis for this transition is unclear and the role of inflammation during the secondary progressive disease stage is a subject of intense and controversial debate. In this review article, we discuss the following main hypothesis: during both disease stages, peripheral immune cells are triggered by CNS-intrinsic stimuli to invade the brain parenchyma. Furthermore, we outline the different neuroanatomical routes by which peripheral immune cells might migrate from the periphery into the CNS.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2073-4409
Relation: https://www.mdpi.com/2073-4409/10/8/2041; https://doaj.org/toc/2073-4409
DOI: 10.3390/cells10082041
Access URL: https://doaj.org/article/93471264b04d40749898c59f8a25872e
Accession Number: edsdoj.93471264b04d40749898c59f8a25872e
Database: Directory of Open Access Journals
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More Details
ISSN:20734409
DOI:10.3390/cells10082041
Published in:Cells
Language:English