T-cell surveillance of the human brain in health and multiple sclerosis.

T-cell surveillance of the human brain in health and multiple sclerosis.
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DOI:
10.1007/s00281-022-00926-8
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发表时间:
2022-11
影响因子:
9
通讯作者:
Hamann, Jorg
Hamann, Jorg
中科院分区:
医学1区
文献类型:
--
作者:
Smolders, Joost;van Luijn, Marvin M.;Hsiao, Cheng-Chih;Hamann, Jorg

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循环和组织驻留T细胞在保护组织免受有害感染和恶性转化方面合作,但也可以引发自身免疫反应。由于中枢神经系统(CNS)的区室化组织,T细胞在大脑中的类似作用不太明显。近年来,T细胞靶向药物在早期多发性硬化症(MS)患者中的有益和偶然的有害作用增加了对T细胞巡逻CNS的兴趣。除了关注脑脊液中T细胞的研究外,还报道了位于血管周围间隙和脑膜以及MS病变实质中的T细胞的表型特征。我们在这里总结了目前关于T细胞浸润健康和MS大脑的知识,并认为了解T细胞生理CNS监视的动态可能会提高对病理条件(如MS)的理解。
Circulating and tissue-resident T cells collaborate in the protection of tissues against harmful infections and malignant transformation but also can instigate autoimmune reactions. Similar roles for T cells in the brain have been less evident due to the compartmentized organization of the central nervous system (CNS). In recent years, beneficial as well as occasional, detrimental effects of T-cell-targeting drugs in people with early multiple sclerosis (MS) have increased interest in T cells patrolling the CNS. Next to studies focusing on T cells in the cerebrospinal fluid, phenotypic characteristics of T cells located in the perivascular space and the meninges as well as in the parenchyma in MS lesions have been reported. We here summarize the current knowledge about T cells infiltrating the healthy and MS brain and argue that understanding the dynamics of physiological CNS surveillance by T cells is likely to improve the understanding of pathological conditions, such as MS.
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