The brain cytokine orchestra in multiple sclerosis: from neuroinflammation to synaptopathology DOI Creative Commons
Roberta Amoriello, Christian Memo, Laura Ballerini

et al.

Molecular Brain, Journal Year: 2024, Volume and Issue: 17(1)

Published: Jan. 23, 2024

Abstract The central nervous system (CNS) is finely protected by the blood–brain barrier (BBB). Immune soluble factors such as cytokines (CKs) are normally produced in CNS, contributing to physiological immunosurveillance and homeostatic synaptic scaling. CKs peptide, pleiotropic molecules involved a broad range of cellular functions, with pivotal role resolving inflammation promoting tissue healing. However, pro-inflammatory can exert detrimental effect pathological conditions, spreading damage. In inflamed recruit immune cells, stimulate local production other inflammatory mediators, promote dysfunction. Our understanding neuroinflammation humans owes much study multiple sclerosis (MS), most common autoimmune demyelinating disease, which autoreactive T cells migrate from periphery CNS after encounter still unknown antigen. CNS-infiltrating produce that aggravate demyelination neurodegeneration. This review aims recapitulate state art about healthy focus on recent advances bridging adaptive neurophysiology.

Language: Английский

Hair follicle immune privilege and its collapse in alopecia areata DOI Open Access
Marta Bertolini, Kevin J. McElwee, Amos Gilhar

et al.

Experimental Dermatology, Journal Year: 2020, Volume and Issue: 29(8), P. 703 - 725

Published: July 18, 2020

Anagen stage hair follicles (HFs) exhibit "immune privilege (IP)" from the level of bulge downwards to bulb. Both passive and active IP mechanisms protect HFs physiologically undesired immune responses limit surveillance. is relative, not absolute, primarily based on absent, or greatly reduced, intra-follicular antigen presentation via MHC class I II molecules, along with prominent expression "no danger" signals like CD200 creation an immunoinhibitory signalling milieu generated by secretory activities HFs. Perifollicular mast cells, Tregs other immunocytes may also contribute HF maintenance in healthy human skin. Collapse anagen bulb essential prerequisite for development alopecia areata (AA). In AA, lesional are rapidly infiltrated NKG2D + T cells natural killer (NK) while perifollicular acquire a profoundly pro-inflammatory phenotype interact autoreactive CD8+ cells. Using animal models, significant functional evidence has accumulated that demonstrates dominance system AA pathogenesis. Purified CD8+T-cell NK cell populations alone, which secrete fγ, suffice induce phenotype, CD4+T-cells aggravate it, iNKT provide relative protection against development. While collapse be induced exogenous agents, inherent deficiencies might confer increased susceptibility some individuals. Thus, key goal effective management re-establishment IP, will superior disease relapse.

Language: Английский

Citations

209

Detrimental and protective action of microglial extracellular vesicles on myelin lesions: astrocyte involvement in remyelination failure DOI Creative Commons
Marta Lombardi, Roberta Parolisi, Federica Scaroni

et al.

Acta Neuropathologica, Journal Year: 2019, Volume and Issue: 138(6), P. 987 - 1012

Published: July 30, 2019

Microglia are highly plastic immune cells which exist in a continuum of activation states. By shaping the function oligodendrocyte precursor (OPCs), brain differentiate to myelin-forming cells, microglia participate both myelin injury and remyelination during multiple sclerosis. However, mode(s) action supporting or inhibiting repair is still largely unclear. Here, we analysed effects extracellular vesicles (EVs) produced vitro by either pro-inflammatory pro-regenerative on OPCs at demyelinated lesions caused lysolecithin injection mouse corpus callosum. Immunolabelling for proteins electron microscopy showed that EVs released blocked remyelination, whereas co-cultured with immunosuppressive mesenchymal stem promoted OPC recruitment repair. The molecular mechanisms responsible harmful beneficial EV actions were dissected primary cultures. exposing OPCs, cultured alone astrocytes, inflammatory EVs, observed blockade maturation only presence implicating these failure. Biochemical fractionation revealed astrocytes may be converted into cargo, as indicated immunohistochemical qPCR analyses, surface lipid components promote migration and/or differentiation, linking lipids Although through species enhance remain fully defined, provide first demonstration vesicular sphingosine 1 phosphate stimulates migration, fundamental step From this study, microglial emerge multimodal multitarget signalling mediators able influence around lesions, exploited develop novel approaches not sclerosis, but also neurological neuropsychiatric diseases characterized demyelination.

Language: Английский

Citations

152

Role of tumor necrosis factor-alpha in the central nervous system: a focus on autoimmune disorders DOI Creative Commons
Natalia Gonzalez Caldito

Frontiers in Immunology, Journal Year: 2023, Volume and Issue: 14

Published: July 7, 2023

Tumor necrosis factor-alpha (TNF-α) is a pleiotropic immune cytokine that belongs to the TNF superfamily of receptor ligands. The exists as either transmembrane or soluble molecule, and targets two distinct receptors, TNF-α 1 (TNFR1) 2 (TNFR2), which activate different signaling cascades downstream genes. cellular responses depend on its molecular form, targeted receptor, concentration levels. plays multifaceted role in normal physiology highly relevant human health disease. In central nervous system (CNS), this regulates homeostatic functions, such neurogenesis, myelination, blood-brain barrier permeability synaptic plasticity. However, it can also potentiate neuronal excitotoxicity CNS inflammation. pleiotropism various roles CNS, whether deleterious, only emphasizes functional complexity cytokine. Anti-TNF-α therapy has demonstrated effectiveness treating autoimmune inflammatory diseases emerged significant treatment option for diseases. Nevertheless, crucial recognize effects therapeutic target are diverse complex. Contrary initial expectations, anti-TNF-α been found have detrimental multiple sclerosis. This article focuses describing roles, both physiological pathological, CNS. Additionally, discusses specific disease processes dependent regulated by rationale use target.

Language: Английский

Citations

74

Cross-reactive EBNA1 immunity targets alpha-crystallin B and is associated with multiple sclerosis DOI Creative Commons
Olivia G. Thomas, Mattias Bronge, Katarina Tengvall

et al.

Science Advances, Journal Year: 2023, Volume and Issue: 9(20)

Published: May 17, 2023

Multiple sclerosis (MS) is an inflammatory disease of the central nervous system, for which and Epstein-Barr virus (EBV) infection a likely prerequisite. Due to homology between nuclear antigen 1 (EBNA1) alpha-crystallin B (CRYAB), we examined antibody reactivity EBNA1 CRYAB peptide libraries in 713 persons with MS (pwMS) 722 matched controls (Con). Antibody response amino acids 7 16 was associated (OR = 2.0), combination high responses positivity markedly increased risk 9.0). Blocking experiments revealed cross-reactivity homologous epitopes. Evidence T cell obtained mice CRYAB, CD4

Language: Английский

Citations

68

Multiple Sclerosis: Inflammatory and Neuroglial Aspects DOI Creative Commons
Giulio Papiri,

Giordano D’Andreamatteo,

Gabriella Cacchiò

et al.

Current Issues in Molecular Biology, Journal Year: 2023, Volume and Issue: 45(2), P. 1443 - 1470

Published: Feb. 8, 2023

Multiple sclerosis (MS) represents the most common acquired demyelinating disorder of central nervous system (CNS). Its pathogenesis, in parallel with well-established role mechanisms pertaining to autoimmunity, involves several key functions immune, glial and nerve cells. The disease’s natural history is complex, heterogeneous may evolve over a relapsing-remitting (RRMS) or progressive (PPMS/SPMS) course. Acute inflammation, driven by infiltration peripheral cells CNS, thought be relevant process during earliest phases RRMS, while disruption neural pathways energy metabolism, survival cascades, synaptic ionic homeostasis are mostly long-standing disease, such as forms. In this complex scenario, many originally distinctive neurodegenerative disorders being increasingly recognized crucial from beginning disease. present review aims at highlighting between MS, autoimmune diseases biology disorders. fact, there an unmet need explore new targets that might involved master regulators inflammation

Language: Английский

Citations

46

The (neuro)inflammatory system in anxiety disorders and PTSD: Potential treatment targets DOI Creative Commons
Anupam Sah, Nicolas Singewald

Pharmacology & Therapeutics, Journal Year: 2025, Volume and Issue: unknown, P. 108825 - 108825

Published: Feb. 1, 2025

Language: Английский

Citations

2

Tumor necrosis factor receptor-2 (TNFR2): an overview of an emerging drug target DOI
Juliane Medler, Harald Wajant

Expert Opinion on Therapeutic Targets, Journal Year: 2019, Volume and Issue: 23(4), P. 295 - 307

Published: March 11, 2019

Tumor necrosis factor (TNF) receptor 2 (TNFR2) is one of two receptors the cytokines, TNF and lymphotoxin-α. TNFR1 a strong inducer proinflammatory activities. TNFR2 has effects too, but it also elicits anti-inflammatory activities protective on oligodendrocytes, cardiomyocytes, keratinocytes. The may explain why inhibitors failed to be effective in diseases such as heart failure or multiple sclerosis, where been strongly implicated driving force. Stimulatory inhibitory targeting hence attracts considerable interest for treatment autoimmune cancer. Areas covered: Based brief description pathophysiological importance TNF-TNFR1/2 system, we discuss potential applications therapies. We debate activation way forward search TNFR2-specific agents. Expert opinion: use target regulatory T-cells attractive, this approach just amongst many suitable targets. With respect its preference Treg stimulation protection non-immune cells, more unique thus offers opportunities translational success.

Language: Английский

Citations

145

Review article: managing the adverse events caused by anti‐TNF therapy in inflammatory bowel disease DOI
Uday N. Shivaji,

C Sharratt,

Tom Thomas

et al.

Alimentary Pharmacology & Therapeutics, Journal Year: 2019, Volume and Issue: 49(6), P. 664 - 680

Published: Feb. 8, 2019

Biological therapy is currently widely used to treat IBD. Infliximab, adalimumab and golimumab are licensed anti-TNF therapies. Biosimilar monoclonal antibodies increasingly used. Anti-TNF therapies their adverse effects well characterised, may cause significant morbidity mortality in a small proportion of exposed patients. Gastroenterologists need understand the mechanisms for these effects, recognise swiftly manage such events appropriately.To cover range potential reactions as result biologic specifically management events.A Medline Pubmed search was undertaken. Search terms included were "anti-TNF," "infliximab" or "adalimumab" "golimumab" combined with keywords "ulcerative colitis" "Crohn's disease" "inflammatory bowel then narrowed articles containing "complications," "side effects" "adverse events" "safety profile." International guidelines also reviewed where relevant.Adverse discussed this review include infusion reactions, blood disorders infections (including bacterial, viral, fungal opportunistic infections) autoimmune, dermatological disorders, cardiac neurological conditions. Malignancies including solid organ, haematological those linked viral disease discussed.Anti-TNF has wide-ranging on immune system resulting spectrum Research advances improving understanding, recognition events.

Language: Английский

Citations

138

Astrocyte and Oligodendrocyte Cross-Talk in the Central Nervous System DOI Creative Commons
Erik Nutma,

Démi van Gent,

Sandra Amor

et al.

Cells, Journal Year: 2020, Volume and Issue: 9(3), P. 600 - 600

Published: March 3, 2020

Over the last decade knowledge of role astrocytes in central nervous system (CNS) neuroinflammatory diseases has changed dramatically. Rather than playing a merely passive response to damage it is clear that actively maintain CNS homeostasis by influencing pH, ion and water balance, plasticity neurotransmitters synapses, cerebral blood flow, are important immune cells. During disease become reactive hypertrophic, was long considered be pathogenic. However, recent studies reveal also have strong tissue regenerative role. Whilst most astrocyte research focuses on modulating neuronal function synaptic transmission little known about cross-talk between oligodendrocytes, myelinating cells CNS. This communication occurs via direct cell-cell contact as well secreted cytokines, chemokines, exosomes, signalling molecules. Additionally, this for glial development, triggering onset progression, stimulating regeneration repair. Its critical evident when fails. Here, we review emerging evidence astrocyte-oligodendrocyte health disease. Understanding pathways involved will insights into pathogenesis treatment diseases.

Language: Английский

Citations

132

A New Venue of TNF Targeting DOI Open Access
Sophie Steeland, Claude Libert, Roosmarijn E. Vandenbroucke

et al.

International Journal of Molecular Sciences, Journal Year: 2018, Volume and Issue: 19(5), P. 1442 - 1442

Published: May 11, 2018

The first Food and Drug Administration-(FDA)-approved drugs were small, chemically-manufactured highly active molecules with possible off-target effects, followed by protein-based medicines such as antibodies. Conventional antibodies bind a specific protein are becoming increasingly important in the therapeutic landscape. A very prominent class of biologicals anti-tumor necrosis factor (TNF) that applied several inflammatory diseases characterized dysregulated TNF levels. Marketing inhibitors revolutionized treatment Crohn’s disease. However, these also have undesired some them directly associated inherent nature this drug class, whereas others linked their mechanism action, being pan-TNF inhibition. effects can diverge at level format or receptor, we discuss consequences sepsis, autoimmunity neurodegeneration. Recently, researchers tried to design reduced side effects. These include more specificity targeting one neutralize cells. Alternatively, TNF-directed without typical antibody structure manufactured. Here, review complications related use conventional inhibitors, together anti-TNF alternatives benefits selective approaches different diseases.

Language: Английский

Citations

117