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.
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.
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.
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.
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
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
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.
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.
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.
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.