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Journal of Neuroimmune Pharmacology

, Volume 8, Issue 4, pp 791–806 | Cite as

Innate Immune Responses in the CNS: Role of Toll-Like Receptors, Mechanisms, and Therapeutic Opportunities in Multiple Sclerosis

  • Giulio Podda
  • Mukanthu Nyirenda
  • James Crooks
  • Bruno Gran
INVITED REVIEW

Abstract

Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system (CNS), which is considered immune-mediated. Our knowledge of innate immune mechanisms in the CNS and their implications for pathogenesis and treatment of multiple sclerosis (MS) are limited, particularly if compared with the body of literature on adaptive immune mechanisms. There is, however, growing understanding of the workings of the innate immune system and accordingly, of its potential role in driving immune-mediated pathology. Such mechanisms will be discussed in this review along with potential therapeutic opportunities. These may require blocking pathogenic innate immunity and in some cases, promoting its protective effects.

Keywords

Multiple sclerosis Autoimmune disease Experimental autoimmune encephalomyelitis Innate immunity Toll-like receptor T cell Antigen-presenting cell 

Notes

Acknowledgments

This work was supported in part by grants from the MS Society of Great Britain and Northern Ireland (Grant 863/07) and the Italian MS Society (Grant 2011/R/21) to BG. We are grateful to Dr Clett Erridge (University of Leicester) for helpful discussions.

Conflict of Interest

BG has received support from Biogen Idec, Bayer Schering, Teva UK, Merck Serono and Novartis for the attendance of scientific conferences and for research consumables used in MS research. He has been a Consultant to Merck Serono and Teva UK in MS-related projects.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Giulio Podda
    • 1
  • Mukanthu Nyirenda
    • 1
  • James Crooks
    • 1
  • Bruno Gran
    • 1
  1. 1.Division of Clinical NeurologyUniversity of NottinghamNottinghamUK

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