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Overview of Mechanisms Underlying Neuroimmune Diseases

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Neuroimmune Diseases

Part of the book series: Contemporary Clinical Neuroscience ((CCNE))

Abstract

The neuroimmune diseases are caused by autoimmune demyelination, opportunistic and neurotrophic infections, paraneoplastic conditions, neurodegeneration, and neuropsychiatric disorders. These diseases are multifactorial, complex, and heterogeneous with varied clinical and pathological features and often triggered by the interplay of genetics, environmental factors, and dysregulated immune activation. The molecular mimicry of neuronal antigens, generation of onconeural antigens, inflammation-induced neuronal antigen release, and cross-presentation are thought to activate the autoreactive T and B lymphocytes. The activation of several innate immune pathways, generation of effector T cells, production of autoantibodies, inflamed blood-brain barrier, and activated microglia, astrocytes, oligodendrocytes, and neurons are known to contribute to the development of neuronal diseases. The majority of current research is focused on the genetic association, biomarker discovery, differential diagnosis, treatment choices, and identification of immunological and neurological basis of neuroimmune diseases. In this chapter, we discuss the clinical and pathological features of neuroimmune diseases and also present an overview of the current understanding of the immunological and neurological mechanisms. We also highlighted the cellular and molecular interactions in the generation of autoantibodies, inflammatory CD4+ and CD8+ T cells, reactive microglia and astrocytes, and importance of the blood-brain barrier in neuroinflammation and autoimmunity.

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Abbreviations

AChR:

acetylcholine receptor

AD:

Alzheimer’s disease

ADEM:

acute disseminated encephalomyelitis

ALS:

amyotrophic lateral sclerosis

AMPA:

α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid

ANNA-1:

anti-neuronal nuclear antibody type 1

AQP4:

aquaporin 4

ASD:

autism spectrum disorder

BBB:

blood-brain barrier

BCSFB:

blood-cerebrospinal fluid barrier

BNB:

blood-nerve barrier

Bregs:

regulatory B cells

Caspr2:

anti-contactin-associated protein 2

CNS:

central nervous system

CSF:

cerebrospinal fluid

DAMPs:

damage-associated molecular patterns

EAE:

experimental autoimmune encephalomyelitis

GABA:

gamma-aminobutyric acid

GAD65:

glutamic acid decarboxylase 65

HD:

Huntington’s disease

HSV:

herpes simplex virus

HTT:

huntingtin

LGI1:

leucine-rich glioma-inactivated-1

MAG:

myelin-associated glycoprotein

MBP:

myelin basic protein

mGluR:

metabotropic glutamate receptor

MOG:

myelin oligodendrocyte glycoprotein

MRI:

magnetic resonance imaging

MS:

multiple sclerosis

NMDA:

anti-N-methyl-D-aspartate

NMOSD:

neuromyelitis optica spectrum disorders

PCA2:

Purkinje cell cytoplasmic antibody 2

PD:

Parkinson’s disease

PML:

progressive multifocal leukoencephalopathy

PP-MS:

primary progressive multiple sclerosis

RR-MS:

relapsing-remitting multiple sclerosis

SCLC:

small-cell lung carcinoma

SLE:

systemic lupus erythematosus

SOD1:

superoxide dismutase 1

SP-MS:

secondary progressive multiple sclerosis

SPS:

stiff-person syndrome

Tregs:

regulatory CD4+ T cells

TREM2:

triggering receptor expressed on myeloid cells 2

Trm:

tissue-resident memory T cells

VZV:

varicella-zoster virus

WNV:

West Nile virus

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Sonar, S.A., Lal, G. (2019). Overview of Mechanisms Underlying Neuroimmune Diseases. In: Mitoma, H., Manto, M. (eds) Neuroimmune Diseases. Contemporary Clinical Neuroscience. Springer, Cham. https://doi.org/10.1007/978-3-030-19515-1_1

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