Abstract
The central nervous system (CNS) is partly shielded from the effector arms of the immune system. For example, a proportion of allogeneic grafts will survive in the CNS, whereas they would be rapidly rejected if implanted into skin. This protection is largely due to functions of the specialised cerebral endothelium, and the critical factors in this respect are:
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1.
Very low levels of leucocyte migration into normal CNS.
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2.
Low levels of immunologically important molecules, such as immunoglobulin and complement, in interstitial fluids and cerebrospinal fluid (CSF).
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3.
Limited access of antigens from the brain to the general immune system.
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Abbreviations
- APC:
-
Antigen presenting cell
- CSF:
-
Cerebrospinal fluid
- CNS:
-
Central Nervous System
- CREAE:
-
Chronic relapsing experimental allergic
- EAE:
-
Experimental allergic encephalomyelitis
- ELAM:
-
Endothelial leucocyte adhesion molecule
- ICAM-1:
-
Intercellular adhesion molecule 1
- IFN:
-
Interferon
- IgG:
-
Immunoglobulin G
- IL:
-
Interleutin
- LFA-3:
-
Lymphocyte functional antigen 3
- MBP:
-
Myelin basic protein
- MHC:
-
Major histocompatibility complex
- MS:
-
Multiple sceerosis
- PAF:
-
Platelet activating factor
- SMC:
-
Smooth muscle cell
- SSPE:
-
Subacute sclerosing Panencephalitis
- TNF:
-
Tumour necrosis factor
- VCAM:
-
Vascular cell adhesion molecule
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Male, D.K. (1992). Immunology of Brain Endothelium and the Blood-Brain Barrier. In: Bradbury, M.W.B. (eds) Physiology and Pharmacology of the Blood-Brain Barrier. Handbook of Experimental Pharmacology, vol 103. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76894-1_16
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DOI: https://doi.org/10.1007/978-3-642-76894-1_16
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