The Immunopathophysiology of Multiple Sclerosis

被引:111
作者
Wu, Gregory F. [1 ]
Alvarez, Enrique [1 ]
机构
[1] Washington Univ, Div Multiple Sclerosis, Dept Neurol, St Louis, MO 63110 USA
关键词
Multiple sclerosis; Neuroimmunology; Demyelination; Pathogenesis; MYELIN BASIC-PROTEIN; CENTRAL-NERVOUS-SYSTEM; EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS; APPEARING WHITE-MATTER; BLOOD-BRAIN-BARRIER; T-CELL RESPONSES; ANTIGEN-PRESENTING CELLS; EXPANDED PLASMA-CELLS; HELPER; 17; CELLS; CEREBROSPINAL-FLUID;
D O I
10.1016/j.ncl.2010.12.009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This review explores the principle features of the immunopathology of multiple sclerosis (MS), particularly relapsing-remitting MS. It highlights the emerging concepts in the pathogenesis of MS in the context of known features of pathology, including the characterization of cytokine networks promoting inflammatory damage of the central nervous system, B-cell involvement, and inflammatory damage of axons and neurons. This article preferentially focuses on MS rather than animal models of the disease, such as experimental autoimmune encephalomyelitis.
引用
收藏
页码:257 / +
页数:24
相关论文
共 142 条
[91]   Axon-glial signaling and the glial support of axon function [J].
Nave, Klaus-Armin ;
Trapp, Bruce D. .
ANNUAL REVIEW OF NEUROSCIENCE, 2008, 31 :535-561
[92]   Cytotoxic T lymphocytes in autoimmune and degenerative CNS diseases [J].
Neumann, H ;
Medana, IM ;
Bauer, J ;
Lassmann, H .
TRENDS IN NEUROSCIENCES, 2002, 25 (06) :313-319
[93]   Antibodies from inflamed central nervous system tissue recognize myelin oligodendrocyte glycoprotein [J].
O'Connor, KC ;
Appel, H ;
Bregoli, L ;
Call, ME ;
Catz, I ;
Chan, JA ;
Moore, NH ;
Warren, KG ;
Wong, SJ ;
Hafler, DA ;
Wucherpfennig, KW .
JOURNAL OF IMMUNOLOGY, 2005, 175 (03) :1974-1982
[94]   The dual nature of TH17 cells: shifting the focus to function [J].
O'Connor, William, Jr. ;
Zenewicz, Lauren A. ;
Flavell, Richard A. .
NATURE IMMUNOLOGY, 2010, 11 (06) :471-476
[95]   B7-H1 restricts neuroantigen-specific T cell responses and confines inflammatory CNS damage: Implications for the lesion pathogenesis of multiple sclerosis [J].
Ortler, Sonja ;
Leder, Christoph ;
Mittelbronn, Michel ;
Zozulya, Alla L. ;
Knolle, Percy A. ;
Chen, Lieping ;
Kroner, Antje ;
Wiendl, Heinz .
EUROPEAN JOURNAL OF IMMUNOLOGY, 2008, 38 (06) :1734-1744
[96]   The immunoglobulin G heavy chain repertoire in multiple sclerosis plaques is distinct from the heavy chain repertoire in peripheral blood lymphocytes [J].
Owens, GP ;
Burgoon, MP ;
Anthony, J ;
Kleinschmidt-DeMasters, BK ;
Gilden, DH .
CLINICAL IMMUNOLOGY, 2001, 98 (02) :258-263
[97]   Antibodies Produced by Clonally Expanded Plasma Cells in Multiple Sclerosis Cerebrospinal Fluid [J].
Owens, Gregory P. ;
Bennett, Jeffrey L. ;
Lassmann, Hans ;
O'Connor, Kevin C. ;
Ritchie, Alanna M. ;
Shearer, Andrew ;
Lam, Chiwah ;
Yu, Xiaoli ;
Birlea, Marius ;
DuPree, Cecily ;
Williamson, R. Anthony ;
Hafler, David A. ;
Burgoon, Mark P. ;
Gilden, Don .
ANNALS OF NEUROLOGY, 2009, 65 (06) :639-649
[98]   Elevated expression of CCR5 by myeloid (CD11c+) blood dendritic cells in multiple sclerosis and acute optic neuritis [J].
Pashenkov, M ;
Teleshova, N ;
Kouwenhoven, M ;
Kostulas, V ;
Huang, YM ;
Söderström, M ;
Link, H .
CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2002, 127 (03) :519-526
[99]  
Perry Arie., 2010, Practical surgical neuropathology a diagnostic approach
[100]   Transected neurites, apoptotic neurons, and reduced inflammation in cortical multiple sclerosis lesions [J].
Peterson, JW ;
Bö, L ;
Mörk, S ;
Chang, A ;
Trapp, BD .
ANNALS OF NEUROLOGY, 2001, 50 (03) :389-400