Mononuclear phagocytes in autoimmune neuroinflammation

Trends Immunol. 2024 Oct;45(10):814-823. doi: 10.1016/j.it.2024.08.005. Epub 2024 Sep 21.

Abstract

A healthy mammalian central nervous system (CNS) harbors a diverse population of leukocytes including members of the mononuclear phagocyte system (MPS). Exerting their specific functions, CNS tissue-resident macrophages as well as associated monocytes and dendritic cells (DCs) maintain CNS homeostasis. Under neuroinflammatory conditions, leukocytes from the systemic immune compartment invade the CNS. This review focuses on the newly discovered roles of the MPS in autoimmune neuroinflammation elicited by encephalitogenic T cells. We propose that CNS-associated DCs act as gatekeepers and antigen-presenting cells that guide the adaptive immune response while bone marrow (BM)-derived monocytes contribute to immunopathology and tissue damage. By contrast, CNS-resident macrophages primarily support tissue function and promote the repair and maintenance of CNS functions.

Keywords: BAMs; EAE; dendritic cells; microglia; monocytes; multiple sclerosis; neuroinflammation; phagocytes.

Publication types

  • Review

MeSH terms

  • Animals
  • Autoimmune Diseases / immunology
  • Autoimmunity
  • Central Nervous System / immunology
  • Dendritic Cells / immunology
  • Humans
  • Macrophages / immunology
  • Monocytes / immunology
  • Mononuclear Phagocyte System / immunology
  • Neuroinflammatory Diseases* / immunology
  • Neuroinflammatory Diseases* / pathology
  • Phagocytes / immunology
  • T-Lymphocytes / immunology