The immunology of multiple sclerosis.


Journal

Nature reviews. Immunology
ISSN: 1474-1741
Titre abrégé: Nat Rev Immunol
Pays: England
ID NLM: 101124169

Informations de publication

Date de publication:
12 2022
Historique:
accepted: 30 03 2022
pubmed: 5 5 2022
medline: 30 11 2022
entrez: 4 5 2022
Statut: ppublish

Résumé

Our incomplete understanding of the causes and pathways involved in the onset and progression of multiple sclerosis (MS) limits our ability to effectively treat this complex neurological disease. Recent studies explore the role of immune cells at different stages of MS and how they interact with cells of the central nervous system (CNS). The findings presented here begin to question the exclusivity of an antigen-specific cause and highlight how seemingly distinct immune cell types can share common functions that drive disease. Innovative techniques further expose new disease-associated immune cell populations and reinforce how environmental context is critical to their phenotype and subsequent role in disease. Importantly, the differentiation of immune cells into a pathogenic state is potentially reversible through therapeutic manipulation. As such, understanding the mechanisms that provide plasticity to causal cell types is likely key to uncoupling these disease processes and may identify novel therapeutic targets that replace the need for cell ablation.

Identifiants

pubmed: 35508809
doi: 10.1038/s41577-022-00718-z
pii: 10.1038/s41577-022-00718-z
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

734-750

Subventions

Organisme : Medical Research Council
ID : MC_UU_00008/3
Pays : United Kingdom

Informations de copyright

© 2022. Springer Nature Limited.

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Auteurs

Kathrine E Attfield (KE)

Oxford Centre for Neuroinflammation, Nuffield Department of Clinical Neurosciences, Oxford University Hospitals, University of Oxford, Oxford, UK.

Lise Torp Jensen (LT)

Department of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark.

Max Kaufmann (M)

Institut für Neuroimmunologie und Multiple Sklerose, Zentrum für Molekulare Neurobiologie Hamburg, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.

Manuel A Friese (MA)

Institut für Neuroimmunologie und Multiple Sklerose, Zentrum für Molekulare Neurobiologie Hamburg, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.

Lars Fugger (L)

Oxford Centre for Neuroinflammation, Nuffield Department of Clinical Neurosciences, Oxford University Hospitals, University of Oxford, Oxford, UK. lars.fugger@ndcn.ox.ac.uk.
MRC Human Immunology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK. lars.fugger@ndcn.ox.ac.uk.

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