Cited by 685Multiple Sclerosis Research StudiesT-cell and B-cell ImmunologyBarrier Structure and Function Studies

Effector T cell interactions with meningeal vascular structures in nascent autoimmune CNS lesions.

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Bartholomäus, Ingo, Kawakami, Naoto, Odoardi, Francesca, Schläger, Christian, Miljkovic, Djordje, Ellwart, Joachim W., Klinkert, Wolfgang E. F., Flügel-Koch, Cassandra +3 more·2009·Nature

Abstract

The tissues of the central nervous system are effectively shielded from the blood circulation by specialized vessels that are impermeable not only to cells, but also to most macromolecules circulating in the blood. Despite this seemingly absolute seclusion, central nervous system tissues are subject to immune surveillance and are vulnerable to autoimmune attacks. Using intravital two-photon imaging in a Lewis rat model of experimental autoimmune encephalomyelitis, here we present in real-time the interactive processes between effector T cells and cerebral structures from their first arrival to manifest autoimmune disease. We observed that incoming effector T cells successively scanned three planes. The T cells got arrested to leptomeningeal vessels and immediately monitored the luminal surface, crawling preferentially against the blood flow. After diapedesis, the cells continued their scan on the abluminal vascular surface and the underlying leptomeningeal (pial) membrane. There, the T cells encountered phagocytes that effectively present antigens, foreign as well as myelin proteins. These contacts stimulated the effector T cells to produce pro-inflammatory mediators, and provided a trigger to tissue invasion and the formation of inflammatory infiltrations.

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Crossref · 10.1038/nature08478

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  • Definitive evidence of a non-redundant role for monocyte-derived APC in activating autoreactive T cells is lacking.

    “As both peripherally-derived and CNS-resident myeloid cells have been implicated in antigen presentation to autoreactive T cells, definitive evidence of a non-redundant role for monocyte-derived APC in activating autoreactive T cells is lacking.”
  • In the EAE mouse model of MS, autoreactive effector T cells first infiltrate the leptomeninges via the pial vasculature, are activated by antigen presenting meningeal/perivascular macrophages, and subsequently enter the CNS parenchyma, triggering lesion formation.

    “In the experimental autoimmune encephalomyelitis (EAE) mouse model of MS, autoreactive effector T cells first infiltrate the leptomeninges via the pial vasculature, are activated by antigen presenting meningeal/perivascular macrophages, and subsequently enter the CNS parenchyma, triggering lesion formation”

    From Living on the Edge of the CNS: Meninges Cell Diversity in Health and Disease (2021) · cites this paper as Bartholomäus et al., 2009

  • Immune surveillance and the initiation of CNS immune responses is dependent on antigen-presenting cells that reside alongside important barriers such as perivascular spaces, leptomeningeal vessels, the choroid plexus, and the subarachnoid space.

    “Immune surveillance and the initiation of CNS immune responses is dependent on antigen-presenting cells (APCs) that reside alongside important barriers such as perivascular spaces, leptomeningeal vessels, the choroid plexus, and the subarachnoid space (65-68).”
  • Early CD4+ T cell extravasation was observed primarily through leptomeningeal vasculature in the Lewis rat model of EAE, as well as the choroid plexus in the MOG35-55 model and, to a lesser extent, postcapillary venules in the CNS parenchyma.

    “Early CD4+ T cell extravasation was observed primarily through leptomeningeal vasculature in the Lewis rat model of EAE (66) as well as the choroid plexus in the MOG35-55 model (118) and, to a less extent, postcapillary venules in the CNS parenchyma.”

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References 36 · Cited by 685

Authors
Bartholomäus, I., Kawakami, N., Odoardi, F., Schläger, C., Miljkovic, D., Ellwart, J. W., Klinkert, W. E. F., Flügel-Koch, C., Issekutz, T. B., Wekerle, H., & Flügel, A.
Affiliations
  • Max Planck Institute of Neurobiology (DE)
  • Universitätsmedizin Göttingen (DE)
  • Helmholtz Munich (DE)
  • Dalhousie University (CA)
Corresponding author
  • Wekerle, Hartmut
  • Flügel, Alexander
Venue
Nature
Published
2009-10-14
Volume
462
Issue
7269
Pages
94-98
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W1993746949
Cited by
685
References
36
Citations by year
2026: 15 · 2025: 29 · 2024: 27 · 2023: 37 · 2022: 42 · 2021: 41 · 2020: 31 · 2019: 36 · 2018: 46 · 2017: 37 · 2016: 49 · 2015: 47 · 2014: 46 · 2013: 54 · 2012: 51
FWCI
34.05
Type
journal article
Language
en
Locations
  • Nature (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Max Planck Institute for Plasma Physics (submittedVersion)
  • Max Planck Digital Library (submittedVersion)
  • GoeScholar The Publication Server of the Georg-August-Universität Göttingen (Georg-August-Universität Göttingen) (submittedVersion, cc-by)
  • Site cant be reached (submittedVersion)
  • MPG.PuRe (Max Planck Society) (submittedVersion)
Funders
Deutsche Forschungsgemeinschaft
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
  • Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
Keywords
effector T cells, experimental autoimmune encephalomyelitis, multiple sclerosis, blood-brain barrier, transendothelial migration, myelin antigens, T cell activation, inflammatory cell infiltration, leptomeningeal vessels
MeSH terms
Animals, Antigen-Presenting Cells, Antigens, Cell Movement, Cells, Cultured, Central Nervous System Diseases, Encephalomyelitis, Autoimmune, Experimental, Meninges, Ovalbumin, Phagocytes, Rats, Inbred Lew, T-Lymphocytes, Mice, Rats

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