Cited by 985Multiple Sclerosis Research StudiesPsoriasis: Treatment and PathogenesisT-cell and B-cell Immunology

Multiple sclerosis: a complicated picture of autoimmunity

McFarland, Henry F, Martin, Roland·2007·Nature Immunology

Abstract

Understanding of autoimmune diseases, including multiple sclerosis, has expanded considerably in recent years. New insights have been provided by not only animal models but also studies of patients, often in conjunction with experimental therapies. It is accepted that autoimmune T cells mediate the early steps of new multiple sclerosis lesions, and although uncertainties remain about the specific targets of autoreactive T cells, several studies indicate myelin antigens. Recent findings obtained with both animal models and patients with multiple sclerosis indicate involvement of a T helper cell with a T(H)-17 phenotype, in contrast to previous data indicating that T helper type 1 cells are critical. Evidence has also been presented for CD8(+) and regulatory T cell populations, although their involvement remains to be established. Despite evidence supporting the idea that autoreactive T cells are involved in disease induction, cells of myeloid lineage, antibodies and complement as well as processes intrinsic to the central nervous system seem to determine the effector stages of tissue damage. Careful analysis of the alterations in immune processes should further advance knowledge of the relationship between the inflammatory component of this disease and the more diffuse degeneration of progressive multiple sclerosis.

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Crossref · 10.1038/ni1507

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  • Multiple sclerosis is the prototypical neuroinflammatory disease in which demyelination is thought to result from a T-cell mediated autoimmune attack on myelin.

    “Multiple sclerosis (MS) is the prototypical neuroinflammatory disease in which demyelination is thought to be related to a T-cell mediated autoimmune attack on myelin (McFarland and Martin, 2007).”

    From The Pathobiology of Vascular Dementia (2013) · cites this paper as McFarland and Martin, 2007

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Authors
McFarland, H. F., & Martin, R.
Affiliations
National Institutes of Health (US)
Corresponding author
McFarland, Henry F
Venue
Nature Immunology
Published
2007-09
Volume
8
Issue
9
Pages
913-919
ISSN
  • 1529-2908 (ISSN-L)
  • 1529-2916
OpenAlex
W2085412596
Cited by
985
References
88
Citations by year
2026: 5 · 2025: 12 · 2024: 25 · 2023: 20 · 2022: 32 · 2021: 55 · 2020: 41 · 2019: 57 · 2018: 47 · 2017: 57 · 2016: 53 · 2015: 75 · 2014: 86 · 2013: 65 · 2012: 73
FWCI
8.22
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Immunology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Gemeinnützige Hertie-Stiftung
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
  • Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
Keywords
multiple sclerosis, autoimmunity, autoreactive T cells, myelin antigens, Th17 cells, Th1 cells, CD8+ T cells, regulatory T cells, myeloid cells, complement system, autoantibodies, neuroinflammation, progressive multiple sclerosis, demyelination, animal models
MeSH terms
Animals, Central Nervous System, T-Lymphocytes, Helper-Inducer, Humans, Inflammation, Multiple Sclerosis, Autoimmunity, T-Lymphocyte Subsets, Interleukin-17

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