Innate Immunity in the Central Nervous System: A Missing Piece of the Autoimmune Encephalitis Puzzle?
Open accessAbstract
The autoimmune encephalitides are a group of autoimmune conditions targeting the central nervous system and causing severe clinical symptoms including drug-resistant seizures, cognitive dysfunction and psychiatric disturbance. Although these disorders appear to be antibody mediated, the role of innate immune responses needs further clarification. Infiltrating monocytes and microglial proliferation at the site of pathology could contribute to the pathogenesis of the disease with resultant blood brain barrier dysfunction, and subsequent activation of adaptive immune response. Both innate and adaptive immune cells can produce pro-inflammatory molecules which can perpetuate ongoing neuroinflammation and drive ongoing seizure activity. Ultimately neurodegenerative changes can ensue with resultant long-term neurological sequelae that can impact on ongoing patient morbidity and quality of life, providing a potential target for future translational research.
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Increased levels of CRP and its proinflammatory activity can drive CNS inflammation through microglia and astrocytes activation.
“Moreover, increased levels of CRP and its proinflammatory activity can drive CNS inflammation through microglia and astrocytes activation [40,41,42].”
From C-Reactive protein as a biomarker for major depressive disorder? (2022) · cites this paper as [42]
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- Authors
- Wesselingh, R., Butzkueven, H., Buzzard, K., Tarlinton, D., O'Brien, T. J., & Monif, M.
- Affiliations
- The Alfred Hospital (AU)
- Eastern Health (AU)
- Monash University (AU)
- Corresponding author
- Monif, Mastura
- ORCID
- Venue
- Frontiers in Immunology
- Publisher
- Frontiers Media SA
- Published
- 2019-09-10
- Volume
- 10
- Pages
- 2066-2066
- ISSN
- 1664-3224 (ISSN-L)
- PMC
- PMC6746826
- OpenAlex
- W2968152568
- Cited by
- 83
- References
- 148
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 11 · 2023: 15 · 2022: 10 · 2021: 18 · 2020: 10
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Immunology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Monash University Research Portal (Monash University) (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Autoimmune Neurological Disorders and Treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Neurology › Peripheral Neuropathies and Disorders
- Keywords
- autoimmune encephalitis, innate immunity, neuroinflammation, microglia, monocytes, blood-brain barrier dysfunction, adaptive immune response, proinflammatory molecules, seizures, neurodegeneration, central nervous system autoimmunity
- MeSH terms
- Autoimmune Diseases, Blood-Brain Barrier, Central Nervous System, Disease Susceptibility, Encephalitis, Humans, Immunity, Innate, Monocytes, Biomarkers, Autoimmunity, Microglia, Hashimoto Disease, Adaptive Immunity
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