Cited by 83Autoimmune Neurological Disorders and TreatmentsNeuroinflammation and Neurodegeneration MechanismsPeripheral Neuropathies and Disorders

Innate Immunity in the Central Nervous System: A Missing Piece of the Autoimmune Encephalitis Puzzle?

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Wesselingh, Robb, Butzkueven, Helmut, Buzzard, Katherine, Tarlinton, David, O'Brien, Terence J., Monif, Mastura·2019·Frontiers in Immunology

Abstract

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].”

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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
Venue
Frontiers in Immunology
Published
2019-09-10
Volume
10
Pages
2066-2066
ISSN
1664-3224 (ISSN-L)
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
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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