The blood cerebrospinal fluid barrier orchestrates immunosurveillance, immunoprotection, and immunopathology in the central nervous system
Open accessAbstract
Once characterized as an immune privileged area, recent scientific advances have demonstrated that the central nervous system (CNS) is both immunologically active and a specialized site. The anatomical and cellular features of the brain barriers, the glia limitans, and other superficial coverings of the CNS endow the brain with specificity for immune cell entry and other macro- and micro-elements to the brain. Cellular trafficking via barriers comprised of tightly junctioned non-fenestrated endothelium or tightly regulated fenestrated epithelium results in different phenotypic and cellular changes in the brain, that is, inflammatory versus regulatory changes. Based on emerging evidence, we described the unique ability of the blood cerebrospinal fluid barrier (BCSFB) to recruit, skew, and suppress immune cells. Additionally, we sum up the current knowledge on both cellular and molecular mechanisms governed by the choroid plexus and the cerebrospinal fluid at the BCSFB for immunosurveillance, immunoprotection, and immunopathology. [BMB Reports 2021; 54(4): 196-202].
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BCSFB disruption impairs its selectivity, leading to increased infiltration of cytokines and leukocytes into the CSF, which then activate glial cells in the CNS.
“BCSFB disruption impaired the selectivity of it, leading to increased infiltration of cytokines and leukocytes into the CSF which then activated glial cells in the CNS.”
From Role of neuroinflammation in neurodegeneration development (2023) · cites this paper as [145]
The MS subsection (page unavailable) says loss of a tight-junction protein essential to BCSFB function enhances leukocyte infiltration into the CSF and brain parenchyma. The paper does not establish the rest of the proposed chain: increased cytokine infiltration into the CSF followed by activation of CNS glial cells. (LLM, conf=0.86)
Experimental — accuracy not yet measuredBCSFB disruption in AD is induced by proinflammatory cytokines or matrix metalloproteinase (MMP) expressed by choroid plexus epithelial cells.
“Numerous studies have revealed AD associated BCSFB disruption induced by proinflammatory cytokines or matrix metalloproteinase (MMP) expressed by CP epithelial cells.”
From Role of neuroinflammation in neurodegeneration development (2023) · cites this paper as [145]
The “Aging and AD” section reports BCSFB changes and disrupted choroid plexus–CSF function in AD. It does not attribute that disruption to proinflammatory cytokines or to matrix metalloproteinases expressed by choroid plexus epithelial cells; its AD discussion instead describes altered transthyretin transport and nitric-oxide signaling. No page numbers are available in our copy. (LLM, conf=0.88)
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Sorted by citations
Role of neuroinflammation in neurodegeneration development
Zhang, W., Xiao, D., Mao, Q., & Xia, H. (2023) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01486-5 · Cited by 1,668 · see citing works
“BCSFB disruption impaired the selectivity of it, leading to increased infiltration of cytokines and leukocytes into the CSF which then activated glial cells in the CNS.144,145 BCSFB acts as a gateway for inflammationresolving leukocyte entry into the CSF during immune responses through the constitutively expressed adh…”
BackgroundInfluential
- Authors
- Ayub, M., Jin, H. K., & Bae, J.-S.
- Affiliations
- Kyungpook National University (KR)
- Corresponding author
- Ayub, Maria
- Venue
- BMB Reports
- Published
- 2021-04-30
- Volume
- 54
- Issue
- 4
- Pages
- 196-202
- ISSN
- 1976-6696 (ISSN-L)
- 1976-670X
- PMC
- PMC8093941
- OpenAlex
- W3110772232
- Cited by
- 38
- References
- 4
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 4 · 2023: 11 · 2022: 5
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMB Reports (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Ministry of Science and ICT, South Korea (2017R1A4A1015652, 2020R1A2C3006875, 2020R1A2C3006734)
- Topics
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Cerebrospinal fluid and hydrocephalus
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- blood-CSF barrier, central nervous system immunity, immune surveillance, immunoprotection, immunopathology, choroid plexus, cerebrospinal fluid, immune cell trafficking, blood-brain barrier, immune privilege, neuroinflammation
- MeSH terms
- Blood-Brain Barrier, Central Nervous System, Humans
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