Named Series: Twenty Years of Brain, Behavior, and ImmunityRole of IL-1 and TNF in the brain: Twenty years of progress on a Dr. Jekyll/Mr. Hyde duality of the innate immune system
Introduction
Unlike the peripheral organs, the central nervous system (CNS) exhibits a relative absence of lymphatic drainage of the parenchyma, has a limited number of antigen-presenting cells (APCs) and the blood brain barrier (BBB) meticulously filtrates circulating elements. Furthermore, efficiency of every CNS functions and the health of its relatively fragile mostly non-renewable neuronal populations are dependent on tightly regulated extra- and intracellular events, such as the maintenance of strict ionic and glucose equilibrium, efficient removal of excessive metabolites and neurotransmitters, preservation of myelination and axonal integrity (retrograde transport) and proper blood perfusion and oxygenation. The reliance of the CNS on such a delicate state of homeostasis makes it very susceptible to permanent damage and neuronal death when equilibrium is lost in the advent of injuries. The CNS has its own innate immune system, which responds to exogenous pathogenic ligands as well as endogenous proteins produced by stressed or damaged neural cells. The role of this system and its inflammatory components has been intensively studied during the past two decades.
On one hand activation of the innate immune system and cytokine production control infections, remove debris and promote repair but on the other, they may promote various CNS pathologies, ranging from acute injuries to chronic neurodegenerative diseases. Although inflammation is a natural response to pathogens or tissue injuries, there is an on-going debate regarding the extent to which cytokines are involved in CNS homeostasis or diseases. This review highlights and discusses some of the major advancements made in this field since the cloning of the major proinflammatory cytokines, namely IL-1 and TNF-α.
Section snippets
1987: Era of the descriptive ligands
Already by 1987, many studies had concluded that inflammation arises in response to CNS injury (Giulian, 1987). Among the strongest piece of evidence supporting this conclusion was the observation that inflammatory cells, including ameboid microglia and invading blood-derived macrophages, appear in the area of injured neural tissues (Giulian, 1987). Soon thereafter, the hypothesis that inhibiting inflammation may limit clinical deterioration following CNS lesions gained in support, although the
1997: Era of the mechanistic receptors
Extraordinary progress has been made since 1997 in our understanding of the different cellular and molecular mechanisms associated with inflammation and the activity of proinflammatory cytokines and their consequences on the CNS cellular environment under different pathological circumstances. The increasing availability of gene knockout mice, advancements in imaging and histological technologies, along with facilitation in accessing information through the development of computer technologies
2007: Taming the beast
Inflammation is an extremely elaborated sequence of events involving multiple components whose activity seems to be determined by the activity of earlier components. Simply stated, if the beginning programs the end, then modulating the activity of early components may re-reprogram and disorganize the repair process. Importantly, evidence on which this hypothesis is based upon suggest that although impairing the activity of proinflammatory cytokines might translate into a beneficial
Acknowledgment
The Canadian Institutes of Health Research (CIHR) support our research on various projects related to the immune system and the CNS. Serge Rivest holds a Canadian Research Chair in Neuroimmunology. We thank all the students, postdocs and research professionals involved in this research program.
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