Type 2 Inflammatory Responses in Autoimmune Demyelination of the Central Nervous System: Recent Advances

Type 2 immunity has long been confined to a restricted spectrum of responses, mostly including allergic reactions to innocuous environmental triggers. However, growing evidence suggests that cells and mediators typically associated with type 2 inflammation are involved in several physiopathological...

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Main Author: Massimo Costanza
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2019/4204512
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author Massimo Costanza
author_facet Massimo Costanza
author_sort Massimo Costanza
collection DOAJ
description Type 2 immunity has long been confined to a restricted spectrum of responses, mostly including allergic reactions to innocuous environmental triggers. However, growing evidence suggests that cells and mediators typically associated with type 2 inflammation are involved in several physiopathological conditions, such as defense against toxic substances, anticancer immunity, and autoimmune diseases. In neuromyelitis optica, an autoimmune demyelinating disorder of the spinal cord and optic nerve, eosinophils extensively infiltrate lesions in the central nervous system (CNS) and promote tissue pathology in experimental models of this disease. Next-generation sequencing of CD4+ T cells isolated from a specific subtype of multiple sclerosis plaque has uncovered an unexpectedly Th2 profile of these cells. Even mast cells and other allergic mediators have been implicated in the modulation and/or effector mechanisms of autoimmune reactions against the CNS. In this review article, the most recent developments showing the involvement of type 2 inflammatory components in CNS autoimmunity are summarised and possible lines of further investigation are discussed.
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spelling doaj-art-1c648adfce33411e85242de22a967d0d2025-02-03T01:01:56ZengWileyJournal of Immunology Research2314-88612314-71562019-01-01201910.1155/2019/42045124204512Type 2 Inflammatory Responses in Autoimmune Demyelination of the Central Nervous System: Recent AdvancesMassimo Costanza0Department of Clinical Neuroscience, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, ItalyType 2 immunity has long been confined to a restricted spectrum of responses, mostly including allergic reactions to innocuous environmental triggers. However, growing evidence suggests that cells and mediators typically associated with type 2 inflammation are involved in several physiopathological conditions, such as defense against toxic substances, anticancer immunity, and autoimmune diseases. In neuromyelitis optica, an autoimmune demyelinating disorder of the spinal cord and optic nerve, eosinophils extensively infiltrate lesions in the central nervous system (CNS) and promote tissue pathology in experimental models of this disease. Next-generation sequencing of CD4+ T cells isolated from a specific subtype of multiple sclerosis plaque has uncovered an unexpectedly Th2 profile of these cells. Even mast cells and other allergic mediators have been implicated in the modulation and/or effector mechanisms of autoimmune reactions against the CNS. In this review article, the most recent developments showing the involvement of type 2 inflammatory components in CNS autoimmunity are summarised and possible lines of further investigation are discussed.http://dx.doi.org/10.1155/2019/4204512
spellingShingle Massimo Costanza
Type 2 Inflammatory Responses in Autoimmune Demyelination of the Central Nervous System: Recent Advances
Journal of Immunology Research
title Type 2 Inflammatory Responses in Autoimmune Demyelination of the Central Nervous System: Recent Advances
title_full Type 2 Inflammatory Responses in Autoimmune Demyelination of the Central Nervous System: Recent Advances
title_fullStr Type 2 Inflammatory Responses in Autoimmune Demyelination of the Central Nervous System: Recent Advances
title_full_unstemmed Type 2 Inflammatory Responses in Autoimmune Demyelination of the Central Nervous System: Recent Advances
title_short Type 2 Inflammatory Responses in Autoimmune Demyelination of the Central Nervous System: Recent Advances
title_sort type 2 inflammatory responses in autoimmune demyelination of the central nervous system recent advances
url http://dx.doi.org/10.1155/2019/4204512
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