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The gateway reflex: breaking through the blood barriers
Kaoru Murakami1, Yuki Tanaka1,2, Masaaki Murakami1,2
1Division of Psychoimmunology, Institute for Genetic Medicine, Hokkaido University, Nishi 7, Kita 15 jo, Kita-ku, Sapporo 060-0808, Hokkaido, Japan.
Abstract:
We have been studying inflammatory diseases, with a special focus on IL-6, and discovered two concepts related to inflammation development. One is the gateway reflex, which is induced by the activation of specific neural circuits followed by establishing gateways for autoreactive CD4+ T cells to pass through blood barriers toward the central nervous system (CNS) and retina during tissue-specific inflammatory diseases. We found that the formation of these gateways is dependent on the IL-6 amplifier, which is machinery for enhanced NF-κB activation in endothelial cells at specific sites. We have found five gateway reflexes in total. Here, we introduce the gateway reflex and the IL-6 amplifier.
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