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Gateway Reflex and Mechanotransduction.

Shiina Matsuyama1, Yuki Tanaka1,2, Rie Hasebe1

  • 1Molecular Psychoimmunology, Institute for Genetic Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Frontiers in Immunology
|January 10, 2022
PubMed
Summary

The gateway reflex uses neural signals and noradrenaline to guide autoreactive T cells across blood-barriers, causing inflammation. Mechanosensory transduction via TRPV1 channels is key to this process.

Keywords:
CD4+ T cellsgateway reflexinflammationmechanotransductiontissue specific autoimmune diseases

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Area of Science:

  • Neuroimmunology
  • Physiology

Background:

  • Autoreactive CD4+ T cells can cause inflammation in protected tissues like the central nervous system and retina.
  • The gateway reflex describes a mechanism for T cell entry into these tissues.

Purpose of the Study:

  • To review the gateway reflex mechanism.
  • To highlight the role of mechanosensory transduction in this reflex.

Main Methods:

  • Review of existing literature on the gateway reflex.
  • Focus on the role of neural activation, noradrenaline, and mechanotransduction.

Main Results:

  • Neural activation by external stimuli triggers noradrenaline release.
  • Noradrenaline increases chemokine expression and reduces tight junctions, facilitating T cell accumulation.
  • Transient receptor potential vanilloid 1 (TRPV1) channels are crucial for sensing mechanical stimuli.

Conclusions:

  • The gateway reflex provides a pathway for autoreactive T cells to breach tissue barriers.
  • Mechanotransduction is a critical component of the gateway reflex, influencing immune cell trafficking.