Analysis of leukocyte extravasation across the blood-brain barrier: conceptual and technical aspects

Melissa K Callahan1, Richard M Ransohoff

  • 1Department of Neurosciences, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA.

Insights

The central nervous system (CNS) is immune competent, not privileged. Chemokines guide leukocyte migration into the CNS through distinct steps, interacting with unique CNS features like the blood-brain barrier.

Area of Science:

  • Neuroimmunology
  • Cellular Biology

Background:

  • The central nervous system (CNS) was traditionally viewed as immunologically privileged.
  • Emerging evidence suggests the CNS is immune competent, exhibiting atypical immune responses.

Purpose of the Study:

  • To review the distinct steps of leukocyte trafficking into the CNS.
  • To elucidate the role of chemokines in guiding leukocyte migration across the blood-brain barrier.

Main Methods:

  • Review of existing literature on leukocyte trafficking and chemokine function in the CNS.
  • Analysis of CNS-specific anatomic and physiologic attributes influencing immune cell migration.

Main Results:

  • Leukocyte migration into the CNS involves several discrete steps, similar to peripheral organs.
  • Chemokines play a crucial role in governing leukocyte extravasation into the CNS.
  • Unique CNS features, including the blood-brain barrier, modulate chemokine interactions.

Conclusions:

  • The CNS's immune competence necessitates a detailed understanding of leukocyte migration mechanisms.
  • Considering individual stages of extravasation is key to elucidating CNS immune responses.
  • Further research into stage-specific mechanisms will advance neuroimmunology.