Skull bone marrow channels as immune gateways to the central nervous system

Jose A Mazzitelli1,2,3,4, Fadi E Pulous5,6, Leon C D Smyth1,2

  • 1Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.

Nature Neuroscience
|November 23, 2023
PubMed

Insights

New research reveals skull and vertebral bone marrow channels supply immune cells to the central nervous system (CNS), impacting CNS health and disease. This discovery adds a new dimension to neuroimmune interactions.

Area of Science:

  • Neuroimmunology
  • Neuroscience
  • Hematology

Background:

  • The central nervous system (CNS) is surveilled by diverse immune cells.
  • Osseous channels, or 'skull channels', connect the meninges with skull and vertebral bone marrow.
  • These channels represent a novel pathway for neuroimmune interactions.

Purpose of the Study:

  • To discuss the anatomy of skull and vertebral bone marrow.
  • To explore the contribution of leukocytes from bone marrow to the meninges.
  • To examine the role of this hematopoietic output in CNS health and disease.

Main Methods:

  • Review of current understanding of skull and vertebral bone marrow anatomy.
  • Analysis of leukocyte contribution to the meninges.
  • Exploration of immune cell supply during health and disease.

Main Results:

  • Skull and vertebral bone marrow contribute leukocytes to the meninges.
  • These osseous channels play a role in CNS immune surveillance.
  • Hematopoietic output from bone marrow influences CNS health.

Conclusions:

  • Osseous channels represent a significant pathway for immune cell trafficking to the CNS.
  • Understanding this pathway is crucial for comprehending neuroimmune interactions in health and disease.
  • Further research into this system may offer new therapeutic targets for CNS disorders.