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Updated: Jul 3, 2025

Isolating Central Nervous System Tissues and Associated Meninges for the Downstream Analysis of Immune cells
Published on: May 19, 2020
Interactions between CNS and immune cells in tuberculous meningitis
Quan Ma1, Jinyun Chen1, Xingxing Kong1
1National Clinical Research Center for Infectious Disease, Shenzhen Third People's Hospital, Shenzhen, Guangdong, China.
Insights
This review explores the crucial role of central nervous system (CNS) immune cells, like microglia and macrophages, in the development of tuberculous meningitis (TBM). Understanding these interactions is key to combating this severe Mycobacterium tuberculosis infection.
Area of Science:
- Neuroimmunology
- Infectious Diseases
Background:
- The central nervous system (CNS) possesses a unique immune system, including microglia and CNS-associated macrophages (CAMs).
- Tuberculous meningitis (TBM), caused by Mycobacterium tuberculosis (M.tb), is a severe CNS infection with high mortality and disability.
- Immune cells, such as macrophages and microglia, are vital for CNS development and defense against pathogens.
Purpose of the Study:
- To review current knowledge on CNS immune cells in the initiation and progression of TBM.
- To explore the intricate interactions between CNS immune cells and the brain during TBM.
Main Methods:
- Literature review of recent advances in CNS immunology and TBM research.
- Synthesis of information on the roles of microglia, macrophages, and other immune cells in TBM pathogenesis.
Main Results:
- CNS immune cells, particularly microglia and macrophages, play a significant role in TBM development.
- Specific interactions between these immune cells and the CNS environment influence disease outcomes.
- Understanding these cellular dynamics is crucial for TBM pathogenesis.
Conclusions:
- CNS immune cells are central to the pathogenesis of tuberculous meningitis.
- Further research combining modern techniques is needed to fully elucidate the role of CNS immune cells in TBM.
- Targeting CNS immune responses may offer future therapeutic strategies for TBM.
Abstract:
The central nervous system (CNS) harbors its own special immune system composed of microglia in the parenchyma, CNS-associated macrophages (CAMs), dendritic cells, monocytes, and the barrier systems within the brain. Recently, advances in the immune cells in the CNS provided new insights to understand the development of tuberculous meningitis (TBM), which is the predominant form of Mycobacterium tuberculosis (M.tb) infection in the CNS and accompanied with high mortality and disability. The development of the CNS requires the protection of immune cells, including macrophages and microglia, during embryogenesis to ensure the accurate development of the CNS and immune response following pathogenic invasion. In this review, we summarize the current understanding on the CNS immune cells during the initiation and development of the TBM. We also explore the interactions of immune cells with the CNS in TBM. In the future, the combination of modern techniques should be applied to explore the role of immune cells of CNS in TBM.
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