2003
DOI: 10.1001/archneur.60.1.132
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Are Astrocytes Central Players in the Pathophysiology of Multiple Sclerosis?

Abstract: An interaction between antimyelin T cells and antigen-presenting glial cells is a crucial step in the cascade of immune events that lead to the inflammatory lesions in multiple sclerosis (MS). One of the most debated and controversial issues is whether microglial cells or astrocytes are the key players in initiating the (auto)immune reactions in the central nervous system in MS. Many investigators consider microglia to be the responsible intrinsic immunoeffector cells. In this review, we speculate that in MS a… Show more

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Cited by 81 publications
(50 citation statements)
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“…The astrocytic expression of MHC class II molecules in multiple sclerosis may be a result of failure of noradrenergic suppression. This concept is consistent with the finding by the same group [48,[373][374] that white matter astrocytes in multiple sclerosis lack expression of β-adrenergic receptors (Fig. 3) and that by Frohman et al [310] that noradrenaline inhibits immune reactions by interfering with the effect of INF-γ on MHC class II expression.…”
Section: Multiple Sclerosis Canine Distemper and Eaesupporting
confidence: 91%
“…The astrocytic expression of MHC class II molecules in multiple sclerosis may be a result of failure of noradrenergic suppression. This concept is consistent with the finding by the same group [48,[373][374] that white matter astrocytes in multiple sclerosis lack expression of β-adrenergic receptors (Fig. 3) and that by Frohman et al [310] that noradrenaline inhibits immune reactions by interfering with the effect of INF-γ on MHC class II expression.…”
Section: Multiple Sclerosis Canine Distemper and Eaesupporting
confidence: 91%
“…However, there are discrepancies in the literature concerning the ability of astrocytes to act as fully competent APCs (Aloisi et al, 2000a;Becher et al, 2000;Cornet et al, 2000;Cross and Ku, 2000;Dong and Benveniste, 2001;Girvin et al, 2002;Weber et al, 1994). Moreover, the demonstration of MHC-positive astrocytes in pathological human brain remains a controversial topic, even in inflammatory neurological disorders such as multiple sclerosis (MS) (De Keyser et al, 2003;Gobin et al, 2001;Traugott and Raine, 1985). In Rasmussen's encephalitis (RE), a severe inflammatory epileptic encephalopathy of childhood, expression of MHC class I molecules has been reported in astrocytes (Bauer et al, 2007;Farrell et al, 1995), suggesting an MHC class I-restricted T-cell response as a possible mechanism for the occurrence of the astrocytic degeneration observed in RE (Bauer et al, 2007).…”
Section: Astrocytes As Innate-immune-competent Cells Astrocytes As Anmentioning
confidence: 99%
“…Astrocytes, the main glial cell type in the brain, help regulate aspects of inflammation in the CNS (reviewed in Dong & Benveniste, 2001) and may be involved in the pathogenesis of MS (reviewed in De Keyser et al, 2003). While evidence for CB 1 receptor expression by astrocytes has been found by some groups (Bouaboula et al, 1995;Sanchez et al, 1998;Moldrich & Wenger, 2000;Abood et al, 2001;Rodriguez et al, 2001;Molina-Holgado et al, 2002b;Salio et al, 2002), it has not been found by others (Sagan et al, 1999;Walter & Stella, 2003b).…”
Section: Glial Cells Express Cannabinoid Receptorsmentioning
confidence: 99%