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The gut-meningeal immune axis: Priming brain defense against the most likely invaders.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Di Marco Barros, Rafael  ORCID logo  https://orcid.org/0000-0002-6484-2317
Fitzpatrick, Zachary 
Clatworthy, Menna R  ORCID logo  https://orcid.org/0000-0002-3340-9828

Abstract

The gastrointestinal tract contains trillions of microorganisms that exist symbiotically with the host due to a tolerant, regulatory cell-rich intestinal immune system. However, this intimate relationship with the microbiome inevitably comes with risks, with intestinal organisms being the most common cause of bacteremia. The vasculature of the brain-lining meninges contains fenestrated endothelium, conferring vulnerability to invasion by circulating microbes. We propose that this has evolutionarily led to close links between gut and meningeal immunity, to prime the central nervous system defense against the most likely invaders. This paradigm is exemplified by the dural venous sinus IgA defense system, where the antibody repertoire mirrors that of the gut.

Description

Funder: National Institutes of Health Research Cambridge Biomedical Research Center

Keywords

Animals, Gastrointestinal Microbiome, Gastrointestinal Tract, Humans, Immunoglobulin A, Meninges, Models, Immunological, Plasma Cells

Journal Title

J Exp Med

Conference Name

Journal ISSN

0022-1007
1540-9538

Volume Title

219

Publisher

Rockefeller University Press
Sponsorship
Medical Research Council (MR/S035842/1)
Wellcome Trust (220268/Z/20/Z)