Revisiting the immune landscape post spinal cord injury: More than black and white

Spinal cord injury (SCI) induced catastrophic neurological disability is currently incurable, especially in elderly patients. Due to the limited axon regeneration capacity and hostile microenvironment in the lesion site, essential neural network reconstruction remains challenging. Owing to the blood...

Full description

Bibliographic Details
Main Authors: Liu Zhen-Gang, Yang Fan, Shi Jingwei, Chang Pengyu, Yu Shengman, Zhang Bo-Yin
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2022.963539/full
_version_ 1811297706860085248
author Liu Zhen-Gang
Yang Fan
Shi Jingwei
Chang Pengyu
Yu Shengman
Zhang Bo-Yin
author_facet Liu Zhen-Gang
Yang Fan
Shi Jingwei
Chang Pengyu
Yu Shengman
Zhang Bo-Yin
author_sort Liu Zhen-Gang
collection DOAJ
description Spinal cord injury (SCI) induced catastrophic neurological disability is currently incurable, especially in elderly patients. Due to the limited axon regeneration capacity and hostile microenvironment in the lesion site, essential neural network reconstruction remains challenging. Owing to the blood–spinal cord barrier (BSCB) created immune cells and cytokines isolation, the immune elements were incorrectly recognized as innocent bystanders during the SCI pathological process traditionally. Emerging evidence demonstrated that the central nervous system (CNS) is an “immunological quiescent” rather than “immune privileged” area, and the CNS-associated immune response played mixed roles which dedicate beneficial and detrimental contributions throughout the SCI process. Consequently, coordinating double-edged immunomodulation is vital to promote tissue repair and neurological recovery post-SCI. The comprehensive exploration and understanding of the immune landscape post-SCI are essential in establishing new avenues for further basic and clinical studies. In this context, this review summarizes the recent significant breakthroughs in key aspects of SCI-related immunomodulation, including innate and adaptive immune response, immune organ changes, and holistic immune status modification. Moreover, the currently existing immune-oriented therapies for SCI will be outlined.
first_indexed 2024-04-13T06:09:07Z
format Article
id doaj.art-afe6931aa2ff4c54ab4b29385c6b4f4c
institution Directory Open Access Journal
issn 1663-4365
language English
last_indexed 2024-04-13T06:09:07Z
publishDate 2022-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Aging Neuroscience
spelling doaj.art-afe6931aa2ff4c54ab4b29385c6b4f4c2022-12-22T02:59:09ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652022-12-011410.3389/fnagi.2022.963539963539Revisiting the immune landscape post spinal cord injury: More than black and whiteLiu Zhen-Gang0Yang Fan1Shi Jingwei2Chang Pengyu3Yu Shengman4Zhang Bo-Yin5Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Laboratory Medicine Center, China-Japan Union Hospital of Jilin University, Changchun, ChinaRadiotherapy Department, The First Bethune Hospital of Jilin University, Changchun, ChinaSchool of Laboratory Medicine, Beihua University, Jilin, ChinaDepartment of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun, ChinaSpinal cord injury (SCI) induced catastrophic neurological disability is currently incurable, especially in elderly patients. Due to the limited axon regeneration capacity and hostile microenvironment in the lesion site, essential neural network reconstruction remains challenging. Owing to the blood–spinal cord barrier (BSCB) created immune cells and cytokines isolation, the immune elements were incorrectly recognized as innocent bystanders during the SCI pathological process traditionally. Emerging evidence demonstrated that the central nervous system (CNS) is an “immunological quiescent” rather than “immune privileged” area, and the CNS-associated immune response played mixed roles which dedicate beneficial and detrimental contributions throughout the SCI process. Consequently, coordinating double-edged immunomodulation is vital to promote tissue repair and neurological recovery post-SCI. The comprehensive exploration and understanding of the immune landscape post-SCI are essential in establishing new avenues for further basic and clinical studies. In this context, this review summarizes the recent significant breakthroughs in key aspects of SCI-related immunomodulation, including innate and adaptive immune response, immune organ changes, and holistic immune status modification. Moreover, the currently existing immune-oriented therapies for SCI will be outlined.https://www.frontiersin.org/articles/10.3389/fnagi.2022.963539/fullspinal cord injurycentral nervous systemimmune cellsglial cellsimmunotherapy
spellingShingle Liu Zhen-Gang
Yang Fan
Shi Jingwei
Chang Pengyu
Yu Shengman
Zhang Bo-Yin
Revisiting the immune landscape post spinal cord injury: More than black and white
Frontiers in Aging Neuroscience
spinal cord injury
central nervous system
immune cells
glial cells
immunotherapy
title Revisiting the immune landscape post spinal cord injury: More than black and white
title_full Revisiting the immune landscape post spinal cord injury: More than black and white
title_fullStr Revisiting the immune landscape post spinal cord injury: More than black and white
title_full_unstemmed Revisiting the immune landscape post spinal cord injury: More than black and white
title_short Revisiting the immune landscape post spinal cord injury: More than black and white
title_sort revisiting the immune landscape post spinal cord injury more than black and white
topic spinal cord injury
central nervous system
immune cells
glial cells
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fnagi.2022.963539/full
work_keys_str_mv AT liuzhengang revisitingtheimmunelandscapepostspinalcordinjurymorethanblackandwhite
AT yangfan revisitingtheimmunelandscapepostspinalcordinjurymorethanblackandwhite
AT shijingwei revisitingtheimmunelandscapepostspinalcordinjurymorethanblackandwhite
AT changpengyu revisitingtheimmunelandscapepostspinalcordinjurymorethanblackandwhite
AT yushengman revisitingtheimmunelandscapepostspinalcordinjurymorethanblackandwhite
AT zhangboyin revisitingtheimmunelandscapepostspinalcordinjurymorethanblackandwhite