Lymphatics in Neurological Disorders: A neuro-lympho-vascular Component of Multiple Sclerosis and Alzheimer’s Disease
Identifieur interne : 003856 ( Pmc/Curation ); précédent : 003855; suivant : 003857Lymphatics in Neurological Disorders: A neuro-lympho-vascular Component of Multiple Sclerosis and Alzheimer’s Disease
Auteurs : Antoine Louveau ; Sandro Da Mesquita ; Jonathan KipnisSource :
- Neuron [ 0896-6273 ] ; 2016.
Abstract
Lymphatic vasculature drains interstitial fluids, which contain the tissue’s waste products and ensures immune surveillance of the tissues, allowing immune-cell recirculation. Until recently the central nervous system (CNS) was considered to be devoid of a conventional lymphatic vasculature. The recent discovery in the meninges of a lymphatic network that drains the CNS calls into question classic models for the drainage of macromolecules and immune cells from the CNS. In the context of neurological disorders, the presence of a lymphatic system draining the CNS potentially offers a new player and a new avenue for therapy. In this review, we will attempt to integrate the known primary functions of the tissue lymphatic vasculature that exists in peripheral organs with the proposed function of meningeal lymphatic vessels in neurological disorders, specifically multiple sclerosis and Alzheimer’s disease. We propose that these (and potentially other) neurological afflictions can be viewed as diseases with neuro-lympho-vascular component and should be therapeutically targeted as such.
Url:
DOI: 10.1016/j.neuron.2016.08.027
PubMed: 27608759
PubMed Central: 5019121
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<p id="P3">Lymphatic vasculature drains interstitial fluids, which contain the tissue’s waste products and ensures immune surveillance of the tissues, allowing immune-cell recirculation. Until recently the central nervous system (CNS) was considered to be devoid of a conventional lymphatic vasculature. The recent discovery in the meninges of a lymphatic network that drains the CNS calls into question classic models for the drainage of macromolecules and immune cells from the CNS. In the context of neurological disorders, the presence of a lymphatic system draining the CNS potentially offers a new player and a new avenue for therapy. In this review, we will attempt to integrate the known primary functions of the tissue lymphatic vasculature that exists in peripheral organs with the proposed function of meningeal lymphatic vessels in neurological disorders, specifically multiple sclerosis and Alzheimer’s disease. We propose that these (and potentially other) neurological afflictions can be viewed as diseases with neuro-lympho-vascular component and should be therapeutically targeted as such.</p>
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<title-group><article-title>Lymphatics in Neurological Disorders: A neuro-lympho-vascular Component of Multiple Sclerosis and Alzheimer’s Disease</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Louveau</surname>
<given-names>Antoine</given-names>
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<xref rid="FN2" ref-type="author-notes">*</xref>
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<contrib contrib-type="author"><name><surname>Mesquita</surname>
<given-names>Sandro Da</given-names>
</name>
<xref rid="FN2" ref-type="author-notes">*</xref>
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<contrib contrib-type="author"><name><surname>Kipnis</surname>
<given-names>Jonathan</given-names>
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<aff id="A1">Center for Brain Immunology and Glia, Department of Neuroscience, School of Medicine, University of Virginia. Charlottesville, VA 2908, USA</aff>
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<author-notes><corresp id="FN1"><label>#</label>
Correspondence: J.K. (<email>kipnis@virginia.edu</email>
), Tel: 001 434-983-3858, Fax: 001 434-982-4380</corresp>
<fn id="FN2" fn-type="equal"><label>*</label>
<p>EQUAL CONTRIBUTION</p>
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<pub-date pub-type="nihms-submitted"><day>27</day>
<month>8</month>
<year>2016</year>
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<pub-date pub-type="ppub"><day>7</day>
<month>9</month>
<year>2016</year>
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<pub-date pub-type="pmc-release"><day>07</day>
<month>9</month>
<year>2017</year>
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<volume>91</volume>
<issue>5</issue>
<fpage>957</fpage>
<lpage>973</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.neuron.2016.08.027</pmc-comment>
<abstract><title>Summary</title>
<p id="P3">Lymphatic vasculature drains interstitial fluids, which contain the tissue’s waste products and ensures immune surveillance of the tissues, allowing immune-cell recirculation. Until recently the central nervous system (CNS) was considered to be devoid of a conventional lymphatic vasculature. The recent discovery in the meninges of a lymphatic network that drains the CNS calls into question classic models for the drainage of macromolecules and immune cells from the CNS. In the context of neurological disorders, the presence of a lymphatic system draining the CNS potentially offers a new player and a new avenue for therapy. In this review, we will attempt to integrate the known primary functions of the tissue lymphatic vasculature that exists in peripheral organs with the proposed function of meningeal lymphatic vessels in neurological disorders, specifically multiple sclerosis and Alzheimer’s disease. We propose that these (and potentially other) neurological afflictions can be viewed as diseases with neuro-lympho-vascular component and should be therapeutically targeted as such.</p>
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