PMID- 23072749 OWN - NLM STAT- MEDLINE DCOM- 20130221 LR - 20211021 IS - 1559-7016 (Electronic) IS - 0271-678X (Print) IS - 0271-678X (Linking) VI - 33 IP - 1 DP - 2013 Jan TI - Immunologic privilege in the central nervous system and the blood-brain barrier. PG - 13-21 LID - 10.1038/jcbfm.2012.153 [doi] AB - The brain is in many ways an immunologically and pharmacologically privileged site. The blood-brain barrier (BBB) of the cerebrovascular endothelium and its participation in the complex structure of the neurovascular unit (NVU) restrict access of immune cells and immune mediators to the central nervous system (CNS). In pathologic conditions, very well-organized immunologic responses can develop within the CNS, raising important questions about the real nature and the intrinsic and extrinsic regulation of this immune privilege. We assess the interactions of immune cells and immune mediators with the BBB and NVU in neurologic disease, cerebrovascular disease, and intracerebral tumors. The goals of this review are to outline key scientific advances and the status of the science central to both the neuroinflammation and CNS barriers fields, and highlight the opportunities and priorities in advancing brain barriers research in the context of the larger immunology and neuroscience disciplines. This review article was developed from reports presented at the 2011 Annual Blood-Brain Barrier Consortium Meeting. FAU - Muldoon, Leslie L AU - Muldoon LL AD - Department of Neurology, Oregon Health and Science University, Portland, OR, USA. FAU - Alvarez, Jorge I AU - Alvarez JI FAU - Begley, David J AU - Begley DJ FAU - Boado, Ruben J AU - Boado RJ FAU - Del Zoppo, Gregory J AU - Del Zoppo GJ FAU - Doolittle, Nancy D AU - Doolittle ND FAU - Engelhardt, Britta AU - Engelhardt B FAU - Hallenbeck, John M AU - Hallenbeck JM FAU - Lonser, Russell R AU - Lonser RR FAU - Ohlfest, John R AU - Ohlfest JR FAU - Prat, Alexandre AU - Prat A FAU - Scarpa, Maurizio AU - Scarpa M FAU - Smeyne, Richard J AU - Smeyne RJ FAU - Drewes, Lester R AU - Drewes LR FAU - Neuwelt, Edward A AU - Neuwelt EA LA - eng GR - R01 NS075840/NS/NINDS NIH HHS/United States GR - R13 NS076353/NS/NINDS NIH HHS/United States GR - R01 NS026945/NS/NINDS NIH HHS/United States GR - R37 NS038710/NS/NINDS NIH HHS/United States GR - R01 NS053716/NS/NINDS NIH HHS/United States GR - 9R13NS076353/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20121017 PL - United States TA - J Cereb Blood Flow Metab JT - Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism JID - 8112566 SB - IM MH - Animals MH - Blood-Brain Barrier/*immunology MH - Central Nervous System Diseases/*immunology MH - Endothelium, Vascular/immunology MH - Humans MH - Neurogenic Inflammation/*immunology MH - Neuroimaging MH - Neuroimmunomodulation PMC - PMC3597357 EDAT- 2012/10/18 06:00 MHDA- 2013/02/22 06:00 PMCR- 2014/01/01 CRDT- 2012/10/18 06:00 PHST- 2012/10/18 06:00 [entrez] PHST- 2012/10/18 06:00 [pubmed] PHST- 2013/02/22 06:00 [medline] PHST- 2014/01/01 00:00 [pmc-release] AID - jcbfm2012153 [pii] AID - 10.1038/jcbfm.2012.153 [doi] PST - ppublish SO - J Cereb Blood Flow Metab. 2013 Jan;33(1):13-21. doi: 10.1038/jcbfm.2012.153. Epub 2012 Oct 17.