PMID- 1669702 OWN - NLM STAT- MEDLINE DCOM- 19940301 LR - 20191028 IS - 1015-6305 (Print) IS - 1015-6305 (Linking) VI - 1 IP - 2 DP - 1991 Jan TI - Migration of hematogenous cells through the blood-brain barrier and the initiation of CNS inflammation. PG - 97-105 AB - The central nervous system has long been considered an immunologically privileged site. Nevertheless, cells derived from the bone marrow can and do enter the CNS in a number of circumstances. Derivatives of the monocyte/macrophage lineage appear to enter and take up residence in various structures of the CNS as part of normal ontogeny and physiology. Immunocompetent cells, such as T-lymphocytes of both CD4 and CD8 positive groups, enter the nervous system in what appears to be a random fashion when they are activated by antigenic stimulation. These lymphocytes perform the required immunological surveillance of the CNS, and initiate inflammation therein during infectious and autoimmune reactions. In this review, the evidence supporting the above observations is examined, and a hypothesis for the pathogenesis of CNS inflammatory reactions is presented. FAU - Hickey, W F AU - Hickey WF AD - Department of Pathology, Washington University Medical School, Saint Louis, Missouri 63110. LA - eng GR - NS 27321/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - Switzerland TA - Brain Pathol JT - Brain pathology (Zurich, Switzerland) JID - 9216781 SB - IM GS - V&bgr;8.2 MH - Animals MH - Antigen-Presenting Cells/immunology/physiology MH - *Blood-Brain Barrier/physiology MH - Cell Movement MH - Central Nervous System Diseases/immunology/*physiopathology MH - Encephalomyelitis, Autoimmune, Experimental/immunology/physiopathology MH - Humans MH - Inflammation MH - Leukocytes/immunology/*physiology MH - Models, Biological MH - Monocytes/immunology/physiology MH - Multiple Sclerosis/immunology/physiopathology MH - Rats MH - T-Lymphocyte Subsets/immunology/physiology RF - 109 EDAT- 1991/01/01 00:00 MHDA- 1991/01/01 00:01 CRDT- 1991/01/01 00:00 PHST- 1991/01/01 00:00 [pubmed] PHST- 1991/01/01 00:01 [medline] PHST- 1991/01/01 00:00 [entrez] AID - 10.1111/j.1750-3639.1991.tb00646.x [doi] PST - ppublish SO - Brain Pathol. 1991 Jan;1(2):97-105. doi: 10.1111/j.1750-3639.1991.tb00646.x.