PMID- 19829296 OWN - NLM STAT- MEDLINE DCOM- 20091223 LR - 20230207 IS - 1476-4687 (Electronic) IS - 0028-0836 (Linking) VI - 462 IP - 7269 DP - 2009 Nov 5 TI - Effector T cell interactions with meningeal vascular structures in nascent autoimmune CNS lesions. PG - 94-8 LID - 10.1038/nature08478 [doi] AB - The tissues of the central nervous system are effectively shielded from the blood circulation by specialized vessels that are impermeable not only to cells, but also to most macromolecules circulating in the blood. Despite this seemingly absolute seclusion, central nervous system tissues are subject to immune surveillance and are vulnerable to autoimmune attacks. Using intravital two-photon imaging in a Lewis rat model of experimental autoimmune encephalomyelitis, here we present in real-time the interactive processes between effector T cells and cerebral structures from their first arrival to manifest autoimmune disease. We observed that incoming effector T cells successively scanned three planes. The T cells got arrested to leptomeningeal vessels and immediately monitored the luminal surface, crawling preferentially against the blood flow. After diapedesis, the cells continued their scan on the abluminal vascular surface and the underlying leptomeningeal (pial) membrane. There, the T cells encountered phagocytes that effectively present antigens, foreign as well as myelin proteins. These contacts stimulated the effector T cells to produce pro-inflammatory mediators, and provided a trigger to tissue invasion and the formation of inflammatory infiltrations. FAU - Bartholomaus, Ingo AU - Bartholomaus I AD - Max Planck Institute for Neurobiology, 82152 Martinsried, Germany. FAU - Kawakami, Naoto AU - Kawakami N FAU - Odoardi, Francesca AU - Odoardi F FAU - Schlager, Christian AU - Schlager C FAU - Miljkovic, Djordje AU - Miljkovic D FAU - Ellwart, Joachim W AU - Ellwart JW FAU - Klinkert, Wolfgang E F AU - Klinkert WE FAU - Flugel-Koch, Cassandra AU - Flugel-Koch C FAU - Issekutz, Thomas B AU - Issekutz TB FAU - Wekerle, Hartmut AU - Wekerle H FAU - Flugel, Alexander AU - Flugel A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20091014 PL - England TA - Nature JT - Nature JID - 0410462 RN - 0 (Antigens) RN - 9006-59-1 (Ovalbumin) SB - IM CIN - Nature. 2009 Nov 5;462(7269):41-2. PMID: 19890316 MH - Animals MH - Antigen-Presenting Cells/immunology MH - Antigens/immunology MH - Cell Movement MH - Cells, Cultured MH - Central Nervous System Diseases/*immunology/*pathology MH - Encephalomyelitis, Autoimmune, Experimental/*immunology/*pathology MH - Meninges/*blood supply/*immunology/pathology MH - Mice MH - Ovalbumin/immunology MH - Phagocytes/immunology MH - Rats MH - Rats, Inbred Lew MH - T-Lymphocytes/*immunology EDAT- 2009/10/16 06:00 MHDA- 2009/12/24 06:00 CRDT- 2009/10/16 06:00 PHST- 2009/07/06 00:00 [received] PHST- 2009/09/01 00:00 [accepted] PHST- 2009/10/16 06:00 [entrez] PHST- 2009/10/16 06:00 [pubmed] PHST- 2009/12/24 06:00 [medline] AID - nature08478 [pii] AID - 10.1038/nature08478 [doi] PST - ppublish SO - Nature. 2009 Nov 5;462(7269):94-8. doi: 10.1038/nature08478. Epub 2009 Oct 14.