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Review
. 2023 Mar;24(3):393-407.
doi: 10.1038/s41590-022-01415-8. Epub 2023 Feb 9.

Mechanisms of myeloid cell entry to the healthy and diseased central nervous system

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Review

Mechanisms of myeloid cell entry to the healthy and diseased central nervous system

Lukas Amann et al. Nat Immunol. 2023 Mar.

Abstract

Myeloid cells in the central nervous system (CNS), such as microglia, CNS-associated macrophages (CAMs), dendritic cells and monocytes, are vital for steady-state immune homeostasis as well as the resolution of tissue damage during brain development or disease-related pathology. The complementary usage of multimodal high-throughput and high-dimensional single-cell technologies along with recent advances in cell-fate mapping has revealed remarkable myeloid cell heterogeneity in the CNS. Despite the establishment of extensive expression profiles revealing myeloid cell multiplicity, the local anatomical conditions for the temporal- and spatial-dependent cellular engraftment are poorly understood. Here we highlight recent discoveries of the context-dependent mechanisms of myeloid cell migration and settlement into distinct subtissular structures in the CNS. These insights offer better understanding of the factors needed for compartment-specific myeloid cell recruitment, integration and residence during development and perturbation, which may lead to better treatment of CNS diseases.

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