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Gateway reflexes, neuronal circuits that regulate the autoreactive T cells in organs having blood barriers
Author(s) -
M. Uchida,
Reiji Yamamoto,
Shiina Matsuyama,
Kaoru Murakami,
Rie Hasebe,
Shintaro Hojyo,
Yuki Tanaka,
Masaaki Murakami
Publication year - 2021
Publication title -
international immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.86
H-Index - 134
eISSN - 1460-2377
pISSN - 0953-8178
DOI - 10.1093/intimm/dxab022
Subject(s) - reflex , neuroscience , gateway (web page) , homeostasis , immune system , neuronal circuits , central nervous system , stimulation , biology , blood–brain barrier , immunology , medicine , microbiology and biotechnology , computer science , world wide web
Gateway reflexes are neural circuits that maintain homeostasis of the immune system. They form gateways for autoreactive T cells to infiltrate the central nervous system in a noradrenaline-dependent manner despite the blood–brain barrier. This mechanism is critical not only for maintaining organ homeostasis but also for inflammatory disease development. Gateway reflexes can be regulated by environmental or artificial stimuli including electrical stimulation, suggesting that the infiltration of immune cells can be controlled by bioelectronic medicine. In this review, we describe the discovery of gateway reflexes and their future directions with special focus on bioelectronic medicine.

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