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  4. Inflammatory response in traumatic brain and spinal cord injury: The role of XCL1-­XCR1 axis and T cells

Inflammatory response in traumatic brain and spinal cord injury: The role of XCL1-­XCR1 axis and T cells

CNS Neurosci Ther, 2024 · DOI: 10.1111/cns.14781 · Published: May 11, 2024

Spinal Cord InjuryImmunologyBrain Injury

Simple Explanation

Traumatic brain injury (TBI) and spinal cord injury (SCI) are injuries to the central nervous system caused by external forces, leading to impairments and potential long-term disability. The inflammatory response contributes significantly to secondary injury in TBI and SCI, prolonging the post-CNS trauma period and becoming a potential therapeutic intervention. This review aims to provide an overview of the role of the XCL1-XCR1 axis and the T-cell response in inflammation caused by TBI and SCI and identify potential targets for therapy.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    This study examines the upstream and downstream pathways involved in inflammation caused by TBI and SCI, including interleukins, T cells, NK cells, XCL1, XCR1+ dendritic cells, and interferon-gamma, describing their proinflammatory effect.
  • 2
    The findings suggest that the XCL1-XCR1 axis and the T-cell response have great potential for preclinical investigations and treatments for TBI and SCI.
  • 3
    Following SCI, there is a rapid surge in interleukin-15 (IL-15) within 24 h of injury, which can attract CD8+ T cells and NK cells to the spinal cord injury site.

Research Summary

TBI and SCI involve intricate pathological mechanisms, and the inflammatory response contributes significantly to secondary injury in TBI and SCI. This study examines the upstream and downstream pathways involved in inflammation caused by TBI and SCI, including interleukins, T cells, NK cells, XCL1, XCR1+ dendritic cells, and interferon-gamma, describing their proinflammatory effect in TBI and SCI. The findings suggest that the XCL1-XCR1 axis and the T-cell response have great potential for preclinical investigations and treatments for TBI and SCI.

Practical Implications

Therapeutic Target Identification

The XCL1-XCR1 axis could be a promising therapeutic target for patients with TBI and SCI. Blocking this axis can improve the prognosis of these patients.

Neuroinflammation Mitigation

Inhibiting the XCL1-XCR1 axis may provide the key to alleviating excessive inflammatory responses in sterile neuroinflammatory diseases such as TBI and SCI.

Prognosis Improvement

Interventions targeting any segment of the IL-15, IL-12, T cell, NK cell, XCL1, XCR1, IFN-γ pathway could potentially lead to significant improvements in the prognosis of neurological injuries.

Study Limitations

  • 1
    The specific details of the pathway involving IL-15, IL-12, T cells, NK cells, XCL1, XCR1, and IFN-γ in the context of CNS injury are not fully understood.
  • 2
    No studies have yet examined whether blocking the XCL1-XCR1 axis can reduce the inflammatory response and offer neuroprotection after TBI and SCI.
  • 3
    The current literature lacks comprehensive research on the expression dynamics of the XCL1-XCR1 axis after spinal cord injury.

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