RT Journal Article SR Electronic T1 Integrated single cell analysis of blood and cerebrospinal fluid leukocytes in multiple sclerosis JF bioRxiv FD Cold Spring Harbor Laboratory SP 403527 DO 10.1101/403527 A1 David Schafflick A1 Chenling A. Xu A1 Maike Hartlehnert A1 Michael Cole A1 Tobias Lautwein A1 Andreas Schulte-Mecklenbeck A1 Jolien Wolbert A1 Michael Heming A1 Sven G. Meuth A1 Tanja Kuhlmann A1 Catharina C. Gross A1 Heinz Wiendl A1 Nir Yosef A1 Gerd Meyer zu Horste YR 2019 UL http://biorxiv.org/content/early/2019/04/23/403527.abstract AB Cerebrospinal fluid (CSF) protects the central nervous system (CNS) and analyzing CSF aids the diagnosis of CNS diseases, but our understanding of CSF leukocytes remains superficial. Here, we firstly provide a transcriptional map of single leukocytes in CSF compared to blood. Leukocyte composition and transcriptome were compartment-specific with CSF-enrichment of myeloid dendritic cells and a border-associated phenotype of monocytes.We secondly tested how multiple sclerosis (MS) - an autoimmune disease of the CNS - affected both compartments. MS increased transcriptional diversity in blood, while it preferentially increased cell type diversity in CSF. In addition to the known expansion of B lineage cells, we identified an increase of cytotoxic-phenotype and follicular T helper (TFH) cells in the CSF. In mice, TFH cells accordingly promoted B cell infiltration into the CNS and severity of MS animal models. Immune mechanisms in MS are thus highly compartmentalized and indicate local T/B cell interaction.