CNS lymphatic drainage and neuroinflammation are regulated by meningeal lymphatic vasculature

Nat Neurosci. 2018 Oct;21(10):1380-1391. doi: 10.1038/s41593-018-0227-9. Epub 2018 Sep 17.

Abstract

Neuroinflammatory diseases, such as multiple sclerosis, are characterized by invasion of the brain by autoreactive T cells. The mechanism for how T cells acquire their encephalitogenic phenotype and trigger disease remains, however, unclear. The existence of lymphatic vessels in the meninges indicates a relevant link between the CNS and peripheral immune system, perhaps affecting autoimmunity. Here we demonstrate that meningeal lymphatics fulfill two critical criteria: they assist in the drainage of cerebrospinal fluid components and enable immune cells to enter draining lymph nodes in a CCR7-dependent manner. Unlike other tissues, meningeal lymphatic endothelial cells do not undergo expansion during inflammation, and they express a unique transcriptional signature. Notably, the ablation of meningeal lymphatics diminishes pathology and reduces the inflammatory response of brain-reactive T cells during an animal model of multiple sclerosis. Our findings demonstrate that meningeal lymphatics govern inflammatory processes and immune surveillance of the CNS and pose a valuable target for therapeutic intervention.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, CD / genetics
  • Antigens, CD / metabolism
  • Central Nervous System / immunology
  • Central Nervous System / pathology
  • Dendritic Cells / pathology
  • Disease Models, Animal
  • Encephalitis / chemically induced
  • Encephalitis / pathology*
  • Encephalitis / physiopathology*
  • Green Fluorescent Proteins / genetics
  • Green Fluorescent Proteins / metabolism
  • Homeodomain Proteins / genetics
  • Homeodomain Proteins / metabolism
  • Lymph Nodes / pathology
  • Lymphatic Vessels / physiology*
  • Male
  • Meninges / pathology*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • MicroRNAs / genetics
  • MicroRNAs / metabolism
  • Myelin-Oligodendrocyte Glycoprotein / toxicity
  • Peptide Fragments / toxicity
  • Photosensitizing Agents / pharmacology
  • Receptors, CCR7 / deficiency
  • Receptors, CCR7 / genetics
  • Spleen / pathology
  • T-Lymphocytes / physiology
  • Tumor Suppressor Proteins / genetics
  • Tumor Suppressor Proteins / metabolism

Substances

  • Antigens, CD
  • Ccr7 protein, mouse
  • Homeodomain Proteins
  • MicroRNAs
  • Myelin-Oligodendrocyte Glycoprotein
  • Peptide Fragments
  • Photosensitizing Agents
  • Receptors, CCR7
  • Tumor Suppressor Proteins
  • myelin oligodendrocyte glycoprotein (35-55)
  • prospero-related homeobox 1 protein
  • Green Fluorescent Proteins