Progress on Direct Regulation of Systemic Immunity by the Central Nervous System

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY World neurosurgery Pub Date : 2025-03-25 DOI:10.1016/j.wneu.2025.123814
Xiaotian Tan, Junming Zhang, Weiming Chen, Tunan Chen, Gaoyu Cui, Zhi Liu, Rong Hu
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Abstract

This article reviews the research progress on the direct regulation of the immune system by the central nervous system (CNS). The traditional “neuro-endocrine-immune” network model has confirmed the close connection between the CNS and the immune system. However, due to the complex mediating role of the endocrine system, its application in clinical treatment is limited. In recent years, the direct regulation of the peripheral immune system through the CNS has provided new methods for the clinical treatment of neuroimmune-related diseases. This article analyzes the changes in the peripheral immune system after CNS injury and summarizes the effects of various stimulation methods, including transcranial magnetic stimulation, transcranial electrical stimulation, deep brain stimulation, spinal cord stimulation, and vagus nerve stimulation, on the peripheral immune system. Additionally, it explores the clinical research progress and future development directions of these stimulation methods. It is proposed that these neural regulation techniques exhibit positive effects in reducing peripheral inflammation, protecting immune cells and organ functions, and improving immunosuppressive states, providing new perspectives and therapeutic potential for the treatment of immune-related diseases.
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中枢神经系统直接调节全身免疫的研究进展。
本文就中枢神经系统直接调控免疫系统的研究进展作一综述。传统的“神经-内分泌-免疫”网络模型证实了中枢神经系统与免疫系统之间的密切联系。但由于内分泌系统的复杂介导作用,其在临床治疗中的应用受到限制。近年来,通过中枢神经系统直接调控外周免疫系统,为临床治疗神经免疫相关疾病提供了新的方法。本文分析了中枢神经系统损伤后外周免疫系统的变化,总结了经颅磁刺激(TMS)、经颅电刺激(TES)、脑深部刺激(DBS)、脊髓刺激(SCS)、迷走神经刺激(VNS)等多种刺激方法对外周免疫系统的影响(图1)。并对这些刺激方法的临床研究进展及未来发展方向进行了探讨。这些神经调节技术在减少外周炎症、保护免疫细胞和器官功能、改善免疫抑制状态等方面具有积极作用,为免疫相关疾病的治疗提供了新的视角和治疗潜力。
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来源期刊
World neurosurgery
World neurosurgery CLINICAL NEUROLOGY-SURGERY
CiteScore
3.90
自引率
15.00%
发文量
1765
审稿时长
47 days
期刊介绍: World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
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