Abstract
The nervous system is an «immune-privileged» site and can provide a reservoir to harbor as persistent or latent infections certain microbes that find their way to the brain. From an evolutionary standpoint, such infections are characterized at most times by low levels of the infectious agent in the systemic domain, except when multiplication has just taken place. Hence the ability for transmission of the pathogens from animals to Man will be determined by the availability of microbes to be transferred by a vector (e.g. in trypanosomiasis), or the amount of infective forms of the microbes shed into an environment (e.g. in toxoplasmosis). Using African trypanosomes, toxoplasma,Listeria and influenza A virus as examples, mechanisms by which microbes can spread and be targeted to and within the brain to cause various types of nervous system dysfunctions is reviewed. Newly revealed potentials of certain cytokines to stimulate neurons to control the growth, and even kill, microbes in their cell bodies is also described.
Key words: Brain, Infection, Virus, Bacteria, Parasites
Riassunto
Il sistema nervoso è un sito «privilegiato dal punto di vista immunologico», che può quindi rappresentare un ricettacolo nel quale possono annidarsi, mediante infezioni persistenti o latenti, alcuni microbi. Tali agenti infettivi possono in tal modo avere accesso all’encefalo. Da un punto di vista evoluzionistico, queste infezioni sono per lo più caratterizzate da bassi livelli sistemici dell’agente infettivo, ad eccezione delle fasi immediatamente successive alla sua moltiplicazione. Da ciò deriva la trasmissibilità di patogeni dagli animali all’Uomo, che verrà determinata dalla possibilità di trasmissione di tali agenti tramite un vettore (come avviene, ad esempio, nella tripanosomiasi), o dalla quantità di forme infettive di microbi sparsi in un determinato ambiente (come si verifica, ad esempio, nella toxoplasmosi). Utilizzando come esempi il tripanosoma africano, il toxoplasma, laListeria ed il virus influenzale A, questo contributo passa in rassegna i meccanismi tramite i quali i microbi possono diffondersi all’encefalo e all’interno del parenchima encefalico, causando vari tipi di alterazioni funzionali del sistema nervoso. Vengono inoltre qui riportati dati recenti, che attestano come alcune citochine abbiano la possibilità di stimolare i neuroni, rendendoli capaci di controllare la crescita di microbi e persino di ucciderli all’interno dei loro stessi corpi cellulari.
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