TABLE 2.
Various roles of CCR5 in the CNS during healthy and diseased states.
| Condition | Cell type | Role of CCR5 in CNS | References |
| Normal | Neural progenitor cells | Induces neural progenitor cells to migrate and promotes neuronal differentiation | Ji et al., 2004; Park et al., 2009 |
| Neuron | Promotes neuronal growth and differentiation during embryonic development | Bolin et al., 1998; Park et al., 2009 | |
| Modulates neuronal excitability and neurotransmitter release | Oh et al., 2002; Musante et al., 2008 | ||
| Regulates neuronal survival or apoptosis | Choi et al., 2013; Radzik et al., 2019 | ||
| Inhibits hippocampus and cortical plasticity, impairs learning and memory processes | Zhou et al., 2016; Necula et al., 2021 | ||
| Microglia | Mediates microglia migration and colonization, which may provide nutritional support, regulation of neuronal development, and removal of toxic debris | Polazzi and Contestabile, 2002; Cowell et al., 2006 | |
| Astrocytes | Regulates the proliferation, survival and differentiation of astrocyte progenitors during embryonic development | Bakhiet et al., 2001; Cartier et al., 2005; Necula et al., 2021 | |
| Ischemic stroke | Neuron | Inhibits neuronal plasticity and recovery | Joy et al., 2019; Joy and Carmichael, 2021 |
| Astrocytes | Promotes astrocytes proliferation and activation | Liraz-Zaltsman et al., 2021 | |
| Monocytes | Recruites monocytes and modulates the immune response | Cartier et al., 2005 | |
| Treg cells | Mediates the docking of transferred Tregs to relieve neutrophil accumulation and protect BBB | Sorce et al., 2010; Li et al., 2017 | |
| Neutrophils | Induces neutrophils migration toward the injured area and leads to deteriorated brain injury | Chen et al., 2020 | |
| Intracerebral hemorrhage | Neuron | Mediates neurological deficits and neuronal pyroptosis via CCR5/PKA/CREB pathway | Yan et al., 2021 |
| Neuroinflammation | Microglia | Induces microglia proliferation and activation | Louboutin and Strayer, 2013 |
| Monocytes | Mediates monocyte migration and affects the leakage of BBB | Ubogu et al., 2006; Louboutin et al., 2011 | |
| Infectious disease | |||
| West Nile virus infection | Monocytes, Macrophages, NK cells, and T lymphocytes | Regulates trafficking of leukocytes to CNS to contain and clear the virus | Glass et al., 2005 |
| Mouse Hepatitis Virus intracranial infection | Macrophages | Mediates macrophage trafficking into CNS and leads to demyelination | Glass et al., 2001 |
| HIV-Associated Neurocognitive Disease (HAND) | CD4+ T lymphocytes | Mediates HIV-1 entry into CD4+ cells as a fusion cofactor | Kwong et al., 1998 |
| Microglia | Promotes microglial activation and neuronal damage, thereby improved cognition | Maung et al., 2014; D’Antoni et al., 2018 | |
| Monocytes | Recruits HIV-infected monocytes to CNS and leads to intracranial infection and inflammation. | Hahn et al., 2010 | |
| Cerebral malaria | CD8+ T lymphocytes | Regulates trafficking of CD8+ T lymphocytes to destroy brain endothelial cells and BBB | Belnoue et al., 2003 |
| Cancer | |||
| Primary central nervous system lymphomas | Malignant B lymphocytes | Induces B lymphocytes homing to the brain and spreading within CNS | Brunn et al., 2007 |
| Glioblastoma | Glioma-associated microglia/macrophages (GAMs) | Induces glioma invasive process | Yu-Ju Wu et al., 2020 |
| Regulates M1/M2 microglia phenotype | Laudati et al., 2017 | ||
| Treg cells, Monocyte | Recruits immunosuppressive cells to induce immune tolerance | Jiao et al., 2019 | |
| Tumor cell | Promotes tumor cell proliferation and migration | Aldinucci and Colombatti, 2014 | |
| Pathological pain | Neuron | Activates neuron ERK to create and maintain pathological pain | Piotrowska et al., 2016; Hang et al., 2017; Lu et al., 2017 |
| Reduces the antinociceptive action of opioid receptor agonists | Szabo et al., 2002; Chen et al., 2007 | ||
| Multiple sclerosis (MS) | T lymphocytes | Regulates trafficking of inflammatory T cells into CNS to induce self-destructive inflammatory process | Zang et al., 2000; Menten et al., 2002; Schlager et al., 2016 |
| Neurodegenerative disease | |||
| Alzheimer’s disease (AD) | Microglia, Astrocytes | Recruits and activates astrocytes and microglia to affect amyloid deposition and memory function with CCR2 | Cartier et al., 2005; Lee et al., 2009; Goldeck et al., 2013 |
| Parkinson’s disease (PD) | neuron | Promotes maturation of nigral dopaminergic neurons | Choi et al., 2013 |