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      Role of astroglial toll-like receptors (TLRs) in central nervous system infections, injury and neurodegenerative diseases

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          Highlights

          • Astroglial TLRs mediate host-defense and pathogen dissemination in CNS infections.

          • Astroglial TLRs help clearance of protein aggregates in neurodegenerative diseases.

          • Astroglial TLR signaling contributes to inflammation in CNS injury and disease.

          • Signaling through TLRs promotes beneficial and detrimental functions of astrocytes.

          • TLRs in astrocytes could be therapeutic targets in CNS disease and injury.

          Abstract

          Central nervous system (CNS) innate immunity plays essential roles in infections, neurodegenerative diseases, and brain or spinal cord injuries. Astrocytes and microglia are the principal cells that mediate innate immunity in the CNS. Pattern recognition receptors (PRRs), expressed by astrocytes and microglia, sense pathogen-derived or endogenous ligands released by damaged cells and initiate the innate immune response. Toll-like receptors (TLRs) are a well-characterized family of PRRs. The contribution of microglial TLR signaling to CNS pathology has been extensively investigated. Even though astrocytes assume a wide variety of key functions, information about the role of astroglial TLRs in CNS disease and injuries is limited. Because astrocytes display heterogeneity and exhibit phenotypic plasticity depending on the effectors present in the local milieu, they can exert both detrimental and beneficial effects. TLRs are modulators of these paradoxical astroglial properties.

          The goal of the current review is to highlight the essential roles played by astroglial TLRs in CNS infections, injuries and diseases. We discuss the contribution of astroglial TLRs to host defense as well as the dissemination of viral and bacterial infections in the CNS. We examine the link between astroglial TLRs and the pathogenesis of neurodegenerative diseases and present evidence showing the pivotal influence of astroglial TLR signaling on sterile inflammation in CNS injury. Finally, we define the research questions and areas that warrant further investigations in the context of astrocytes, TLRs, and CNS dysfunction.

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          Most cited references171

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          The neuroinvasive potential of SARS‐CoV2 may play a role in the respiratory failure of COVID‐19 patients

          Abstract Following the severe acute respiratory syndrome coronavirus (SARS‐CoV) and Middle East respiratory syndrome coronavirus (MERS‐CoV), another highly pathogenic coronavirus named SARS‐CoV‐2 (previously known as 2019‐nCoV) emerged in December 2019 in Wuhan, China, and rapidly spreads around the world. This virus shares highly homological sequence with SARS‐CoV, and causes acute, highly lethal pneumonia coronavirus disease 2019 (COVID‐19) with clinical symptoms similar to those reported for SARS‐CoV and MERS‐CoV. The most characteristic symptom of patients with COVID‐19 is respiratory distress, and most of the patients admitted to the intensive care could not breathe spontaneously. Additionally, some patients with COVID‐19 also showed neurologic signs, such as headache, nausea, and vomiting. Increasing evidence shows that coronaviruses are not always confined to the respiratory tract and that they may also invade the central nervous system inducing neurological diseases. The infection of SARS‐CoV has been reported in the brains from both patients and experimental animals, where the brainstem was heavily infected. Furthermore, some coronaviruses have been demonstrated able to spread via a synapse‐connected route to the medullary cardiorespiratory center from the mechanoreceptors and chemoreceptors in the lung and lower respiratory airways. Considering the high similarity between SARS‐CoV and SARS‐CoV2, it remains to make clear whether the potential invasion of SARS‐CoV2 is partially responsible for the acute respiratory failure of patients with COVID‐19. Awareness of this may have a guiding significance for the prevention and treatment of the SARS‐CoV‐2‐induced respiratory failure.
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            A first case of meningitis/encephalitis associated with SARS-Coronavirus-2

            Highlights • Novel coronavirus (SARS-Coronavirus-2:SARS-CoV-2) which emerged in Wuhan, China, has spread to multiple countries rapidly. • This is the first case of meningitis associated with SARS-CoV-2 who was brought in by ambulance. • The specific SARS-CoV-2 RNA was not detected in the nasopharyngeal swab but was detected in a CSF. • This case warns the physicians of patients who have CNS symptoms.
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              Nervous system involvement after infection with COVID-19 and other coronaviruses

              Highlights • Coronoviruses not only affect the respiratory system, but also have deleterious effects on the central nervous system. • Most neurological diseases could be caused by coronoviruses invasion. • Coronoviruses cause nerve damage via diverse pathways.
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                Author and article information

                Journal
                Brain Behav Immun
                Brain Behav Immun
                Brain, Behavior, and Immunity
                Published by Elsevier Inc.
                0889-1591
                1090-2139
                8 October 2020
                8 October 2020
                Affiliations
                [a ]The Reynolds Family Spine Laboratory, Department of Neurosurgery, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ 07103, United States
                [b ]Department of Neurological Surgery, Hackensack Meridian School of Medicine, Nutley, NJ 07110, United States
                Author notes
                [* ]Corresponding author at: 205 South Orange Avenue, Cancer Center, F-1204, Newark, NJ 07103, United States.
                Article
                S0889-1591(20)31896-1
                10.1016/j.bbi.2020.10.007
                7543714
                33039660
                b1a1fe1e-e380-423f-bd17-37e0e3e302b1
                © 2020 Published by Elsevier Inc.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 11 August 2020
                : 22 September 2020
                : 6 October 2020
                Categories
                Article

                Neurosciences
                astrogliosis,neuroprotection,neuroinflammation,infection,sars-cov-2,cytokines,alzheimer’s disease,parkinson’s disease,amyotrophic lateral sclerosis,brain injury,spinal cord injury,pattern recognition receptors

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