PNAS, 2009 · DOI: 10.1073/pnas.0911405106 · Published: December 8, 2009
The study investigates the role of the immune system in the peripheral nervous system (PNS) of mice with a genetic mutation that mimics ALS. The researchers found that immune cells, specifically macrophages, are activated in the PNS of these mice, even before the onset of symptoms. Antibodies and complement proteins, which are part of the humoral immune system, were also found in the PNS tissue, suggesting a combined immune response.
The immunopathology occurring in the PNS offers a more accessible target for therapeutic modulation, as the blood-nerve barrier is relatively permeable to therapeutic agents and antibodies.
Further analysis of neuroimmune communication may lead to targeted treatments to extend motor neuron survival in ALS.
Modulating both innate and humoral immunity in the PNS could potentially slow down ALS progression.