Immunology and pathogenesis of infections of the central nervous system(CNS)

The central nervous system (CNS) has long been regarded as an immunologically privileged site for the presence of blood-brain and blood- cerebrospinal fluid barriers. Nevertheless, experimental evidence indicates that, under physiological conditions, minimal amounts of blood-derived immune cells exist within the brain and cooperate with the resident immune elements, such as microglia and astrocyte, to the surveillance of the district. Following microbial invasion, both blood-derived and local effector systems synergize against the pathogen. The timing and entity of such reaction is crucial, allowing the clearance of the pathogen or rather contributing to the extent of sometimes irreversible brain tissue damage.