A significant proportion of (prospective) mothers

carry n

A significant proportion of (prospective) mothers

carry naïve or memory CD8+ T cells with a TCR that can directly bind to paternal MHC molecules. In addition, a high percentage of pregnant women develop specific T cell responses to fetal minor histocompatibility antigens (mHags). Under normal conditions, fetal–maternal MHC and mHag mismatches lead to H 89 purchase elevated lymphocyte activation but do not induce pregnancy failure. Furthermore, viral infections alter the maternal CD8+ T cell response by changing the CD8+ T cell repertoire and increasing the influx of CD8+ T cells to decidual tissue. The normally high T cell activation threshold at the fetal–maternal interface may prevent efficient clearance of viral infections. Conversely, the increased inflammatory response due to viral infections may break fetal–maternal tolerance and lead to pregnancy complications. The aim of this review is to discuss

the recent studies of CD8+ T cells in pregnancy, identify potential mechanisms for antigen-specific immune recognition of fetal extravillous trophoblast (EVT) cells by CD8+ T cells, and discuss the impact of viral selleck chemicals llc infections and virus-specific CD8+ T cells during pregnancy. “
“Natural regulatory T (nTreg) cells generated in the thymus are essential throughout life for the maintenance of T-cell homeostasis and the prevention of autoimmunity. T-cell receptor (TCR)/CD28-mediated activation of nuclear factor-κB and (J)un (N)-terminal kinase pathways is known to play a key role

in nTreg cell development but many of the predicted molecular CYTH4 interactions are based on extrapolations from non-Treg cell TCR stimulation with non-physiological ligands. For the first time, we provide strong genetic evidence of a scaffold function for the Caspase Recruitment Domain (CARD) of the TCR signalling protein CARD-MAGUK1 (CARMA1) in nTreg cell development in vivo. We report two, new, N-ethyl-N-nitrosourea-derived mutant mice, Vulpo and Zerda, with a profound block in the development of nTreg cells in the thymus as well as impaired inducible Treg cell differentiation in the periphery. Despite independent heritage, both mutants harbour different point mutations in the CARD of the CARMA1 protein. Mutations in vulpo and zerda do not affect expression levels of CARMA1 but still impair signalling through the TCR due to defective downstream Bcl-10 recruitment by the mutated CARD of CARMA1. Phenotypic differences observed between Vulpo and Zerda mutants suggest a role for the CARD of CARMA1 independent of Bcl-10 activation of downstream pathways. We conclude that our forward genetic approach demonstrates a critical role for the CARD function of CARMA1 in Treg cell development in vivo.

For example, a mouse model of asthma has demonstrated that the ad

For example, a mouse model of asthma has demonstrated that the administration of EPZ-6438 in vitro the major allergen of ragweed (Ambrosia artemisiifolia), Amb a 1, linked to CpG ODN reverses airway hyperresponsiveness 36. Two common bacterial species identified in farm cowsheds have been shown to induce a Th1-polarizing program in DC that result in an impaired induction of allergic reactions in mice 37. Evidence also exists from human studies, which support the hypothesis that a balance of Th1/Th2 responses plays an important role in the development of allergy. For example, children with peanut allergy display predominant allergen-specific

Th2 responses, whereas children who outgrow their allergy and children without allergy, show a predominant allergen-specific Th1 phenotype 38. Several clinical trials have also shown that vaccination with Amb a 1 conjugated to CpG ODN inhibited Th2 responses in peripheral blood, eosinophil infiltration in the nasal mucosa and significantly reduce allergic rhinitis symptoms and the need

for medication 39, 40. Recently, GDC-0973 cost a new molecular mechanism that explains how DC polarize T-cell responses toward a Th2 or Th1 phenotype has been described 41. The Notch ligand Jagged-1 is constitutively expressed by immature DC and plays an important role in polarizing Th2 responses. Maturation of DC after TLR-triggering by microbial compounds leads to the downregulation of Jagged-1 and upregulation of Delta-4, another Notch ligand playing an important role in the polarization of Th1 immune responses. Over the past Phospholipase D1 15 years, an extensive effort has been performed in the phenotypic and functional characterization of nTreg. Nowadays, it is well established that FOXP3 acts

as master switch transcription factor for nTreg development and function 42. In humans, the in vivo relevance of FOXP3 was recognized after the discovery of the X-linked immune dysregulation, polyendocrinopathy syndrome 43. Patients with X-linked immune dysregulation, polyendocrinopathy syndrome present a typical allergic and autoimmune phenotype due to mutations in FOXP3 leading to non-functional nTreg. Similarly, scurfy mice present a deletion in the forkhead domain of FOXP3, which results in an impaired capacity to develop thymus-derived nTreg 42, 45. These mice are characterized by a lymphoproliferative disease, hyper-IgE levels and eosinophilia without a Th2 skewing, with a life-span of approximately 3 weeks. Although there is no direct evidence that allergy is due to impaired function and defects of the FOXP3 pathway, a recent study has shown that single-nucleotide polymorphisms of FOXP3 are associated with allergy development in childhood 44; however, further studies are needed to firmly demonstrate this association.

Thus, these results demonstrated that neutrophils, F4/80+ macroph

Thus, these results demonstrated that neutrophils, F4/80+ macrophages and Selleckchem LY2157299 Gr-1dull+ CD11c+ macrophage-like cells played an important role in the production of TNF-α in lungs at an early stage of infection with S. pneumoniae. Streptococcus pneumoniae, an extracellular Gram-positive diplococcus,

most frequently causes community-acquired pneumonia, which leads to severe pneumonia, bacteremia and meningitis in infants, elderly people and patients with underlying diseases such as chronic cardiopulmonary diseases, diabetes mellitus, liver cirrhosis, hematological malignancies, HIV infection and splenectomy. Moreover, penicillin-resistant S. pneumoniae has

spread worldwide and has become a problem in the treatment of patients. Thus, it is strongly recommended that high-risk individuals receive the pneumococcal polysaccharide vaccine (Marrie, 1999; Gant & Parton, 2000). Pneumonia caused by this bacterium is associated with massive infiltration of neutrophils into the alveolar spaces, which provides a major contribution to the host defense via an oxygen radical-mediated killing mechanism (Musher et al., 1996). Recently, we have demonstrated that natural killer T cells and γδ T cells acted upstream the neutrophilic inflammatory responses in lungs after infection LY2606368 in vivo with S. pneumoniae (Kawakami et al., 2003; Nakamatsu et al., 2007; Nakasone et al., 2007). Mice defective in these innate immune lymphocytes were highly susceptible to this infection, which was associated with the reduced production of tumor necrosis factor (TNF)-α and attenuated recruitment of neutrophils. This cytokine

is known to facilitate the adhesion of neutrophils to vascular endothelial cells by enhancing the expression of certain adhesion molecules (Mackay et al., 1993; Collins et al., 1995) and also acts to promote their killing activity against infectious microorganisms (Ferrante et al., 1993; Broug-Holub Chlormezanone et al., 1997). TNF-α is reported to play a critical role in the host defense to S. pneumoniae, as shown by the exacerbated infection in mice treated with monoclonal antibody (mAb) against this cytokine (van der Poll et al., 1997; Rijneveld et al., 2001). Although TNF-α is known to be produced by macrophages and dendritic cells upon stimulation with various Toll-like receptor ligands (Beutler & Cerami, 1989), the cellular source of this cytokine after infection with this bacterial pathogen remains to be fully understood. Recently, we have identified CD11bbright+ cells as its candidate (Nakamatsu et al., 2007), which may include macrophages, dendritic cells and neutrophils (Gonzalez-Juarrero et al., 2003).

trachomatis and C suis Immunoblot analysis, performed to elucid

trachomatis and C. suis. Immunoblot analysis, performed to elucidate the target of this neutralizing activity, showed a clear reactivity in human and pig sera against two proteins of 150 and 40 kDa MW, when tested either with C. trachomatis or with C. suis EBs. It is known that neutralizing species-specific or serovar-specific antibodies are produced in response to chlamydial infection in humans and in some animal species (Banks et al., 1970; Peterson et al., 1990; Girjes et

al., 1993; Donati et al., Alectinib mw 1996, 2006, 2009). The detection of these antibodies could be useful in the diagnosis of mixed infections or in the detection of immunogenic antigens as vaccine candidates. A previous study (Donati et al., 2009) reported a strong in vitro neutralizing activity to Chlamydia suis in 80% of LY294002 chemical structure pig sera that, due to the presence of high microimmunofluorescence (MIF) titres, suggested C. suis infection. A close relationship

between C. suis and Chlamydia trachomatis has already been reported in relation to the ompA DNA sequence similarity (Kaltenboeck et al., 1997), together with morphology and other features, such as the production of glycogen in cell culture (Rogers et al., 1996) and the sensitivity to cathelicidins (Donati et al., 2007). In view of these features, in the present study, we evaluated the neutralizing activity against D–K C. trachomatis and C. suis purified elementary bodies (EBs) in sera collected from C. trachomatis-infected patients and C. suis-infected pigs. A total of 17 MIF chlamydia-positive selected sera were tested: 11 sera collected from C. suis-infected pigs showing C. suis neutralizing activity and six sera from patients infected with D, E, F, G, H and K C. trachomatis serovars, respectively. As a negative control, 10 human and 10 pig MIF chlamydia-negative sera were used. Before performing the neutralization assay, human and pig sera were diluted at a MIF titre of 128 to C. trachomatis and C.

suis, respectively, to obtain a uniform Clomifene antibody concentration. Italian urogenital C. trachomatis isolates D–K (Donati et al., 2009), and the Italian C. suis isolate 7MS06 (Donati et al., 2007) were grown in LLC-MK2 cells and EBs were purified by sucrose density-gradient ultracentrifugation using the method of Fukushi & Hirai (1988). In addition, purified EBs of the reference strains Chlamydia muridarum Nigg, Chlamydophila pneumoniae IOL-207, Chlamydophila psittaci 6BC and the Italian Chlamydophila felis FEIS-M isolate were used to check the species-specificity of neutralizing antibodies in the human and pig sera. EB preparations were titrated to contain 4 × 105 inclusion-forming units (IFU) mL−1 and stored frozen in 0.25 M sucrose–10 mM potassium phosphate–5 mM glutamic acid, pH 7.4 (SPG), at −70 °C. As a source of complement, aliquots of fresh rabbit serum were stored at −70 °C and used in the neutralization assay at a 5% final concentration.

Neck rigidity and Kernig’s sign were also present There were no

Neck rigidity and Kernig’s sign were also present. There were no striking abnormalities in the eye grounds. On June BGB324 order 5, 1957, she suffered her first seizure of convulsions, followed by similar attacks about 10 times a day. She occasionally assumed a posture with her four limbs stretched or with the knee and hip joints flexed at right angles. She also occasionally kicked and struggled with her lower limbs. Her dementia advanced. The tonicity and spasticity of her four extremities became aggravated, and the motor and mental

functions were entirely lost. On July 29, 1959, she was transferred to the Minamata City Hospital. When she received food and liquid directly into her mouth, she was able to swallow. When an excessive amount of food was given, she refused it by closing her mouth. She occasionally had general convulsions. On May 22, 1974, tracheotomy was performed against aspiration. Oral LY294002 nmr alimentation became impossible, and she was placed on a naso-gastric tube for alimentation of synthetic formula. She showed apallic syndrome. Infections of the urethra and respiratory disturbances occurred repeatedly until she died on August 25, 1974. The brain weighed 775 g and the atrophy degree was 37% compared to a control (brain weight, 1234 ± 17.9 g). The lesions involved a wide area of the cerebral hemisphere, and the calcarine cortex, pre-and postcentral gyri were severely damaged (Fig. 6). The white matter

of the cerebrum displayed secondary degeneration in accordance with the intense damage of the cerebral DNA ligase cortex. The pyramidal tracts from the precentral gyri and internal sagittal strata, consisting of corticofugal fibers passing from the occipital lobe to the superior colliculi and the lateral geniculate bodies, were involved. They showed little or no myelin staining. The fibers of the corpus callosum designated as the tapetum were less strikingly involved. The lesion of the cerebellum was severe. The neurons in the dentate nucleus were relatively well preserved compared to those in the cerebellar

cortex. In this case, changes in the dendrites of Purkinje cells and torpedoes were prominent. Stellate cells were found in the molecular layer as the report of a Hunter-Russell’s case.8 No loss of neurons was identified in the nuclei of the basal ganglion or brain stem, but the cell bodies of the neurons were frequently atrophic. Systemic damage of both the Goll’s tracts and pyramidal tracts occurred secondarily and predominantly in the lateral column. There were no remarkable changes in the neurons of the anterior and posterior horns, apart from occasional atrophy. In the spinal ganglia, there was relatively slight satellitosis following loss of ganglion cells, compared with the situation in the brain cortex. The dorsal roots were predominantly damaged with regeneration. The patient was a 29-year-old woman, born in 1957, who died in 1987 in Minamata.

5 years Intermediate risk predicted overall hazard ratio (HR) (2

5 years. Intermediate risk predicted overall hazard ratio (HR) (2.157, P = 0.039) and cardiovascular mortality (HR= 5.023; P = 0.004) versus low risk, but ‘high’ risk did not. High risk (vs low risk) predicted cardiovascular events (HR = 2.458, P = 0.05). Besides, the addition of ABI < 0.9 (P = 0.021) and baPWV (P = 0.014) to a FRS model significantly improved the predictive ITF2357 mouse value for overall mortality. In hemodialysis patients, intermediate risk but not high risk categorization by FRS predicted overall and cardiovascular mortality, and high risk predicted cardiovascular events. ABI < 0.9 and baPWV provided additional

predictive values for overall mortality. Future study is needed to develop hemodialysis-specific equations and assess whether risk refinement using ABI < 0.9 and baPWV leads to a meaningful change in clinical outcomes.


“All chronic kidney disease (CKD) patients (CKD Stage 3–5; CKD Stage 5D (both peritoneal dialysis (PD) and haemodialysis (HD)). a. That therapeutic B-Raf inhibition iron be used to correct diagnosed iron deficiency (1D). c. That to achieve target haemoglobin levels in patients with CKD (2C), HD (2B) and PD (2D) the following iron indices should be targeted by increasing or decreasing iron therapy: Regular monitoring helps to predict iron overload and the overshoot of target Hb. (Ungraded) Suggested frequency of testing iron indices (Ungraded) CKD Stage 1–2 CKD Stage 3–5 CKD Stage 5D PD HD As clinically indicated ∼3 monthly ∼3 monthly ∼1–3 monthly In recent

years, since the publication of adjusted Hb targets (refer to KHA-CARI guideline ‘Haemoglobin Thiamet G Levels in Patients using ESAs’) and the demonstration that higher dosing of ESAs to achieve Hb targets is associated with an excess of cardiovascular events,[1] more emphasis has been placed on reasons for renal anaemia and the subsequent ESA resistance that may occur. The use of iron as a means of treating renal anaemia has assumed greater importance and particularly in people who have a higher demand for iron when on ESAs. Ten per cent of patients receiving ESAs are unresponsive.[2] Pro-inflammatory cytokines antagonize the action of ESAs by exerting an inhibitory effect on erythroid progenitor cells and disrupting iron metabolism (a process where hepcidin has a central role). Iron deficiency is also common in pre-dialysis CKD. In the NHANES III study less than one-third of the CKD non-dialysis patients had TSAT% >20% and ferritin >100 μg/L,[3] suggesting that iron homeostasis disruption begins relatively early in CKD progression. In many patients with CKD, as with patients with other chronic inflammatory diseases, poor absorption of dietary iron and the inability to use iron stores contribute to the anaemia.[4] Detection is also complicated by the lack of sensitivity of peripheral indices.

Several studies reported enhanced pathology after a heterologous

Several studies reported enhanced pathology after a heterologous challenge of adult mice with CVB3 after an initial infection with CVB2 (Beck et al., 1990; Yu et al., 1999; Michels & Tiu, 2007). In these studies, a heterologous challenge was crucial for enhanced pathology, suggesting an effect of cross-reactivity and enhanced immunopathology which may be due to the

phenomenon of original antigenic sin (Morens et al., 2010) or to antibody-dependent PF-02341066 concentration enhancement (ADE) (Beck et al., 1990; Girn et al., 2002; Kishimoto et al., 2002; Takada & Kawaoka, 2003; Sauter & Hober, 2009). Our data have more similarity to those of Horwitz et al. (2003), who showed that in adult mice homologous challenge with CVB4-E2 resulted in hyperglycemia. The authors showed that the effect was not directly T-cell-mediated although T cells were still essential for survival of infection. We hypothesize on

the basis of our data that preexisting immunity is responsible for the enhanced pathology in the offspring and that the observed effects are thus immune-mediated. There are several Selleckchem Napabucasin options: (1) maternal antibodies, passively transferred to offspring; (2) T-cell-mediated immunity, and (3) triggering of autoimmunity. Implications of these options are the following: (1) maternal antibodies are expected to be of the neutralizing type being able to protect pups from infection with the homologous strain; however, low antibody levels may fail to neutralize the virus and cause an adverse effect by means of ADE as has been

reported before (Beck et al., 1990; Girn et al., 2002; Horwitz et al., 2003; Takada & Kawaoka, 2003; Sauter & Hober, 2009). Indeed, antibodies were present in the 9 (+/−) control pups and in the infected dams. Assuming that the offspring were not infected antenatally as we believe, the antibodies must have been of maternal origin; (2) intrauterine infection of the pups may raise a cellular immune response which, because of a gradual maturation of the fetal immune system, may be more vigorous in the 3rd week of gestation than in earlier stages. The latter can explain the more severe course upon challenge after maternal infection at day 17; (3) autoimmunity, being actually a variant of option (2), may be triggered by infection of pancreatic islets of the mother, thus presenting islet auto-antigens in a context of (infectious) danger signaling during Endonuclease the development of the fetus. For the latter two options, an antenatal infection may probably not be needed, as recently was shown by Jubayer et al. (2010), who demonstrated that postnatal immunity can be specifically raised by immunization of the mother during gestation. Hence, all three mechanisms (passive transfer of antibody and induction of cellular immunity against viral and/or auto-antigens) may thus occur in the absence of antenatal infection. Further studies are required to investigate which of these possibilities are responsible for the enhanced pathology.

They include the assimilation of cholesterol, cholesterol binding

They include the assimilation of cholesterol, cholesterol binding to the signaling pathway bacterial cell wall, microbial transformation of cholesterol to coprostanol, and enzymatic deconjugation of bile salts (7, 8, 11, 12). Gilliland et al. (7) found that certain Lactobacillus acidophilus strains could assimilate the cholesterol in the growth medium, thus making it unavailable for absorption from the intestines into the blood. Another plausible mechanism of cholesterol removal is the binding of cholesterol to bacterial cells. Nakajima et al. (8) focused on the cholesterol-lowering activity of milk fermented with an EPS-producing lactic acid bacterium. The authors reported that EPS has a

potential to interfere with the absorption of cholesterol, or

of bile acids, from the intestines by binding and removing them from the body in a manner similar to ABT 199 the process that was reported for plant-based polysaccharides or dietary fiber. Artificial cell microencapsulation (immobilization) is a technique used to encapsulate biologically active materials in specialized ultra-thin semi-permeable polymer membranes (13). Jones et al. (6) examined the potential of artificial cell-microencapsulated genetically engineered Lactobacillus plantarum 80 (pCBH1) cells for bile acid deconjugation to lower cholesterol. Researchers found that microencapsulated cells deconjugated tested bile salts successfully. However, to the best of our knowledge, the literature contains no report evaluating cholesterol removal by immobilized cells using other possible Oxymatrine mechanisms. The aims of the present study were to evaluate: (i) the relationship between EPS production and cholesterol removal rates; (ii) cholesterol removal by dead and resting cells; (iii) the effect of cholesterol on EPS production; and (iv) the immobilization

effect on cholesterol removal by five strains of Lactobacillus delbrueckii subsp. bulgaricus, isolated from home-made yoghurt and selected according to their exopolysaccharide production capacity. Lactobacillus delbrueckii subsp. bulgaricus strains used in this study were obtained from the stock collection of Biotechnology Laboratory at Gazi University, Faculty of Science and Arts, Department of Biology (Ankara, Turkey). L. delbrueckii subsp. bulgaricus ATCC 11842 was from the American Type Culture Collection (Rockville, MD, USA) and the other strains were isolated from traditional home-made yoghurt. Their identity and EPS production capacity were confirmed as previously described (14). The cultures were maintained by subculturing 1% inocula into MRS broth (Lactobacillus medium according to de Man Rogosa & Sharpe; Merck, Darmstadt, Germany) and incubating them for 18 hr at 42°C. All of the Lactobacillus strains had been stored at −20°C in MRS broth with 10/100 ml glycerol, and subcultured twice until they were used in the experiments.

On the other hand, binding of the newly formed BCR to self-antige

On the other hand, binding of the newly formed BCR to self-antigens Palbociclib ic50 would impair up-regulation of BAFF-R, induce IgM down-modulation and re-activate the recombination machinery required for the induction of BCR editing. In line with our findings, it was reported that LC editing occurred only within the IgD– CD23– subset 28. Moreover, cultured B cells could be distinguished based on low and high surface IgM expression, with the former subset able to induce RAG expression and therefore being able to undergo BCR editing 32. We in fact showed that only BAFF-R-negative immature BM B cells were still able to undergo spontaneous receptor editing and showed active recombination,

as evaluated by RAG2 expression levels. In this context, it is worthwhile noting the study by Rowland et al. 23, showing that immature B cells in a mouse expressing a transgenic non-auto-reactive BCR express high levels of BAFF-R, whereas immature B cells in a mouse expressing a transgenic auto-reactive BCR express low levels of BAFF-R. Furthermore, they could show that Ras activation leads to increased BAFF-R expression 23. These findings suggest that tonic BCR signaling might induce surface BAFF-R expression through

the activation of the Ras pathway. Moreover, it is of interest that the LC editing in CD23– BAFF-R+ and CD23+ BAFF-R+ B cells by the anti-κ-LC antibody could not be prevented by the addition Metformin chemical structure of BAFF (data not shown). These findings suggest that the B-cell auto-immunity

observed in transgenic mice over-expressing BAFF 33, 34 is not due to BAFF interfering with negative selection and/or receptor editing of auto-reactive immature BM B cells, but rather might be the result of BAFF rescuing anergic/self-reactive B cells in the periphery 35. Moreover, our finding that in B cells susceptible to negative Pyruvate dehydrogenase lipoamide kinase isozyme 1 selection, engagement of the BCR leads to down-regulation of BAFF-R expression might suggest that their survival time upon BCR ligation is reduced and therefore these cells might be more easily eliminated. Suggestive of potential mechanisms by which at least part of auto-reactive B cells are deleted. In this regard, auto-immunity could also reflect the absence of this down-modulation. Upon successful rearrangement of a functional BCR, immature B cells leave the BM and enter the spleen to accomplish their final maturation into naïve B cells. BAFF-R as well as BAFF deficiency leads to a dramatic reduction in mature B-cell numbers, with many cells displaying a developmental arrest at the transitional type-1 stage. However, some BCR editing was suggested to occur also within transitional B cells. In this regard, we showed that LC editing as well as RAG2 expression was limited and confined to T1 cells, within the spleen.

Quantification of very low levels of dystrophin signal in immunof

Quantification of very low levels of dystrophin signal in immunofluorescent studies of muscle biopsy sections presents a technical challenge. This is particularly true in the setting of proof-of-principle drug trials, in which the detection and

quantification of what may be significant changes in levels of expression is important, even if absolute dystrophin levels remain low. Methods: We have developed a method of image analysis that allows reliable and semi-automated immunofluorescent quantification of low-level dystrophin expression in sections co-stained Idasanutlin for spectrin. Using a custom Metamorph script to create a contiguous region spectrin mask, we quantify dystrophin signal intensity only at pixels within the spectrin mask Selleck LDK378 that presumably represent the sarcolemmal membrane. Using this method, we analysed muscle biopsy tissue from a series of patients with DMD, Becker muscular dystrophy,

intermediate muscular dystrophy and normal control tissue. Results: Analysis of serial sections on multiple days confirms reproducibility, and normalized dystrophin : spectrin intensity ratios (expressed as a percentage of normal control tissue) correlate well with the dystrophin expression levels as determined by Western blot analysis. Conclusion: This method offers a robust and reliable method of biomarker detection for trials of DMD therapies. “
“The brain is vulnerable to a number of acute insults, with traumatic brain injury

being among the commonest. Neuroinflammation is a common response to acute injury and microglial activation is a key component of the inflammatory response. In the acute and learn more subacute phase it is likely that this response is protective and forms an important part of the normal tissue reaction. However, there is considerable literature demonstrating an association between acute traumatic brain injury to the brain and subsequent cognitive decline. This article will review the epidemiological literature relating to both single and repetitive head injury. It will focus on the neuropathological features associated with long-term complications of a single blunt force head injury, repetitive head injury and blast head injury, with particular reference to chronic traumatic encephalopathy, including dementia pugilistica. Neuroinflammation has been postulated as a key mechanism linking acute traumatic brain injury with subsequent neurodegenerative disease, and this review will consider the response to injury in the acute phase and how this may be detrimental in the longer term, and discuss potential genetic factors which may influence this cellular response. Finally, this article will consider future directions for research and potential future therapies. “
“Dentatorubral-pallidoluysian atrophy (DRPLA) is a hereditary spinocerebellar degeneration.