Neuro-immune lessons from an annelid: The medicinal leech
Review published in Dev Comp Immunol (2016)
Abstract
An important question that remains unanswered is how the vertebrate neuroimmune system can be both friend and foe to the damaged nervous tissue. Some of the difficulty in obtaining responses in mammals probably lies in the conflation in the central nervous system (CNS), of the innate and adaptive immune responses, which makes the vertebrate neuroimmune response quite complex and difficult to dissect. An alternative strategy for understanding the relation between neural immunity and neural repair is to study an animal devoid of adaptive immunity and whose CNS is well described and regeneration competent. The medicinal leech offers such opportunity. If the nerve cord of this annelid is crushed or partially cut, axons grow across the lesion and conduction of signals through the damaged region is restored within a few days, even when the nerve cord is removed from the animal and maintained in culture. When the mammalian spinal cord is injured, regeneration of normal connections is more or less successful and implies multiple events that still remain difficult to resolve. Interestingly, the regenerative process of the leech lesioned nerve cord is even more successful under septic than under sterile conditions suggesting that a controlled initiation of an infectious response may be a critical event for the regeneration of normal CNS functions in the leech. Here are reviewed and discussed data explaining how the leech nerve cord sensu stricto (i.e. excluding microglia and infiltrated blood cells) recognizes and responds to microbes and mechanical damages.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Summary
This review describes how the medicinal leech nerve cord, in an animal devoid of adaptive immunity, recognizes and responds to microbes and mechanical damage, and notes that regeneration of the lesioned cord succeeds better under septic than sterile conditions.
Context
This review examines the medicinal leech as a model organism for studying neuro-immune interactions, highlighting that the leech nerve cord can regenerate after crush or partial cut injury, with regeneration even enhanced under septic conditions. It discusses how the leech CNS recognizes and responds to microbes and mechanical damage, offering a simpler system than mammalian CNS to dissect relations between innate immunity and neural repair. The review positions the medicinal leech as a scientifically valuable organism whose innate immune and regenerative biology may indirectly inform understanding of hirudotherapy contexts. The article is a review focused on comparative neurobiology and innate immunity and does not address leech therapy, salivary components, or clinical applications.
Citation
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