From: Choroid plexus and the blood–cerebrospinal fluid barrier in disease
Category | Disorder | Choroidal epithelial cells | Junctions | Immune cells | Transporters | Others |
---|---|---|---|---|---|---|
Inflammation and infection | Systemic inflammation | ↑ COX-2 and IκBα expression | ↓ Occludin mRNA expression [116] |  |  | ↑ CCL2 expression [122] |
↑ TLR1, TLR3, TLR4, CD14 expression ↓ Occludin expression |  |  |  | ↑ Expression of ICAM-1, GlyCAM-1, MAdCAM-1, Jam2, Selpl, chemokines CXCL1, CCL7, CCL2, IL-16 [123] | ||
↑ TNFα expression |  |  |  | Collagen I cleavage [118] | ||
↑ Il-1β, TNFα, LPTGDS expression [102] |  |  |  | ↑ mRNA expression of TNFRI, TNFRII, IL1β, IL1 receptor type I, type II, Il6 and its signal transducing component – Il6 signal transducer [121] | ||
↑ LCN2 expression |  |  |  |  | ||
↑ Expression of Hamp, Cp, Fth1, Stat3, Smad4, Tfr2, Il6 genes [107] |  |  |  |  | ||
↑ MMP-8 expression [118] |  |  |  |  | ||
↑ EVs secretion [125] |  |  |  |  | ||
Bacterial infections | (Streptococcus suis) fibrinous exudate, disruption of epithelial “brush border” [134] | (Streptococcus suis) Disruption of normal pattern of the TJ—Occludin, ZO-1, claudin-1 [128] | ↓ (Streptococcus suis) Number of epiplexus cells [134] | (Haemophilus influenzae) Paracellular invasion into CSF [145] | ↑ (Streptococcus pneumoniae) NF-κB, PAF, laminin receptor expression in CP endothelial cells [136] | |
↓ (Streptococcus pneumoniae) TNFα -mRNA expression [138] | ↓ (Streptococcus suis) Claudin-2 expression [131] |  | (Listeria monocytogenes) Using the “Trojan horse” mechanism by occupying mononuclear cells in the CP [139] |  | ||
(Streptococcus suis) Apoptosis and necrosis of CP epithelial cells [132] | Â | Â | (Streptococcus suis) Transcellular migration in endocytic vacuoles [133] | Â | ||
(Listeria monocytogenes) Interaction of internalin A and B with E-cadherin on CP epithelial cells [140] | Â | Â | (Streptococcus suis) Transepithelial migration of polymorphonuclear leukocytes [135] | Â | ||
↑ (Streptococcus suis) ICAM-1, VCAM-1, MMP-3, NFκB, MAPK, TNFα, Il-1β, IL-6, IL-8, LIF, ARG1, ARG2, NOS2, indoleamine 2,3-dioxygenase expression |  |  | (Neisseria meningitidis) Migration through CP epithelial cells [148] |  | ||
(Streptococcus pneumoniae) Antibacterial effect of TLR2 [136] | Â | Â | (Escherichia coli) Invasion through CP epithelial cells [144] | Â | ||
↑ (Neisseria meningitidis) IL6, CCL20, CXCL1-3, Nfkbiz, GM-CSF expression [150] |  |  | (Haemophilus influenzae) Transcellular migration from the basolateral side of CP epithelial cells [146] |  | ||
(Listeria monocytogenes) Activation of MAPKs, Erk1/2 and p38 [142] | Â | Â | Â | Â | ||
Viral infections | (Echovirus 30) Invasion and replication in CP epithelial cells [161] |  | (HIV) MHC II + dendritic cells in the CP as reservoir of HIV [160] | (Zika virus) Entry to the brain through CP epithelial cells [152] | (HIV) Endothelial cells in the CP as a reservoir of HIV [159] | |
↑ (Echovirus 30) CXCL3, CXCL10, CXCL11, CCL20, IL8, IL7, M-CSF expression [162] |  | (HIV) Monocytes-like cells in the CP as a reservoir of HIV [156] |  |  | ||
(Polyomavirus JC) CP cells as a reservoir [153] | Â | (Coxsackievirus B3) Diapedesis of infected myeloid cells expressing high level of Ki67 and pERK1/2 through the TJ of the CP [163] | Â | Â | ||
Fungal infections | Â | Â | Â | Â | (Cryptococcuis neoformans) CP plexitis in HIV patients | |
Parasitic infections | (Trypanosoma brucei) Present in perivascular region of CP and in CP epithelial cells [174] | Â | (Leishmania chagasi) Infiltration of inflammatory cells with lymphoplasmatic morphology around the blood vessels and diffusely in CP stroma [176] | Â | (Leishmania chagasi) Deposits of perivascular hyaline substances [176] | |
(Trypanosoma evansi) Edema and rupture of the CP epithelial cell layer [175] |  | (Trypanosoma evansi) Infiltration of CP by inflammatory cells [175] |  | ↑ (Leishmania infantum) TLR2 and TLR9 expression, no changes in TLR4 expression [177] | ||
 |  | (Leishmania infantum) Inflammatory infiltration via CD3+ T lymphocytes [176] |  | (Leishmania infantum) Accumulation of perivascular hyaline substances consistent with IgG and parasite DNA [176] |