Immunity as key factors that influence cognitive development on children

M. D. Oktarina, R. Sekartini, E. Wasito, Melissa Stephanie Kartjito
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Abstract

Immune cells in the central nervous system (CNS) of the fetus are essential for normal neurodevelopment. Innate immunity-related molecules, including cytokines, toll-like receptors and complement family, are known to be expressed in the brain. Microglia, macrophage-like immune cells that reside in the brain and spinal cord, constitute 80% of all immune cells in the brain, making them the most abundant immune cell type. Acquired immunity-related molecules, such as major histocompatibility complex and antibody receptor, are also known to be expressed in the brain. In addition to this, research has demonstrated that they play important functions in the development of the brain. Neurodevelopmental diseases, including schizophrenia, autism spectrum disorders, autism-like obsessive-compulsive behaviours and social impairment, are characterized by a disruption of a wide variety of processes in the developing brain that depend on the normal function of microglia. Enteric infections and malnutrition in the first two years of life are linked to later cognitive impairment. Multiple studies have shown that bacterial and viral illnesses have direct or indirect impacts on cognitive performance in children. The immune system is in constant communication with the central nervous system and participates in the control of behaviour and a range of other essential neurological activities throughout the lifespan.
免疫是影响儿童认知发展的关键因素
胎儿中枢神经系统(CNS)中的免疫细胞对正常的神经发育至关重要。已知先天免疫相关分子,包括细胞因子,toll样受体和补体家族,在大脑中表达。小胶质细胞是一种巨噬细胞样的免疫细胞,存在于大脑和脊髓中,占大脑所有免疫细胞的80%,是最丰富的免疫细胞类型。获得性免疫相关分子,如主要组织相容性复合体和抗体受体,也已知在大脑中表达。除此之外,研究还表明它们在大脑发育中起着重要的作用。神经发育疾病,包括精神分裂症、自闭症谱系障碍、自闭症样强迫症行为和社交障碍,其特征是依赖于小胶质细胞正常功能的发育中的大脑中各种各样的过程受到破坏。生命最初两年的肠道感染和营养不良与后来的认知障碍有关。多项研究表明,细菌和病毒性疾病对儿童的认知能力有直接或间接的影响。免疫系统与中枢神经系统保持着持续的交流,并在整个生命周期中参与行为控制和一系列其他重要的神经活动。
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