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Table 1 Etiological substances and corresponding immune effectors in the PHS hypothesis

From: Common immunopathogenesis of central nervous system diseases: the protein-homeostasis-system hypothesis

Etiological substances (or events)

Corresponding immune effectors

Pathogenic proteins (BCR-associated)

B cells: antibodies against pathogenic proteins

Pathogenic peptides (TCR-associated)

T cells: peptides or cytokines against pathogenic peptides

Pathogenic small peptides, monoamines, their metabolites (especially in CNS)

Immune proteins such as PrP gene products and other amyloid proteins, mast cell-associated immune responses

Non-protein materials such as LPS, RNAs, DNAs, chemicals, biochemicals

TLR-associated immune responses, natural antibodies, other immune systems such as complements and other proteins

Large complex substances such as viruses, bacteria, parasite, apoptotic & necrotic bodies

Phagocytes (neutrophils and macrophages), eosinophils (in case of large parasites)

A protein deficiency or malfunctioning protein in organ tissues or within a cell

Production of alternative proteins in genetic diseases and cancers

  1. BCR B cell receptor; TCR T cell receptor; PrP prion protein; CNS central nervous system; LPS lipopolysaccharide; TLR Toll-like receptor