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Neuroimmunity: A New Science That Will Revolutionize How We Keep Our Brains Healthy and Young PDF

316 Pages·2015·1.86 MB·English
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N E U R O I M M U N I T Y This page intentionally left blank N E U R O I M M U N I T Y A New Science That Will Revolutionize How We Keep Our Brains Healthy and Young MICHAL SCHWARTZ with Anat London With a foreword by Olle Lindvall Published on the foundation established in memory of William Chauncey Williams of the Class of 1822, Yale Medical School, and of William Cook Williams of the Class of 1850, Yale Medical School. Copyright © 2015 by Michal Schwartz. All rights reserved. This book may not be reproduced, in whole or in part, including illus- trations, in any form (beyond that copying permitted by Sections 107 and 108 of the U.S. Copyright Law and except by reviewers for the public press), without written permission from the publishers. Yale University Press books may be purchased in quantity for educational, business, or pro- motional use. For information, please e-mail [email protected] (U.S. ofce) or sales@ yaleup.co.uk (U.K. ofce). Designed by Mary Valencia. Set in Perpetua and ITC Stone Sans types by Integrated Publishing Solutions. Printed in the United States of America. Library of Congress Control Number: 2015932302 ISBN 978-0-300-20347-9 (cloth : alk. paper) A catalogue record for this book is available from the British Library. The information and suggestions contained in this book are not intended to replace the services of your physician or caregiver. Because each person and each medical situation is unique, you should consult your own physician to get answers to your personal questions, to evaluate any symptoms you may have, or to receive suggestions for appropriate medications. The author has attempted to make this book as accurate and up-to-date as possible, but it may nevertheless contain errors, omissions, or material that is out of date at the time you read it. Neither the author nor the publisher has any legal responsibility or liability for er- rors, omissions, out-of-date material, or the reader’s application of the medical information or advice contained in this book. This paper meets the requirements of ANSI/NISO Z39.48-1992 (Permanence of Paper). 10 9 8 7 6 5 4 3 2 1 I would like to dedicate this book to my beloved family: my husband, Professor Michael Eisenbach, in gratitude for his true friendship and partnership, and endless support, help, and understanding, with whom I have shared the joy and the difficulties of this scientific endeavor; and my beloved children, Orit, Osnat, Eyal, and Tomer, who experi- enced with me the “highs” that accompany the joys of discovery, as well as the days, nights, months, and years of hard work, and frequent disappointment. I also dedicate this work to my dear brother, Nathan Hevrony, who has been my soulmate and friend. Last but not least, to my children-in-law, who have learned to accept their unconventional mother-in-law, and to my loving grandchildren. This page intentionally left blank C O N T E N T S Foreword by Olle Lindvall ix Preface xv Acknowledgments xxi Introduction xxiii List of Abbreviations xxix 1 A New Player in the Body-Mind Connection: The Immune System 1 2 Cognition and the Aging Brain: The Immune Cells of Wisdom 15 3 Stress and Depression 51 4 Of Mice and Superman: The Immune Pro–Spinal Cord Therapy 85 5 A Vaccination to Prevent Blindness 109 6 Alzheimer’s Disease and Lou Gehrig’s Disease (ALS) 129 7 Males’ and Females’ Different Immune Systems 151 Epilogue 165 A Neuroimmunology Primer 173 Notes 203 Bibliography 221 Index 267 This page intentionally left blank F O R E W O R D I n 2003, four colleagues and I published in the Proceedings of the National Academy of Sciences of the United States of America the article “Inammation is detrimental for neurogenesis in adult brain.” We showed that microglia/macrophages activated after an insult to the brain (status epilepticus) compromise the survival of new hippocampal neurons soon after they have been born. Our ndings were completely in line with the consensus among scientists at that time—namely, that inammation in the central nervous system (CNS) is harmful after injury or disease. Immune cells were regarded as inactive under normal conditions and dangerous to the brain under pathological con- ditions. Consequently, therapeutic interventions aimed at sup- ix

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In the past, the brain was considered an autonomous organ, self-contained and completely separate from the body’s immune system. But over the past twenty years, neuroimmunologist Michal Schwartz, together with her research team, not only has overturned this misconception but has brought to light r
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