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Auto reactive T-Cell

adhesion Demylinating antibodies

Endothelial cells
Blood brain barrier

Central Nervous
penetration system
Activated antigen
presenting cell

Interferon-Г, TNF-β Oligodendrocyte


precursor cell

B7-1, B7-2

CD28 Anti inflammatory


Class II MHC triggering IL-4,10&13
Activated
B cell
Putative MS antigen
IL-1,4&10
IL-12 & interferon -Г
IL-4,5,6 , Glial growth
10 &13 factor

TNFα,
interferon-Г Anti Proliferation &
bod Remyleination of
ies
neurons
Cytokine
mediated injury

Macrophage

Neuronal
Complement cell body

Immune
Antibody mediated lesion
mediated injury

Class I MHC Primary


molecule oligodendrogliopathy

oligodendrocyte

Degeneration of
inner Glial loop

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