Major I progress has, been made over the last years in our understanding of
the mechanisms underlying immune privilege and immune surveillance of the
central nervous system (CNS). Once considered a passive process relying onl
y on physical barriers, immune privilege is now viewed as a more complex ph
enomenon, which involves active regulation of immune reactivity by the CNS
microenvironment. Evidence has also emerged that the immune system continuo
usly and effectively patrols the CNS and that dysregulated immune responses
against CNS-associated (exogenous or self) antigens are involved in the pa
thogenesis of various neurological diseases. In this article we shall brief
ly review current knowledge of how the immune, response is regulated locall
y in the CNS and which. cell types and molecular mechanisms are involved in
shaping intracerebral immune responses.