VLA-4 as a Central Target for Modulating Neuroinflammatory Disorders

Neuroimmunomodulation. 2021;28(4):213-221. doi: 10.1159/000518721. Epub 2021 Sep 2.

Abstract

The complex steps leading to the central nervous system (CNS) inflammation and the progress to neuroinflammatory and neurodegenerative disorders have opened up new research and intervention avenues. This review focuses on the therapeutic targeting of the VLA-4 integrin to discuss the clear-cut effect on immune cell trafficking into brain tissues. Besides, we explore the possibility that blocking VLA-4 may have a relevant impact on nonmigratory activities of immune cells, such as antigen presentation and T-cell differentiation, during the neuroinflammatory process. Lastly, the recent refinement of computational techniques is highlighted as a way to increase specificity and to reduce the detrimental side effects of VLA-4 immunotherapies aiming at developing better clinical interventions.

Keywords: Integrin; Migration; Multiple sclerosis; Natalizumab; T cells.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Central Nervous System
  • Humans
  • Immunotherapy
  • Integrin alpha4beta1*
  • Lymphocyte Activation

Substances

  • Integrin alpha4beta1