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the claim
The immune system is hidden from the eyes by immune privilege
the verdict
CONTESTED
contested - the weight sits with the supporting side
refutedsupported
the weight of evidence
2 sources for · 0 against

While anatomical barriers protect organs like the central nervous system under immune privilege, the evidence shows it is not entirely isolated from the immune system and remains physically connected.

Evidence for · 2
2025 · cited by 40
Despite the presence of strategically positioned anatomical barriers designed to protect the central nervous system (CNS), it is not entirely isolated from the immune system<sup>1,2</sup>. In fact, it remains physically connected to, and can be influenced by, the peripheral immune system<sup>1</sup>. How the CNS retains such responsiveness while maintaining an immunologically unique status remains an outstanding question. Here, in searching for molecular cues that derive from the CNS and enable its direct communication with the immune system, we identified an endogenous repertoire of CNS-derived regulatory self-peptides presented on major histocompatibility complex class II (MHC-II) molecules in the CNS and at its borders. During homeostasis, these regulatory self-peptides were found to be bound to MHC-II molecules throughout the path of lymphatic drainage from the brain to its surrounding meninges and its draining cervical lymph nodes. However, in neuroinflammatory disease, the presentation of regulatory self-peptides diminished. After boosting the presentation of these regulatory self-peptides, a population of suppressor CD4<sup>+</sup> T cells was expanded, controlling CNS autoimmunity in a CTLA-4- and TGFβ-dependent manner. CNS-derived regulatory self-peptides may be the molecular key to ensuring a continuous dialogue between the CNS and the immune system while balancing overt autoreactivity. This sheds light on how we conceptually think about and therapeutically target neuroinflammatory and neurodegenerative diseases.
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The analysis

rails:sufficiency:supported:single_source:for=1+1p:against=0+0p | v55:sufficiency | v55:coherence_repaired:what=both

More for · 1
cited by 0
This membranous bone undergoes less resorption and revascularizes faster than endochondral bone. Cranial bone has excellent mechanical strength due to its large cortical component. The calvarial donor site causes less discomfort to the patient compared with rib or iliac crest, and the scar is well hidden. Harvesting and shaping cranial bone require special expertise, and there is potential morbidity. In cartilage transplantation, the surgeon must take into account the properties of viscoelasticity, the intrinsic balanced system of forces, and immunologic privilege. Cartilage deformed by an external force will tend to return to its original shape unless the deformation is maintained for several months. Surgical carving produces changes in the balance of intrinsic tensile and expansile forces, causing distortion in cartilage shape. Distortion can be minimized by carving in balanced cross-section. Carved cartilage grafts should be used for special indications in rhinoplasty. Autogenous cartilage is the framework of choice in ear construction. Composite grafts incorporating cartilage have been used successfully in eyelid reconstruction.
Everything we examined (2)
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  1. Endogenous self-peptides guard immune privilege of the central nervous system.peer-reviewedno side taken
  2. PubMed: The healing of bone and cartilage.peer-reviewedno side taken
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