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Recent studies reveal that beyond their classic roles in CSF production and barrier function, ChP epithelial cells are conductors of neuroimmune communication, actively remodeling the state of immune activity, immunosurveillance and responsiveness of immune cells in the CSF in response to infection, injury, malignancy, aging, and neurocognitive decline. Here, we review emerging evidence establishing the ChP in this role. We discuss resident immune cell function, mechanisms of pathogen and tumor cell entry, and ChP-mediated responses across disease states. Together, these findings establish the ChP as a central regulator of CNS immunity and a potential therapeutic target in neuroinflammation, CNS metastasis, and neurodegeneration.<\/jats:p>","DOI":"10.1093\/jimmun\/vkaf322","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T02:12:07Z","timestamp":1774404727000},"source":"Crossref","is-referenced-by-count":3,"title":["The choroid plexus: both a gatekeeper and a conductor of neuroimmune communication"],"prefix":"10.1093","volume":"215","author":[{"given":"Christine","family":"Hehnly","sequence":"first","affiliation":[{"name":"Department of Pathology, Boston Children\u2019s Hospital and Harvard Medical School , Boston, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Lagares-Linares","sequence":"additional","affiliation":[{"name":"Department of Pathology, Boston Children\u2019s Hospital and Harvard Medical School , Boston, MA,","place":["United States"]},{"name":"Graduate Program in Neuroscience, Harvard Medical School , Boston, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huixin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Pathology, Boston Children\u2019s Hospital and Harvard Medical School , Boston, MA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria K","family":"Lehtinen","sequence":"additional","affiliation":[{"name":"Department of Pathology, Boston Children\u2019s Hospital and Harvard Medical School , Boston, MA,","place":["United States"]},{"name":"Graduate Program in Neuroscience, Harvard Medical School , Boston, MA,","place":["United 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