Witte bloedcellen ook belangrijk voor ons brein

Witte bloedcellen maken deel uit van ons immuunsysteem dat ons tegen ziektes beschermt.  Of ze ook in de hersenen terug te vinden zijn, en wat ze daar dan zouden doen bleef tot nog toe een raadsel. Een internationaal team van wetenschappers onder leiding van professor Adrian Liston (VIB-KU Leuven, België en Babraham Institute, VK) toont nu aan dat witte bloedcellen wel degelijk voorkomen in de hersenen van zowel muizen als mensen, en dat hun aanwezigheid essentieel is voor normale hersenontwikkeling. De resultaten verschijnen deze week in het prestigieuze vakblad Cell.

Onze hersenen worden als een versterkte burcht ommuurd door de bloed-hersenbarrière. Die moet vermijden dat stoffen die in onze bloedbaan circuleren zomaar in onze hersenen terechtkomen. Via de bloed-hersenbarrière worden onder strikte controle enkel welbepaalde stoffen uitgewisseld.

De bloed-hersenbarrière schermt de hersenen ook af van ons immuunsysteem, dat de rest van ons lichaam patrouilleert om bijvoorbeeld bacteriële of virale indringers op te sporen en uit te schakelen. Precies daarom heeft het brein z’n eigen immuuncellen: microglia.

Toch blijken witte bloedcellen ook een rol te spelen bij verschillende hersenaandoeningen. Denk maar aan MS, alzheimer, parkinson of een beroerte. Hierbij gaat het wel telkens om ziek of ‘beschadigd’ hersenweefsel, waar mogelijk ook de bloed-hersenbarrière is aangetast. De vraag bleef dus of – en waarom – witte bloedcellen nu werkelijk aanwezig zijn in hersenen die normaal en gezond zijn.

Witte bloedcellen in de hersenen

Een interdisciplinair team van wetenschappers onder leiding van prof. Adrian Liston (VIB-KU Leuven, Babraham Institute) heeft nu een kleine maar belangrijke groep van T-helpercellen ontdekt in hersenweefsel afkomstig van muizen en van mensen. T-helpercellen zijn een specifiek type witte bloedcellen, gespecialiseerd in het scannen van celoppervlakken op aanwijzingen van infectie en in het op gang trekken van een aangepaste immuunreactie. Aan de hand van de laatste technologie konden de wetenschappers de T-helpercellen tot in detail bestuderen, inclusief hoe en wanneer ze in de hersenen terecht komen.

Dr. Emanuela Pasciuto (VIB-KU Leuven), postdoctoraal onderzoeker in het team van Liston benadrukt het belang van interdisciplinair onderzoek: “Om de rol van witte bloedcellen in het brein in kaart te brengen hebben we niet alleen expertise van immunologie, neurowetenschappen en microbiologie bij elkaar gebracht, maar ook van informatica en toegepaste wiskunde. Nieuwe benaderingen voor data-analyse stellen ons in staat om een ​​veel dieper begrip te krijgen van de biologie van de witte bloedcellen die we in de hersenen hebben gevonden.”

Een evolutionaire rol

De onderzoekers stelden vast dat in muizenhersenen zonder T-helpercellen de ontwikkeling van de typische immuuncellen van het brein (de microglia) bleef hangen ergens tussen een foetale en volwassen ontwikkelingsstatus. De muizen zonder T-helpercellen in de hersenen vertoonden bovendien verschillende gedragsafwijkingen, wat wijst op een belangrijke rol voor de T-helpercellen bij de normale hersenontwikkeling. En als dat geldt voor muizen, zou hetzelfde dan ook waar zijn voor mensen?

“We zien dat de toestroom van immuuncellen in de hersenen bij de geboorte van muizen leidt tot een omslag in het ontwikkelingsproces,” zegt Liston. “Maar de zwangerschap bij mensen is veel langer dan bij muizen, en we weten niet wanneer de immuuncellen dan toekomen in het menselijk brein. Gebeurt het nog vóór de geboorte? Is het uitgesteld tot na de geboorte? Kan een verandering in de timing bijgedragen hebben aan de evolutie van de uitzonderlijke hersencapaciteit van mensen?”

De bevindingen openen een heel nieuw gamma aan vragen over de wisselwerking tussen ons brein en ons immuunsysteem. “We leren nog elke dag bij over hoe ons immuunsysteem ons brein kan beïnvloeden en vice versa. De twee zijn veel meer met elkaar verbonden dan we eerder dachten,” zegt Pasciuto.

Darmen en hersenen

De studie legt ook nieuwe verbanden tussen ons brein en onze darmflora, aldus Liston: “Heel wat neurologische aandoeningen worden in verband gebracht met bacteriën in onze darmen, maar zonder overtuigende verklaringen voor die connectie. Onze resultaten laten zien dat darmbacteriën witte bloedcellen kunnen beïnvloeden, die deze ‘informatie’ vervolgens mee nemen naar de hersenen. Dit zou de manier kunnen zijn waarop onze darmflora onze hersenen beïnvloeden. ”

De nieuwe resultaten dragen enorm bij tot de groeiende kennis over de rol van immuuncellen in de hersenen, zowel tijdens de normale ontwikkeling als bij verschillende ziekteprocessen.

Researchers identify new genetic cause of severe immune disorder

Severe congenital neutropenia leaves young patients to contract infection after infection, leading to life-threatening situations. A team of Leuven scientists has identified a novel genetic mutation, pointing to a new causative mechanism for this severe immune disorder.

The story starts with patient Jane Doe, now 19 years old, but diagnosed with severe congenital neutropenia when she was just 2 years old. By that time, she had already suffered an ear abscess, recurring ear infections, bronchitis, sinusitis, tonsillitis and several gum infections.

After yet another infection, this time of her intestine, a detailed investigation revealed a striking shortage of neutrophils, white blood cells that are recruited as first-responders to the site of injury or infection within our body. Having an abnormally low concentration of neutrophils in the blood is referred to as neutropenia. When it is severe and present from birth (congenital), that is where the diagnosis of severe congenital neutropenia comes in.

“Severe congenital neutropenia is very scary, because these kids develop serious infections that can be lethal for infants,” explains Erika Van Nieuwenhove. “As if that’s not enough, they are also at increased risk for other conditions such as leukemia.”

Van Nieuwenhove is both an MD and PhD, who combines clinical work in the university hospital with Carine Wouters, with research at VIB and KU Leuven under the guidance of Adrian Liston and Stephanie Humblet-Baron.

Together with John Barber and several other colleagues, she set out to understand why Jane Doe developed SCN in the first place. Van Nieuwenhove: “For up to 50% of severe congenital neutropenia patients, we have no clue what causes the disease. It was the same for our patient, whose parents are both healthy.”

A new mutation in a familiar gene

After Jane Doe tested negative for mutations in all the genes with known ties to neutropenia, the researchers performed whole exome sequencing, probing every gene in the DNA, to trace back the genetic defect underlying the disorder.

“We identified a new mutation in a gene called SEC61A1, which encodes one of three subunits of the Sec61 complex. This molecular complex plays a crucial role in both protein transport and in maintaining the calcium balance of the cell,” explains Humblet-Baron. “Our experiments revealed that the genetic defect led to both a lower expression and a reduced efficacy of the SEC61A1 protein, and that these quantitative and qualitative defects in turn disturb neutrophil differentiation and maturation.”

Interestingly, SEC61A1 has recently been picked up in other studies that were not focused on neutropenia. Different mutations in the same gene were reported in two families with a rare kidney disease and in two additional families with an antibody deficiency.

“The fact that there are different mutations in the same gene indicates there may be overlapping mechanisms among the different disorders. With the low number of currently known patients, it is still too early to predict which mutations can lead to which symptoms,” explains Liston.

“What’s clear from our findings is that SEC61A1 mutations can also cause severe congenital neutropenia. Considering this gene’s link with other disorders, the clinical implications of our work reach far beyond the patient with whom it all started here in Leuven.”

—

Read the original paper: Defective SEC61α1 underlies a novel cause of autosomal dominant severe congenital neutropenia. Van Nieuwenhove et al. JACI 2020

Virus Outbreak simulator

The Liston lab has collaborated with Dr Simon Andrews at Babraham Bioinformatics to create an interactive model of virus outbreak spreading. We are asking for feedback on this beta version, try it out and tweet to us at Virus Break.

To play Virus Outbreak, pick a virus (Coronavirus, flu, ebola or measles) and simulate a viral outbreak in the community. The default settings are based on real medical data, but you can modify the viral properties - change the virulence (rate of new infections), lethality, incubation period and symptomatic period. Find out why an ebola virus with the virulence of measles is the worst nightmare of virologists, run simulations of flu vs Coronavirus to see why medical experts are sounding the alarm. 

In Virus Outbreak, you don't only control the virus, you control the response against the virus. Let the virus run free to create "herd immunity", or pick between vaccination, quarantine or social distancing to see what difference they can make. Change your mind on the policy? Hit "stop", go into properties to change the policy, then go back and hit "start" to see how the simulation changes. Take a look at this video where we start social distancing after the outbreak is already established:

New infections grind to a halt. It takes a week for the death rate to drop, because there are asymptomatic people built into the system, but it works! Give it a try here.

Coronavirus treatment implicates the immune system as killer

The first paper in our series on "Coronavirus science simplified". The talented TenMei is taking cutting-edge papers on Coronavirus and boiling them down to an illustrated abstract. Today's paper is"Effective Treatment of Severe COVID-19 Patients with Tocilizumab". You can read the original here, or see the key messages simplified:

Immune cell treatment offers hope in tackling neurodegeneration

From the Cambridge Independent

 

EU grant success to harness the immune system to treat brain damage

Covered by the BusinessWeekly

Research identifies potential treatment for brain injury and inflammation

Funding awarded to Prof Adrian Liston will be used to advance the approach developed in mice to make it ready for clinical trials. Pioneering research by Prof Liston, a senior group leader at the Babraham Institute, will be developed towards being market-ready for the treatment of brain injury by funding provided by an ERC Proof of Concept grant, as announced today.

Key points:

• Immunology group leader, Prof Adrian Liston, is one of 76 top researchers to receive an ERC Proof of Concept grant, used to translate EU-sponsored research into the clinic.
• Research by Prof Liston's team and collaborators developed a method to use the immune system to prevent brain damage caused by disease and injury.
• EU funding through the European Research Council (ERC) recognises frontier research and provides support to explore the innovation potential of discoveries.
• This funding will also lead the way towards commercialisation and therapeutic application of the technology.

Research undertaken by Prof Liston and his group has shown that driving the expansion of a specific population of immune cells in the brain is effective at treating brain injury in mouse pre-clinical models. The research shows that this approach is effective at treating brain damage caused by disease, such as occurs in mouse models of multiple sclerosis, or injury, such as occurs following a head trauma or stroke.

Professor Liston, senior group leader in the Institute’s Immunology programme, said: “This is an exciting new approach to preventing neurodegenerative diseases. We have been able to come up with a completely new approach to preventing, and potentially reversing, brain damage. At the moment the treatment is proven to work in mice, with the aim to have it ready for transition to human at the end of the year. The immune system is highly conserved between mouse and human, allowing a high degree of success in translation to the clinical. This is illustrated by the immune-based therapeutics developed in mice now successfully being used in the clinic to fight immunological diseases and cancer. This new method may open up a new immune-based strategy to fight neurodegenerative disease”.

The approach harnesses the power of a type of immune cell called regulatory T cells – cells that control the immune response, suppressing the immune system from over-reacting. Increasing the number of these cells in the brain prevents and reverses the inflammatory damage that occurs to the brain during diseases such as mouse models of multiple sclerosis, traumatic brain injury or stroke. The proof-of-concept research demonstrated that just one treatment was sufficient to prevent brain degeneration and stimulate brain repair.

Image: Pre-clinical testing of neuroimmune treatment in mice receiving a brain injury. The mouse on the left was untreated, and developed neurodegeneration. The mouse on the right was treated, with protection from neurodegeneration. Background image uses immunohistology to visualise signs of active brain repair in treated mice. Image credit: Lidia Yshii (VIB, Belgium), Pascal Bielefeld (University of Amsterdam, Netherlands), Sebastian Munck (VIB, Belgium) and Axelle Kerstens (VIB, Belgium).

“It took a multi-disciplinary and international team, spanning both immunology and neuroscience, to come up with a new approach", Prof Liston said. The grant is based on EU-funded research that was performed at the VIB in Belgium and the Babraham Institute in Cambridge. "We have had a talented team pull out all the stops on this, with particular thanks to Dr Lidia Yshii, Dr Emanuela Pasciuto and Dr James Dooley. Key to the success has been collaboration - working with top neuroscientists across Europe, with Prof Matthew Holt from Belgium and Prof Carlos Fitzsimons from the Netherlands providing key insights and skills".

The research grant from the European Union will support the development of this approach over an 18 month period. The funding will allow for the validation of the treatment in pre-clinical trials and the recruitment of a commercial partner for entry into clinical trials in patients.

Professor Michael Wakelam, Institute Director, said: “It’s fantastic that the ERC have recognised the potential of this promising research. Neurodegenerative diseases increase in likelihood and severity with age, so this research very closely aligns with our mission to improve lifelong health. We’re hugely excited to take the next steps towards developing this approach and exploring the wider instances where this type of treatment may offer benefits.”

ERC Proof of Concept grants award €150,000 to researchers to explore the innovation potential of their scientific discoveries and bring the results of their frontier research closer to market.

Congratulations Dr Erika Van Nieuwenhove!

A huge round of congratulations for Dr Erika Van Nieuwenhove, who successfully defended her PhD. Erika set for gold standard for PhD defences, with an outstanding presentation and masterful question time. Erika's thesis was on inborn errors of immunity, with her PhD covering multiple new genetic mechanisms for PIDs, including mutations in ADA2 and Ikaros, plus a machine learning-driven approach to the diagnosis of JIA. The work is not yet finished either - stayed tuned for more Van Nieuwenhove papers on new genetic causes of neutropenia! A future leader in pediatric immunology and rheumatology!

PhD opportunity in the Liston lab!

Are you interested in a PhD in neuroimmunology? Want to find out how to harness the power of the immune system to cure traumatic brain injury? Check out our PhD position here. It is a rare chance to join a fantastic international team, and to learn to do high level science in a supportive and caring environment.

A successful candidate will be:

• passionate about science and the project
• experienced at failure, with a track-record in the resilience needed to pick yourself up and try again
• willing to be wrong, willing to learn, willing to improve
• driven to make a difference, discover new biology or move a promising therapeutic to the next stage
• creative and imaginative
• detail-orientated and reliable

The successful candidate does not need:

• experience at immunology or neuroscience. You are here to learn, not start as an expert!
• technical experience in X, Y or Z - as above
• a perfect CV. I'm interested in seeing that you know how to succeed in the face of adversity

 If you are submitting an application, consider a co-application to a Cambridge College, such as Peterhouse.

Golden Pipette won by Dr Wenson Karunakaran

Congratulations to Dr Wenson Karunakaran! 

It was tough competition for the sixth Golden Pipette at the Cambridge-Leuven joint lab retreat. The final prize had to go to Dr Karunakaran for his work on brain CD4 T cells.

Many neuroscientists assume there are no CD4 T cells inside the healthy brain, but there are in fact around 5000 per gram of brain tissue. How do we know? Wenson imaged and counted them, one by one. 

That is what it takes to win the Golden Pipette.

Immune profiling ‘will be a revolution in medicine’

A revolution in medicine is coming.

It could aid the diagnosis of diseases, guide the way patients are treated and inform the discovery of new therapies.

Immune profiling seeks to explain how our body’s own defences are affected by and are responding to disease.

At the Babraham Institute, Professor Adrian Liston is working on the translation of this technique from the laboratory to the clinic.

“The immune profile is much more powerful than genomic data, but it’s much easier to get genomic data,” he tells the Cambridge Independent. “You can take blood, send it overnight and get it sequenced off-site. We are not at that stage with immune system data.

“But the more we know about different diseases, the more we realise there are inflammatory, or immune-mediated, components.

“It can be a revolution in medicine. Once the infrastructure is set up and hospitals are doing the analysis routinely, we will see an explosion in utility. Right now, it’s a research tool only.”

Read the full article at the Cambridge Independent