Missing link found between brain, immune system
In a stunning discovery that overturns decades of textbook teaching, researchers at the University of Virginia School of Medicine have determined that the brain is directly connected to the immune system by vessels previously thought not to exist.
That such vessels could have escaped detection when the lymphatic system has been so thoroughly mapped throughout the body is surprising on its own, but the true significance of the discovery lies in the effects it could have on the study and treatment of neurological diseases ranging from AUTISM to Alzheimer´s disease to multiple sclerosis.
"Instead of asking, ´How do we study the immune response of the brain?´ ´Why do multiple sclerosis patients have the immune attacks?´ now we can approach this mechanistically. Because the brain is like every other tissue connected to the peripheral immune system through meningeal lymphatic vessels," said Jonathan Kipnis, PhD, professor in the UVA Department of Neuroscience and director of UVA´s Center for Brain Immunology and Glia (BIG). "It changes entirely the way we perceive the neuro-immune interaction. We always perceived it before as something esoteric that can´t be studied. But now we can ask mechanistic questions."
"We believe that for every neurological disease that has an immune component to it, these vessels may play a major role," Kipnis said. "Hard to imagine that these vessels would not be involved in a [neurological] disease with an immune component."
New Discovery in Human Body
Kevin Lee, PhD, chairman of the UVA Department of Neuroscience, described his reaction to the discovery by Kipnis´ lab: "The first time these guys showed me the basic result, I just said one sentence: ´They´ll have to change the textbooks.´ There has never been a lymphatic system for the central nervous system, and it was very clear from that first singular observation - and they´ve done many studies since then to bolster the finding - that it will fundamentally change the way people look at the central nervous system´s relationship with the immune system."
Even Kipnis was skeptical initially. "I really did not believe there are structures in the body that we are not aware of. I thought the body was mapped," he said. "I thought that these discoveries ended somewhere around the middle of the last century. But apparently they have not."
´Very Well Hidden´
The discovery was made possible by the work of Antoine Louveau, PhD, a postdoctoral fellow in Kipnis´ lab. The vessels were detected after Louveau developed a method to mount a mouse´s meninges - the membranes covering the brain - on a single slide so that they could be examined as a whole. "It was fairly easy, actually," he said. "There was one trick: We fixed the meninges within the skullcap, so that the tissue is secured in its physiological condition, and then we dissected it. If we had done it the other way around, it wouldn´t have worked."