Are cells at the brain-blood interface the cells that initiate MS?

Associate Professor Brad Sutherland

University of Tasmania, TAS

January 2021

specialisation: Neurobiology

focus area: Causes and Prevention

funding type: Project

project type: Investigator Led Research

Summary

In MS, immune cells attack the brain and strip the insulation (myelin) away from nerve cells. While we know a lot about how disease progresses from this point, we know very little about what causes MS to start and why the immune cells specifically attack the brain and spinal cord. A tight barrier exists between the blood and the brain called the blood-brain-barrier (BBB). The BBB acts to keep infections as well as immune cells out of the brain. So, what directs the immune cells to push through the BBB in MS?

Several studies have shown that smoking or being overweight can increase a person’s chance of developing MS, and both smoking and obesity are bad for the heart and blood vessels. This project will explore the possibility that a loss of function or loss of key cells at the BBB, leading it to become leaky, can result in damage to myelin inside the brain and contribute to MS onset. Associate Professor Brad Sutherland will examine the interaction between two cell types known as pericytes (cells found in blood vessels) and oligodendrocyte progenitor cells (found inside the brain) and explore what role these cells in combination have at the very start of MS.

Outcome

Using laboratory models, Associate Professor Sutherland and his team have discovered a novel group of cells that are found on blood vessels in specific regions of the brain, called PDGRF-alpha-positive cells. The team will be doing further studies to understand their function and structure. 

The team also found that removing pericytes, which are cells that are key to communication between the brain’s blood vessels and other cells in the brain, leads to sudden and dramatic changes in the brain. This shows that these cells are very important in maintaining brain function and that the function of blood vessels around nerves and brain tissue are important to keep the brain healthy. 

However, when half of the pericytes were removed along with immune stimulation, there were no obvious injuries to the myelin or changes to the oligodendrocytes. Furthermore, using laboratory models to demonstrate inflammatory loss of myelin led to substantial injuries to blood vessels including leakage of the BBB, reduced concentration of blood vessels and loss of pericytes. Together, this suggests that loss of pericytes in MS may be due to myelin damage, rather than the loss of pericytes being the cause of myelin damage. 

publications

  • Cashion JM, Young KM, Sutherland BA (2023) How does neurovascular unit dysfunction contribute to multiple sclerosis? Neurobiol Dis 178: 106028 DOI: 10.1016/j.nbd.2023.106028
  • King NE, Courtney JM, Brown LS, Fortune AJ, Blackburn NB, Fletcher JL, Cashion JM, Talbot J, Pebay A, Hewitt AW, Morris GP, Young KM, Cook AL, Sutherland BA. (2024) Induced pluripotent stem cell derived pericytes respond to mediators of proliferation and contractility. Stem Cell Res Ther. 2024;15(1):59. DOI: 10.1186/s13287-024-03671-x

Updated 31 March 2024 

lead investigator

total funding

$240,000

start year

2021

duration

3 years

STATUS

Past project

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Are cells at the brain-blood interface the cells that initiate MS?