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Exploring the functions of the immune sentinels at the brain borders to control neuroinflammation and cognition

Due to the vital importance of the brain, its development and inflammation have to be tightly controlled.  While much is known about the blood-brain barrier and brain’s immune cells (microglia), less is understood about the contribution of brain borders, specifically the meninges, to brain function and inflammation. The brain is protected by the meninges, a three-layer covering that provides a structure onto which a myriad of resident innate immune sentinel cells block threatening pathogens or activate the adaptive immune system in response to inflammatory challenges. Once thought to merely shield the CNS parenchyma containing mostly neurons and glial cells, the meninges have been proven to harbor a large network of functions, at steady-state and upon inflammation.

We are using cutting-edge technologies such as intravital imaging, histo-cytometry, functional flow cytometry and single-cell transcriptomic approaches that together allow for a precise and dynamic investigation of the meninges in wildtype and transgenic mice models. We aim to unravel the remarkable complexity and plasticity of the immune sentinels’ functions in health and disease. The recent discovery of this complex and dynamic meningeal innate immunity means that the development of new targeted therapeutic agents for the treatment of neurological disorders is within the realm of possibility.

Schematic diagram of the steady-state meningeal anatomy showing the three layers (dura, arachnoid and pia) covering the brain surface. Immune composition showing the large repertoire of immune sentinels such as the Dendritic Cells (DCs), Mast Cells (MCs), Innate Lymphoid Cells (ILCs) and Meningeal Macrophages (MMs). Copyright: Rejane Rua et al., Trends in Molecular Medicine.

Using an autoimmune disease model, we initially showed that a specific type of immune sentinels, the T-bet-dependent NKp46+ Innate Lymphoid Cells (ILCs), controlled the CNS parenchymal infiltration. These seminal findings clearly demonstrate that the meningeal immune sentinels have a key role in initiating the neuroinflammation.

Confocal microscopy images of meningeal whole mount showing an inflammatory cluster, containing auto-reactive CD4+ T cells TH17 (white), antigen-presenting cells (red) and innate lymphocytes (green) at the peak of the EAE disease.
Copyright: Rejane Rua and Vanja Lazarevic, Nature Immunology. Artwork illustrating inflammatory clusters. Copyright: Lewis Long, Springer Nature Publishing AG.

In addition to lymphoid sentinels, the surface of the CNS is also inhabited by a vast network of myeloid sentinels. Resident Meningeal Macrophages (MMs) are the most abundant immune cells in the meninges and are constantly sampling their environment. However, little is known about how they are maintained and regulated during and after an inflammatory challenge. By following these cells upon infection by the lymphocytic choriomeningitis virus (LCMV) that causes meningitis, we showed that the pool of these specialized MMs is greatly altered, thus leading to long-term defects in their immune function.

Representative time lapses of 3D reconstructions show the dynamics of myeloid cells (green) captured by intravital imaging through a thinned skull of naive Cx3cr1-GFP/+ mice
(Top panel with video link showing steady state MMs) and through a thinned skull of LCMV-infected Cx3cr1gfp/+ mice at the peak of the disease where the LCMV-specific CTL express a fluorescent protein (pink)
(Bottom panel with video link showing interactions between MMs and CTLs at the peak of the disease). The blood vessels are labelled with Evans blue (red). Copyright: Rejane Rua et al., Nature Immunology.

Overall, myeloid cells at the brain borders represent new players in neuroimmunology, as they function as a communication hub between the brain and the periphery. We hope that our innovative approach to manipulate these cells will mark a significant leap forward in the fight against neurological disorders.

Publications

2024
Da Mesquita S, Rua R, Brain border-associated macrophages: common denominators in infection, aging, and Alzheimer’s disease?, Trends Immunol 2024 May; 45(5): 346-357.
2024
Julie Rebejac, Elisa Eme-Scolan, Rejane Rua, Role of meningeal immunity in brain function and protection against pathogens, <i>Journal of Inflammation</i>, 2024, 21 (1), pp.3. <a target="_blank" href="https://dx.doi.org/10.1186/s12950-023-00374-7">⟨10.1186/s12950-023-00374-7⟩</a>.
2023
Juliette van Steenwinckel, Cindy Bokobza, Mireille Laforge, Isabelle Shearer, Veronique Miron, Rejan..., Key roles of glial cells in the encephalopathy of prematurity, <i>Glia</i>, 2023, <a target="_blank" href="https://dx.doi.org/10.1002/glia.24474">⟨10.1002/glia.24474⟩</a>.
2023
Eme-Scolan E, Arnaud-Paroutaud L, Haidar N, Roussel-Queval A, Rua R, Meningeal regulation of infections: A double-edged sword., Eur J Immunol 2023 Sep; 53(9): e2250267.
2023
Char R, Liu Z, Jacqueline C, Davieau M, Delgado MG, Soufflet C, Fallet M, Chasson L, Chapuy R, Camos..., RUFY3 regulates endolysosomes perinuclear positioning, antigen presentation and migration in activated phagocytes., Nat Commun 2023 Jul; 14(1): 4290.
2023
Rejane Rua, Nathalie Pujol, Pathogen metabolite checkpoint: NHR on guard, <i>Immunity</i>, 2023, 56 (4), pp.744-746. <a target="_blank" href="https://dx.doi.org/10.1016/j.immuni.2023.03.004">⟨10.1016/j.immuni.2023.03.004⟩</a>.
2023
Valente M, Collinet N, Vu Manh TP, Popoff D, Rahmani K, Naciri K, Bessou G, Rua R, Gil L, Mionnet C,..., Novel mouse models based on intersectional genetics to identify and characterize plasmacytoid dendritic cells., Nat Immunol 2023 Apr; 24(4): 714-728.
2023
Annie Roussel-Queval, Julie Rebejac, Elisa Eme-Scolan, Laurie Arnaud Paroutaud, Rejane Rua, Flow cytometry and immunohistochemistry of the mouse dural meninges for immunological and virological assessments, <i>STAR Protocols</i>, 2023, 4 (1), pp.102119. <a target="_blank" href="https://dx.doi.org/10.1016/j.xpro.2023.102119">⟨10.1016/j.xpro.2023.102119⟩</a>.
2022
Nikita Mikhailov, Anaïs Virenque, Kseniia Koroleva, Elisa Eme-Scolan, Matei Teleman, Ali Abdollahza..., The role of the meningeal lymphatic system in local meningeal inflammation and trigeminal nociception, <i>Scientific Reports</i>, 2022, 12, pp.8804. <a target="_blank" href="https://dx.doi.org/10.1038/s41598-022-12540-7">⟨10.1038/s41598-022-12540-7⟩</a>.
2022
Julie Rebejac, Elisa Eme-Scolan, Laurie Arnaud Paroutaud, Sarah Kharbouche, Matei Teleman, Lionel Sp..., Meningeal macrophages protect against viral neuroinfection, <i>Immunity</i>, 2022, 55 (11), pp.2103-2117.e10. <a target="_blank" href="https://dx.doi.org/10.1016/j.immuni.2022.10.005">⟨10.1016/j.immuni.2022.10.005⟩</a>.
2020
Réjane Rua, Nathalie Pujol, IL-17: good fear no tears, <i>Nature Immunology</i>, 2020, 21 (11), pp.1315-1316. <a target="_blank" href="https://dx.doi.org/10.1038/s41590-020-0792-4">⟨10.1038/s41590-020-0792-4⟩</a>.
2019
Rua R, Lee JY, Silva AB, Swafford IS, Maric D, Johnson KR, McGavern DB, Infection drives meningeal engraftment by inflammatory monocytes that impairs CNS immunity., Nat Immunol 2019 Apr; 20(4): 407-419.
2018
Kwong B, Rua R, Gao Y, Flickinger J, Wang Y, Kruhlak MJ, Zhu J, Vivier E, McGavern DB, Lazarevic V, Author Correction: T-bet-dependent NKp46+ innate lymphoid cells regulate the onset of TH17-induced neuroinflammation., Nat Immunol 2018 Aug; 19(8): 898.
2017
Brandon Kwong, Rejane Rua, Yuanyuan Gao, John Flickinger, Yan Wang, Michael J. Kruhlak, Jinfang Zhu,..., T-bet-dependent NKp46(+) innate lymphoid cells regulate the onset of T(H)17-induced neuroinflammation, <i>Nature Immunology</i>, 2017, 18 (10), pp.1117+. <a target="_blank" href="https://dx.doi.org/10.1038/ni.3816">⟨10.1038/ni.3816⟩</a>.