BRAINS IN BRIEFS


Scroll down to see new briefs about recent scientific publications by neuroscience graduate students at the University of Pennsylvania. Or search for your interests by key terms below (i.e. sleep, Alzheimer’s, autism).

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A case of leaky brain barrier: how missing a piece of chromosome 22 can lead to schizophrenia

or technically,
Disruption of the blood-brain barrier in 22q11.2 deletion syndrome
[See original abstract on pubmed]

Alexis Crockett was the lead author on this study. She is interested in understanding how the rest of the body affects the brain to change behavior. One way the body signals to the brain and changes its function is through activation of the immune system. Her research focuses on how the immune system can become activated, and tries to understand how this inflammation is able to bypass all the barriers that are supposed to protect the brain from this inflammation. She is currently continuing this line of study in her postdoctoral fellowship at the Cleveland Clinic in the laboratory of Dr. Dimitrios Davalos.

or technically,

Disruption of the blood-brain barrier in 22q11.2 deletion syndrome

[See Original Abstract on Pubmed]

Authors of the study: Alexis M Crockett, Sean K Ryan, Adriana Hernandez Vásquez, Caroline Canning, Nickole Kanyuch, Hania Kebir, Guadalupe Ceja, James Gesualdi, Elaine Zackai, Donna McDonald-McGinn, Angela Viaene, Richa Kapoor, Naïl Benallegue, Raquel Gur, Stewart A Anderson, Jorge I Alvarez

Our brains are like car radios -- they tune into different stations for various thoughts and experiences. However, sometimes the station might change without a person touching the radio knob, leading them to hear sounds or voices that are not real in a way that they can't control. Imagine you are on a road trip with your friends, listening to a carefully curated Taylor Swift soundtrack, when all of the sudden, you only hear Kanye West rapping -- while your friends insist that Kanye hasn’t been playing at all! The idea of hearing something that no one else does is super confusing and frightening, especially because sometimes these stations that only you are tuned into could be ominous -- rather than Kanye rapping, you might hear someone that sounds like a scary character from a horror movie. Alternatively, what if you suddenly have zero interest in listening to Taylor Swift despite being known as her biggest fan for years? Such sudden disconnect-from-reality circumstances and/or the lack of interest and emotions are experienced by people with schizophrenia, a chronic mental illness that can seriously interfere with daily life functions. Medicine and therapy can help to manage symptoms of schizophrenia, but there is currently no cure. One reason for the lack of a cure is that we have yet to fully pinpoint the causes of this disorder, making it difficult to inform therapeutic strategies directly targeting those causes.

Scientists have identified many different genetic mutations that are linked to schizophrenia diagnoses. However, these mutations are not found in all individuals with schizophrenia. In addition, people with these mutations do not necessarily develop schizophrenia. A complex combination of genetic, environmental and lifestyle factors contributes to the development of this disorder. Generally, diseases with strong genetic drivers often have more well-defined biological mechanisms, which makes them easier to study. One of the strongest genetic risk factors in schizophrenia is the deletion of a segment of chromosome 22, herein referred to as 22q11.2 deletion, which results in the loss of 40-50 genes. Strikingly, approximately 25% of people bearing 22q11.2 deletion are diagnosed with schizophrenia, putting these people at much higher risk than the general population. Hence, deciphering the commonality among individuals with 22q11.2 deletion might help us better understand the disease mechanism(s). Dr. Alexis Crockett, a former Neuroscience Graduate Group student in the Alvarez lab at University of Pennsylvania, set out to explore how 22q11.2 deletion alters the brain in the way(s) that might cause schizophrenia.

Unlike most organs in the body, the brain is extremely delicate, with limited ability to regenerate if it is damaged. Therefore, to protect the brain, access of substances in the bloodstream to the brain is tightly controlled by a special filter, referred to as the blood-brain barrier. This structure forms a barrier that is critical for keeping various harmful particles such as bacteria, viruses, and environmental toxins from the brain. This brain barrier is made possible by densely packed endothelial cells, which are specialized cells that make up the blood vessels, and the many proteins between them like bricks and mortar, respectively. Therefore, only select substances are allowed to pass through the tiny pores of this barrier, if they are small enough or being transported by specific proteins from the blood-facing side of the cell to the brain-facing side of the same cell. This tight barrier is further reinforced by astrocytes which are a type of brain cell. Given that many of the deleted genes in the 22q11.2 region are proteins that make up this brain barrier, Dr. Crockett and colleagues hypothesized that the brain barrier is leaky in patients with 22q11.2 deletion.

To explore this hypothesis, they employed a mouse model with a similar 22q11.2 deletion as found in humans. Two proteins in the bloodstream, which are known to normally be kept out of the brain, were instead found in the brain tissue of these mice. Furthermore, they observed a marked increase in the amount of ICAM-1, a protein that aids immune cells in sticking to and migrating across the endothelial cell layer. An intact brain barrier normally restricts entry of the immune cells into the brain to avoid uncontrollable inflammation. However, in the brains of mice with 22q11.2 deletion, there was an increased level of inflammatory proteins in astrocytes of the brain. These evidence indicated a breach of brain barrier along with brain inflammation in the mouse model of 22q11.2 deletion.

Although mice are a valuable animal model for biomedical research, there are important differences between mice and humans. For instance, laboratory mice are quite genetically similar to each other, which fails to reflect the genetic complexity of schizophrenic patients. In order to study 22q11.2 deletion in human cells, Dr. Crockett and colleagues obtained cells from patients with this deletion. They then used established methods to change these cells to resemble the endothelial cells that make up the brain’s barrier, allowing them to examine the integrity of the human brain barrier in the dish. Compared to endothelial-like cells derived from healthy individuals, endothelial-like cells derived from patients with 22q11.2 deletion showed an increase in leakiness. Similar to their findings in mice, there was also a higher level of the adhesion protein ICAM-1 in the human endothelial-like cells with 22q11.2 deletion. Indeed, human immune cells readily crossed endothelial-like cell layer, consistent with known effect of high ICAM-1 level on immune cell migration.

Together, the work led by Dr. Crockett demonstrated that in the context of 22q11.2 deletion, the brain barrier is dysfunctional, permitting the entry of prohibited particles, and subsequently triggering inflammation in the brain. Interestingly, impaired function of the brain barrier has been reported in other cases of schizophrenia without clear genetic mutations, suggesting that a leaky brain barrier might be one of the underlying mechanisms contributing to the development of schizophrenia. Dr. Crockett's findings not only help us further understand the complex origins of this devastating disease, but also may lead to better treatment strategies for schizophrenia by targeting the brain’s barrier.

About the brief writer: Phuong Nguyen

Phuong is a PhD Candidate in Dr. Katy Wellen’s lab at Penn. Her research journey started in her undergraduate study at Drexel University when she performed a drug screening on a fruit fly model of Alzheimer’s disease. She then decided to pursue her PhD training in Neuroscience at Penn. She set out to characterize the brain function of a novel mouse model lacking Acly, an important enzyme for lipid synthesis and various metabolic processes. Interestingly, the brain demonstrated a remarkable resilience to the loss of this enzyme, while the skin of those mice was severely damaged that was associated with fat loss and premature death. Her research work revealed a crosstalk among the skin, the fat tissue, and the dietary lipids. She hopes to continue her research in understanding the complex metabolic crosstalk between organs, especially focusing on the brain, and how nutrition impacts those crosstalks.

Curious to learn more about what Dr. Crockett and colleagues discovered? Check out the details of this work here.

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A gene linked to schizophrenia? New insights and new models for the devastating disorder.

or technically,
Loss of the neurodevelopmental gene Zswim6 alters striatal morphology and motor regulation.
[See Original Abstract on Pubmed]

or technically,

Loss of the neurodevelopmental gene Zswim6 alters striatal morphology and motor regulation.

[See Original Abstract on Pubmed]

Authors of the study: David J. Tischfield, Dave K. Saraswat, Andrew Furash, Stephen C. Fowler, Marc V. Fuccillo, Stewart A. Anderson

Hallucinations, delusions, and paranoia. Agitation, depression, and trouble sleeping. The symptoms of schizophrenia vary from person to person, but one fact remains the same: there is currently no known cure for the disorder that affects over 77 million people worldwide. Due in large part to its incredibly diverse set of symptoms, schizophrenia is an extremely challenging disorder to study. David Tischfield, a neuroscience graduate student working in the laboratory of Dr. Stewart Anderson at the University of Pennsylvania, tackled this problem by studying the relationship between a recently identified neurodevelopmental geneA unit of DNA that encodes a protein and tells a cell how to function and its contribution to normal and abnormal brainThe brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. function.

Thanks to recent advancements in technology, scientists have been able to identify genesA unit of DNA that encodes a protein and tells a cell how to function that are associated with all sorts of diseases and disorders. Two such studies1,2 have linked ZSWIM6, a geneA unit of DNA that encodes a protein and tells a cell how to function of unknown function, to schizophrenia and other severe neurodevelopmental disordersA disorder in which the development of the central nervous system is disturbed, which often leads to neuropsychiatric problems or impaired function. Building off of these previous studies, David sought to characterize this geneA unit of DNA that encodes a protein and tells a cell how to function in mice and determine its role in brainThe brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. development and disease.

Based on studies performed in humans, we know that patients with schizophrenia often have abnormalities in a part of the brainThe brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. called the striatumA region in the front of the brain that is critical for motor and reward system - a region that plays a role in regulating voluntary movements. This makes sense as many symptoms of schizophrenia are movement-based: agitation, repetitive movements, lack of restraint, impaired coordination, etc. Interestingly, Zswim6 (the proteinAn essential molecule found in all cells. DNA contains the recipes the cell uses to make proteins. Examples of proteins include receptors, enzymes, and antibodies. encoded by the Zswim6 geneA unit of DNA that encodes a protein and tells a cell how to function in mice) is present in very high levels in this region. David therefore wondered if Zswim6 dysfunction in the striatumA region in the front of the brain that is critical for motor and reward system, specifically, could cause developmental brainThe brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. abnormalities that could explain some of the symptoms of schizophrenia. To test this, he deleted this geneA unit of DNA that encodes a protein and tells a cell how to function in a group of mice, and then compared the behaviors and brainThe brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. development of mice with and without Zswim6.

In terms of neurodevelopment, David found that mice lacking Zswim6 had smaller striata than the mice who had normal levels of Zswim6. In line with this, the mice lacking Zswim6 also had a reduced number of medium spiny neuronsA special type of cell located in the human striatum, especially important in the transmission of dopamine. (the main type of brainThe brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. cell that makes up the striatumA region in the front of the brain that is critical for motor and reward system), as well as significant abnormalities in the structure of these cells. David then performed behavioral experiments on the mice lacking Zswim6 to determine if there were any changes in motor learning and overall behavioral control (remember: the striatumA region in the front of the brain that is critical for motor and reward system is important for regulating movements). Indeed, David found that the mice lacking Zswim6 did show differences in movement-related behavior. Not only did they have a harder time balancing on a rotating "treadmill" of sorts, but the mice without the Zswim6 geneA unit of DNA that encodes a protein and tells a cell how to function also tended to be a lot more hyperactive (think: sprinting around their cage). This hyperactivity was further increased when the mice were given a low dose of amphetamine (a stimulant drug similar to Adderall that speeds up your brainThe brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. and your movements). However, this increase in hyperactivity with amphetamine was only seen in the mice lacking Zswim6 - low doses of the drug had no effect on regular mice. This finding is important as extreme sensitivity to amphetamines is a common symptom in humans suffering from schizophrenia, and these drugs can actually induce psychosisA symptom of mental illness in which the person loses touch with reality and thinks or behaves in bizarre ways in those who take them. Therefore, this result further links Zswim6 to specific aspects of schizophrenia.

David’s work not only gives us more information about an important geneA unit of DNA that encodes a protein and tells a cell how to function that we previously knew nothing about, but it also provides the field with a new mouse model, the Zswim6 “deleted” mice, that could be extremely useful in future studies of schizophrenia and its related disorders. In particular, this model reproduces the brainThe brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. region abnormalities, movement problems, and hypersensitivity to amphetamines that are seen in humans with schizophrenia. As schizophrenia is chronic, debilitating, and currently without cure, finding effective ways to study it are of the utmost importance. David’s work leads the way towards understanding the science behind such misunderstood and devastating disorders.
About the brief writer: Kelsey NemecAs a 2nd year NGG student, Kelsey is interested in using neural stem cells to study neurodevelopment and neurodegeneration in various diseases and disorders.

About the brief writer: Kelsey Nemec

As a 2nd year NGG student, Kelsey is interested in using neural stem cells to study neurodevelopment and neurodegeneration in various diseases and disorders.

Citations:

  1. Ripke, S., et al., 2013. Genome-wide association analysis identifies 13 new risk loci for schizophrenia. Nat. Genet. 45:1150–1159. Read it here

  2. Schizophrenia Working Group of the Psychiatric Genomics, C, 2014,. Biological insights from 108 schizophrenia-associated genetic loci. Nature 511:421–427. Read it here.

Want to learn more about how researchers study neurodevelopmental disorders like schizophrenia? You can find David’s full paper here!

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