Skip to Main Content

Yale Psychiatry Grand Rounds: "Neuroimmune Mechanisms of Brain Development and Vulnerability"

April 14, 2023
  • 00:00Wait,
  • 00:04okay, do I need to?
  • 00:05Yes, I need to click that.
  • 00:07But can you help because
  • 00:11the mouse is over here.
  • 00:13So I will first thank Alicia and thank
  • 00:15Marina for that wonderful introduction
  • 00:16and to all of you for being here.
  • 00:18And it's really an honor to be here
  • 00:20for the special lecture and just
  • 00:22a pleasure to be here in general
  • 00:23because so many of my colleagues and.
  • 00:25Friends are here,
  • 00:26and I've learned a ton already about
  • 00:28all the research that's going on.
  • 00:30Like just makes me want to spend another
  • 00:32week or more hanging out more because
  • 00:34this clearly wasn't enough time.
  • 00:35But I am.
  • 00:36I'm really excited to tell you
  • 00:38about some of our work today.
  • 00:39And as you just heard a little bit from
  • 00:41the background in the introduction,
  • 00:43you know,
  • 00:44I think is increasing evidence that
  • 00:46really suggests that brain development
  • 00:48is impaired in a lot of mental illnesses,
  • 00:50including schizophrenia and bipolar.
  • 00:52But you know,
  • 00:53we know this is potentially happening
  • 00:55long before the onset of symptoms,
  • 00:57but there are many questions
  • 00:59and challenges for the field in
  • 01:01particular when do things begin?
  • 01:03This is a major question as a
  • 01:05developmental neurobiologist and glial
  • 01:06biologist that I've been long interested in.
  • 01:07It's just going back in development
  • 01:09and trying to understand
  • 01:10when and also which circuits.
  • 01:12And ultimately the biggest question of
  • 01:14course is what are the mechanisms and with
  • 01:17emerging genetics of the last decade or more,
  • 01:20that's really.
  • 01:20Exploded in the field and it's really
  • 01:23illuminating a lot of potential
  • 01:25pathways that we never had before.
  • 01:27It turns out genetics are pointing to a lot
  • 01:29of a variance in genes that are implicating,
  • 01:32not surprisingly,
  • 01:32the synops right the point of communication
  • 01:35between neurons where of course if
  • 01:37synopses aren't working properly,
  • 01:38that's going to have all kinds of impact on
  • 01:40brain development and circuits and behavior.
  • 01:43But the other thing I want
  • 01:44to highlight today is,
  • 01:45you know with all of the,
  • 01:46the,
  • 01:46the define mapping and GWA studies in,
  • 01:49in the context of schizophrenia
  • 01:50in particular,
  • 01:51where I'll focus a bit more today,
  • 01:53there's both common variants and rare
  • 01:55variants that are implicating not just
  • 01:58generally synapses but specific genes,
  • 01:59not just variants but specific
  • 02:02genes and which also,
  • 02:04you know,
  • 02:05implicate another pathway or part of the
  • 02:07the body which is the immune system,
  • 02:09which.
  • 02:10At the beginning was a bit mysterious
  • 02:12why these immune molecules
  • 02:13keep coming up in the genetics,
  • 02:15but I hope to convince you today
  • 02:17that some same genes that relate
  • 02:18to the immune system,
  • 02:20like complement C4 and another
  • 02:22gene called CSM D1.
  • 02:23Ironically enough,
  • 02:24my lab had been studying these
  • 02:26genes independent of knowing the
  • 02:28genetics was going to point to
  • 02:30them in the context of risk,
  • 02:31and so it's been a really great example
  • 02:34where genetics and biology can converge.
  • 02:36But even still to try to understand
  • 02:38the mechanism requires a lot of
  • 02:39work to try to develop new tools
  • 02:41and importantly new model systems because
  • 02:43even with the genetic leads and even with
  • 02:45some biological insight as Marina just said.
  • 02:47How do we translate that into new biomarkers,
  • 02:50new mechanistic biomarkers that will
  • 02:52enable us to stratify patients and to
  • 02:55be able to identify those that are at
  • 02:57more risk really in development ideally,
  • 02:59but also new targets of
  • 03:01intervention like that is,
  • 03:02is you know I think it's a challenge but.
  • 03:04I hope to convince you today through
  • 03:07collaborative efforts by many of me and my
  • 03:09colleagues at the broad and the Stanley
  • 03:10Center and and many collaborators outside.
  • 03:12We are trying to work together to try
  • 03:14to to develop a pipeline to be able
  • 03:17to take gene variant all the way to
  • 03:19pathway to function so that we can try
  • 03:21to develop new mechanistic understanding.
  • 03:23So as a developmental neurobiologist
  • 03:25and I think back to when I was a
  • 03:27graduate student start first became
  • 03:29interested in neuroscience.
  • 03:31It's this type of question that.
  • 03:33Brought me to neuroscience,
  • 03:34which this idea of how it is that the
  • 03:38environment can sculpt developing circuits,
  • 03:40right.
  • 03:40So we know early in development with
  • 03:42during this process of brain wiring,
  • 03:44we start off with, you know,
  • 03:46kind of a sparse immature
  • 03:48synaptic connections.
  • 03:49And then over a course of
  • 03:51different critical periods,
  • 03:52right,
  • 03:52we start to develop this process by
  • 03:54which some of those connections form
  • 03:56and get strengthened and maintained.
  • 03:58And other of these connections
  • 04:00get permanently removed.
  • 04:00This is a process called synaptic
  • 04:03refinement or synaptic pruning,
  • 04:04and we know what happens all across the
  • 04:06brain in different critical periods now.
  • 04:08It's been best studied in sensory
  • 04:10systems like the visual system and for
  • 04:12that matter many other sensory systems
  • 04:13where these critical periods are
  • 04:15often happening early in development,
  • 04:17but other parts of your brain like the
  • 04:19prefrontal cortex and cortical circuits.
  • 04:21These are the sort of last areas
  • 04:23to refine and mature and and
  • 04:25incredibly important.
  • 04:26You know,
  • 04:27there's much less known about the
  • 04:29mechanisms and and timelines that regulate
  • 04:32those processes of synaptic refinement.
  • 04:34So what we are interested in is
  • 04:36trying to better define not only
  • 04:38the timing of different regions
  • 04:40and circuits and their maturation,
  • 04:41but we want to try to better
  • 04:44understand how perturbations of the
  • 04:45environment and particular genetic
  • 04:47pathways influence and change
  • 04:49circuits and ultimately behavior.
  • 04:51Now it's long known,
  • 04:52you know,
  • 04:52I should just mention another thing,
  • 04:54that plasticity is usually thought
  • 04:55to be a good thing.
  • 04:57It's why my daughter can learn French
  • 04:59seamlessly and I am terrible at French,
  • 05:01right?
  • 05:01My critical period for learning French is
  • 05:03long closed and no matter how much I try,
  • 05:05it is very challenging.
  • 05:06But my both my daughters are in
  • 05:08a French immersion program and
  • 05:10started learning that when they
  • 05:11were kindergarten first grade.
  • 05:12And it's amazing, you know.
  • 05:14So that's just one of one of many
  • 05:16examples of why sort of this
  • 05:17idea of lose it or use it.
  • 05:19Lose it,
  • 05:19use it or lose it and the idea
  • 05:21that you know plasticity while
  • 05:23enabling learning and and and
  • 05:25adaptation to the environment,
  • 05:26it can also lead to vulnerability.
  • 05:28So plasticity opens the brain up for
  • 05:30potential vulnerability because it's so
  • 05:32dynamic and plastic and I think it's
  • 05:34understanding these critical periods
  • 05:36are going to be important to thinking
  • 05:38about why there is particular windows
  • 05:40of vulnerability and diseases and
  • 05:42disorders like schizophrenia for example.
  • 05:45Now schizophrenia, you know,
  • 05:46we know is, you know,
  • 05:48there's evidence from both imaging
  • 05:50studies and some anatomical studies that
  • 05:52there is a loss of great Gray matter,
  • 05:55thinning of Gray matter and and
  • 05:57even some evidence of loss of
  • 05:59spines and synopses that have come
  • 06:01from postmortem studies.
  • 06:02And, and I think more and more
  • 06:04evidence is suggesting that at least
  • 06:06in some individuals of schizophrenia
  • 06:07there's evidence of synaptic defects.
  • 06:09And this is not true just of schizophrenia.
  • 06:11This is true of other
  • 06:13neurodevelopmental disorders as well.
  • 06:14But I think the problem with
  • 06:16these types of examples,
  • 06:18even the imaging,
  • 06:18it doesn't give you the resolution to look
  • 06:21at synapses and the postmortem analysis
  • 06:23where you can quantify synapses in patients.
  • 06:25By the time you get those brains, you know
  • 06:27there's many things that have happened.
  • 06:28So you don't know whether that's
  • 06:30cause or consequence, right.
  • 06:31There are many things that could
  • 06:32have led to the loss of synapses.
  • 06:34So a lot of this idea of of
  • 06:37synaptic pruning defects,
  • 06:38those are all been, it's a hypothesis.
  • 06:40We don't know for sure that
  • 06:42synapse pruning or synapse loss.
  • 06:44Is contributing to,
  • 06:45to,
  • 06:45to to some of these disorders and
  • 06:47I think that's real obviously
  • 06:49very challenging to study in,
  • 06:50in people and for that matter
  • 06:52even in animals.
  • 06:53And so we also know that synapse loss
  • 06:56and dysfunction is a is a hallmark
  • 06:58of many other disorders as well.
  • 06:59And my lab over the last many years has
  • 07:02been studying normally what regulates
  • 07:04synaptic pruning and synapse elimination,
  • 07:06hoping that by understanding basic
  • 07:07mechanisms in the normal healthy brain,
  • 07:09in animal models and ideally
  • 07:11in patient samples.
  • 07:12That that can then based on
  • 07:14that mechanistic understanding,
  • 07:15we could then apply some of that
  • 07:17to understand whether those same
  • 07:19mechanisms become aberrantly activated
  • 07:20to lead to pathological synapse
  • 07:22loss in the context of disease.
  • 07:24And we've also been studying this in
  • 07:26other diseases including Alzheimer's
  • 07:27and age-related neurodegenerative
  • 07:28diseases and in fact in normal aging.
  • 07:30And even though all of these disorders
  • 07:32are remarkably different in many ways,
  • 07:34as you all know,
  • 07:35I believe there's still evidence of
  • 07:37a convergence that I'm particularly
  • 07:38interested in because different
  • 07:40things can initiate the process.
  • 07:42Genetics and environment,
  • 07:43different different pathways,
  • 07:45maybe even different circuits,
  • 07:47but ultimately at least the data that
  • 07:49we have suggests the possibility
  • 07:50that there could be some converging
  • 07:52mechanisms that then ultimately
  • 07:53leads to the synaptic vulnerability
  • 07:55and synapse loss.
  • 07:56And that's what I want to talk
  • 07:57to you about today.
  • 07:58So why has progress been so
  • 07:59slow on the biology
  • 08:00side even though the genetics and
  • 08:02the genomic studies have exploded?
  • 08:03And that's wonderful because
  • 08:05unbiased data is giving us, I know,
  • 08:07new leads, new candidates and new
  • 08:09ways of thinking about mechanism.
  • 08:11But obviously this complex circuitry
  • 08:13inaccessibility of the human brain,
  • 08:14as I mentioned and as I'll highlight
  • 08:16and I think many of you appreciate,
  • 08:18there's been a lack of credible
  • 08:20disease models.
  • 08:20I mean, I don't think anyone model a mouse
  • 08:23or monkey or other animal models can really,
  • 08:26truly recapitulate the complexity
  • 08:27of the human brain and cognition,
  • 08:29but with the thoughtful way of thinking
  • 08:31about trying to model disease mechanisms,
  • 08:34not model the disease.
  • 08:35That's giving us new,
  • 08:36a new foothold into trying to understand
  • 08:38the types of questions I raised before.
  • 08:40And also we don't have biomarkers,
  • 08:42right.
  • 08:42We don't have really good mechanistic and
  • 08:45predictive biomarkers given the complexity,
  • 08:47heterogeneity and polygenicity
  • 08:48of these disorders,
  • 08:50how do you even know who to track and and
  • 08:52follow and stratify and we don't have,
  • 08:54we don't have that for for these disorders.
  • 08:57So what I want to do today
  • 08:58is kind of take you through.
  • 09:00The thinking and the the way we've
  • 09:01been thinking about how to tackle
  • 09:03this and we meaning there's a lot
  • 09:04of collaborators and colleagues
  • 09:05at the Stanley Center at the broad
  • 09:07and and within my lab.
  • 09:08But just the idea that you know
  • 09:10that there are many open questions.
  • 09:11We still don't know even with all
  • 09:13of the genetics that are pointing to
  • 09:15variance that we don't many cases
  • 09:17know what the genes are right they're
  • 09:18they're close to in a particular
  • 09:20chromosome and a particular loci but
  • 09:22which genes in some cases we know
  • 09:24the genes and in many cases we don't.
  • 09:26We don't know the mechanism by which
  • 09:27these genes actually alter cellular function.
  • 09:29We don't know which pathways are
  • 09:31relevant because these genes don't
  • 09:33necessarily tell us what pathway.
  • 09:35We don't know in many cases which
  • 09:37cell types are are are most affected.
  • 09:39There are loss of heterogeneity of
  • 09:41cells in the brain, as you know,
  • 09:43even with an excitatory neuron populations,
  • 09:45inhibitory neuron populations,
  • 09:46and glial cells remarkable heterogeneity.
  • 09:49So even if you found a gene in a pathway,
  • 09:51which cell type do you want to be
  • 09:53studying right and what's which
  • 09:54ones to focus on?
  • 09:56And of course which synapse,
  • 09:57right, it's not all synapses,
  • 09:58maybe the vulnerable synapse,
  • 09:59which circuit in the brain,
  • 10:01I mean obviously this is going to sound
  • 10:02like the most daunting thing ever,
  • 10:03how we ever going to figure this out,
  • 10:05but ultimately all of these questions
  • 10:08are are are open in many ways and so.
  • 10:10What we want to try to be able to
  • 10:12do is think about ways to to step
  • 10:14back and systematically go through.
  • 10:16And in some cases where the leads
  • 10:18are more reasonable,
  • 10:19we know something about the biology.
  • 10:20We're going deeper to try to
  • 10:22understand mechanism.
  • 10:22And in other cases we're
  • 10:24letting the unbiased data come
  • 10:25in to nominate pathways and then
  • 10:27we're developing new models.
  • 10:29We wish to test that.
  • 10:30So I'm going to give you an example
  • 10:32in the first part of my talk that's
  • 10:34going to focus on one gene and
  • 10:36pathway and mechanism that we have
  • 10:37worked on for the last decade.
  • 10:39And it involves the complement cascade as
  • 10:41you heard a little bit in the introduction.
  • 10:44But I just want to tell you a little
  • 10:46bit about how this all started
  • 10:47because we knew from the genetics.
  • 10:49That by far the largest and most
  • 10:51mysterious genetic result has always been
  • 10:53this huge man in the Manhattan plot.
  • 10:56There's clear evidence of the MHC locust,
  • 10:58right?
  • 10:59This is the tallest peak in the
  • 11:00Manhattan plot, but yet,
  • 11:01and there's hundreds of genes
  • 11:03within that locust.
  • 11:04But it's been a mystery in terms of what gene
  • 11:06or genes underlie this incredible signal.
  • 11:08And even now,
  • 11:09with more and more genetics coming in,
  • 11:10that peak is still the highest peak.
  • 11:12And, and at the time,
  • 11:14I know geneticists were working on this.
  • 11:16And of course, more and more
  • 11:17data means more and more insight.
  • 11:19But it turns out that you know,
  • 11:22one of my very outstanding geneticists and
  • 11:26neurobiologists colleague Steve Mccarroll,
  • 11:28his lab was studying this locust more deeply,
  • 11:30was fine mapping and starting to
  • 11:32look into the locust to see what,
  • 11:34what's what could explain this
  • 11:35huge genetic signal.
  • 11:36And for many reasons,
  • 11:37and of course this work is published,
  • 11:38but I just want to take you through the main
  • 11:40findings that sets up the rest of the stock,
  • 11:42what he found and what Ashwin
  • 11:44Sekhart found in his lab.
  • 11:46Was that in within that locus
  • 11:48are is a gene complement C4.
  • 11:51Now C4 in humans there are
  • 11:54two isoforms of C422 genes,
  • 11:56C4 big A and C4 big B.
  • 11:59And it turns out when you looked at the
  • 12:02haplotype in terms of different individuals,
  • 12:05you can have different
  • 12:06combinations of C4A versus C4B.
  • 12:08So you can have multiple copies of a.
  • 12:10Multiple copies of B both and vice versa.
  • 12:13And what Steve and Ashwin managed to
  • 12:14do and they discovered that it's not
  • 12:16so much whether you have the gene or
  • 12:18not have the gene or whether there's
  • 12:20a loss of function of that gene.
  • 12:21How many copies of the particular
  • 12:23structural form of C4 is what,
  • 12:26what, what linked to risk.
  • 12:27And there's a really all of the data
  • 12:29was published number of years ago,
  • 12:31but I just want to highlight the
  • 12:33take home of this important study.
  • 12:34One is that they went to correlate
  • 12:36and they've mapped us back on
  • 12:38to the genetics and found.
  • 12:40Indeed it was the copy number
  • 12:41of C4A the conferred risk.
  • 12:43So the more copies of you of C4A1
  • 12:46individual had it significantly
  • 12:48increased schizophrenia risk.
  • 12:50But they also measured the
  • 12:51expression of C4 on the brain.
  • 12:53This was the other really important
  • 12:55finding C4 in complement is
  • 12:56expressed in the whole body.
  • 12:57But it was the brain expression
  • 12:59that correlated with all
  • 13:00this and when they measured
  • 13:01the RNA in the brain.
  • 13:03It was the higher expression
  • 13:05of C4 was also related to the
  • 13:07more copies of C4A you had.
  • 13:09So you're making more of the C4A
  • 13:11gene now around the time they
  • 13:13Steve and Ashwin and his lab
  • 13:15started to uncover this really
  • 13:17exciting and important finding.
  • 13:18Steve and I actually didn't realize that we,
  • 13:20our labs are right across
  • 13:21the street from each other.
  • 13:22And and so we started having
  • 13:24coffee and I started Ed Skulnik
  • 13:26and Steve ***** started inviting
  • 13:27me over to the Stanley Center.
  • 13:29I'm like, why they want to hang out with me?
  • 13:30Well, it turns out they wanted to
  • 13:32hang out with me because we were
  • 13:34studying this very same pathway since
  • 13:36I was a postdoc in Ben Barris's lab,
  • 13:37not thinking anything about
  • 13:39the genetics of schizophrenia.
  • 13:40But we were really going deep into
  • 13:42the biology of this complement
  • 13:43pathway in the context of synaptic
  • 13:45elimination and synaptic development.
  • 13:47So it's a great.
  • 13:48Adipitous example of how a biology
  • 13:50and genetics can come together
  • 13:52and lead to collaborative science
  • 13:54that can then enable one to try to
  • 13:56understand the biology underlying
  • 13:57those emerging genetic findings.
  • 13:59And I'm just going to highlight
  • 14:00some ongoing work and in no way have
  • 14:02we figured this out by the way,
  • 14:03but I'm going to tell you what we've learned.
  • 14:05I just want to tell you if those
  • 14:06that are already thinking about
  • 14:08when they learn about compliment
  • 14:09back in the day in Med school or
  • 14:11in grad school and your head is
  • 14:13starting to spin thinking about that,
  • 14:14don't worry,
  • 14:15I'm not going to make you relearn compliment.
  • 14:17The take home here is it's very complex
  • 14:19and even the immunologist yesterday I
  • 14:21was over in the Immunobiology department,
  • 14:23they said,
  • 14:23you know,
  • 14:24nobody really wants to talk about the
  • 14:26compliment cascade because it's so complex.
  • 14:28And and and in fact even like these
  • 14:31incredible immunologists try to avoid it.
  • 14:33So I I didn't feel so bad when
  • 14:34I when I didn't know much about
  • 14:36adaptive immunity or B cells.
  • 14:38But I do know something about
  • 14:40complement and that is these are
  • 14:42a group of complement secreted
  • 14:43proteins that exist throughout your
  • 14:45body and basically what complement
  • 14:47does is it helps it's our first
  • 14:49line of defense against a pathogen.
  • 14:51So think about a a pathogen,
  • 14:53a bacterial infection.
  • 14:54Before your slower adaptive
  • 14:55immune system kicks in,
  • 14:57the complement system kicks in really
  • 14:59fast and these start secreted and they,
  • 15:02if they're all there,
  • 15:03present,
  • 15:03whether that be in the periphery
  • 15:04and the blood or in the brain,
  • 15:05as I'll tell you.
  • 15:06That can then lead to a kind
  • 15:08of a domino effect,
  • 15:09a cascade that ultimately leads
  • 15:10to the tagging of some of those
  • 15:13complement components like C4 and
  • 15:14C3 on the surface of that pathogen.
  • 15:17And that brings in macrophages the
  • 15:19Pacman to then recognize and remove it.
  • 15:21And then that's a very
  • 15:23helpful process to get rid
  • 15:24of infection or dead cells
  • 15:26or debris very rapidly.
  • 15:27Well, it turns out when I was a postdoc
  • 15:29in Ben Barris's lab through an unbiased
  • 15:31gene chip experiment way back in the day,
  • 15:33we also uncovered an unexpected
  • 15:35role for C1Q during this process of
  • 15:38development and synapse pruning that
  • 15:40we also were very surprised about.
  • 15:42And what it turns out,
  • 15:43I'm going to tell you about is the work we
  • 15:45uncovered when I was still in Ben's lab.
  • 15:47And this is a figure from
  • 15:48that very first paper.
  • 15:49What we realized is.
  • 15:51And hypothesize,
  • 15:52and this is really Ben and I
  • 15:53brainstorming about what complement
  • 15:54might be doing in the brain,
  • 15:55the healthy brain, no infection,
  • 15:57no disease, no challenge.
  • 15:58But it turns out,
  • 15:59just like the immune system,
  • 16:01glial cells, neurons,
  • 16:02they all express these complement
  • 16:04components all the time.
  • 16:05And they're present in the brain now.
  • 16:06They're not always there at the same levels.
  • 16:08In fact, during development,
  • 16:10during critical periods of development,
  • 16:12there's a lot more of it,
  • 16:13not just present, but tagging synapses.
  • 16:15So instead of tagging a bacterial cell,
  • 16:17what we discovered was that these
  • 16:19complement components can similarly tag.
  • 16:21Leg of Synapse and that microglia,
  • 16:23not macrophages,
  • 16:24have expressed the receptors
  • 16:26that recognize complement.
  • 16:27And through that,
  • 16:28that's one way that synapses,
  • 16:30exuberant connections,
  • 16:31axons and synapses then can get
  • 16:33removed and engulfed by microglia.
  • 16:35Now that was a hypothesis.
  • 16:36Then over the last decade or more,
  • 16:38my lab has gone on to test,
  • 16:40but I I want to tell you 2 important points.
  • 16:42One is that complement is there,
  • 16:45you know, naturally in the brain,
  • 16:47right under normal conditions.
  • 16:48It tags subsets of immature synapses
  • 16:50during critical periods and we
  • 16:52studied this in the visual system.
  • 16:54We also went on to show if
  • 16:56you genetically knock out
  • 16:59C1QC3CR3 on the microglia through
  • 17:00a number of studies over the
  • 17:02years by my lab and others,
  • 17:03that does lead to defects in synapse
  • 17:06number and synaptic connectivity.
  • 17:08We really focused on the visual
  • 17:10system and we've gone deep into the
  • 17:12visual system because it's such an
  • 17:13elegant model to study the process of.
  • 17:15Synaptic elimination and I'm going
  • 17:16to take you through some of those
  • 17:18mechanisms now and I'm going to come
  • 17:19back out again and tell you how that
  • 17:21might then lead to us thinking about
  • 17:23synapse and vulnerability in the context
  • 17:25of of disorders like schizophrenia.
  • 17:27So the question we had in early on
  • 17:30was could microglia be similarly
  • 17:31playing this role in the brain?
  • 17:34And as you just heard,
  • 17:35you know, back then again,
  • 17:37while a long time ago,
  • 17:3815 years ago,
  • 17:39microglia were really studied in the context
  • 17:41of injury and disease or infection and,
  • 17:43you know, other challenges in the brain.
  • 17:44So we knew microglia are really important.
  • 17:46But this observation made initially
  • 17:48by my colleague at Stanford and
  • 17:51others using two photon imaging,
  • 17:52this is a movie by my own
  • 17:54graduate student Janelle Wallace,
  • 17:56just shows this.
  • 17:57Really important observation that
  • 17:58if you were to put a microscope
  • 18:00in your head right now and watch
  • 18:02microglia as you listen to my talk,
  • 18:03they might be doing something like this.
  • 18:05They're always moving their processes,
  • 18:07they're moving around,
  • 18:08they're touching synopses and a
  • 18:09lot of other cells in the brain.
  • 18:11This is just a sparse example
  • 18:12where you can see the interactions
  • 18:14between synopses and microglia.
  • 18:16But this led to all kinds of just
  • 18:18this observation alone led me to
  • 18:19wonder all kinds of questions.
  • 18:21What are they sensing when
  • 18:22they're touching a synapse?
  • 18:23What are the molecular cues
  • 18:24that might be recruiting them?
  • 18:25Find me signals to bring them
  • 18:27in when they get there,
  • 18:28some of them land and hang out
  • 18:30with synapses longer than others,
  • 18:31and others pull back.
  • 18:32What are those molecules and what
  • 18:34are the the sort of bidirectional
  • 18:36signaling mechanisms between microgly
  • 18:38and neurons that could be, you know,
  • 18:40leading to this sort of interaction?
  • 18:41But most importantly.
  • 18:42You know, what's the functional consequence?
  • 18:44What might they be doing?
  • 18:45And as a resident phagocyte,
  • 18:47and based on the mechanisms I
  • 18:48told you about with complement,
  • 18:49we hypothesize that maybe subsets of
  • 18:51those synapses during development
  • 18:53might actually be engulfed or phagocyte
  • 18:55toast or pruned away by microglia.
  • 18:57The weaker synapse is what we
  • 18:59hypothesize and indeed in the
  • 19:01visual system and the retina
  • 19:02geniculate system that we study.
  • 19:04We have a way thanks to the work
  • 19:06of Carla Schatz and Shinfei Chen
  • 19:07and and many others that have used
  • 19:09so Huebel and weasel the system to
  • 19:11study activity dependent refinement.
  • 19:13You can basically in a mouse or a
  • 19:16cat or a monkey, but we do mice.
  • 19:18You can put tracers in the eyes of both mice,
  • 19:21both eyes of of a mouse in red and and blue,
  • 19:24and then that it leads to the
  • 19:25tracing of the
  • 19:26projection into the visual thalamus.
  • 19:28And a cartoon of the relay neuron
  • 19:30on the thalamus might look something
  • 19:32like this early development.
  • 19:33There's a neurons innervated by both
  • 19:35eyes and they're pretty weak inputs.
  • 19:37But during the critical period
  • 19:39in Post Natal development,
  • 19:40some of those inputs,
  • 19:41the weak ones get pruned away and weakened
  • 19:43and others get strengthened and maintained.
  • 19:45This is the idea of use it or lose
  • 19:47it and it's activity dependent.
  • 19:48So based on all that work,
  • 19:50we wondered a a micro engulfing
  • 19:52or pruning synapses and if so,
  • 19:55are they doing it in a selective way,
  • 19:56is it activity dependent?
  • 19:58The alternative less interesting hypothesis
  • 20:00is they're just cleaning up the debris.
  • 20:02And a lot of data supports that's that.
  • 20:03It's the first that they're not just
  • 20:05cleaning up and picking up the debris,
  • 20:06but they're having a more active
  • 20:08role in this process.
  • 20:09Because work by Dorothy Schaefer in
  • 20:10my lab showed that when you manipulate
  • 20:13activity in the two eyes drive competition,
  • 20:15there was a selective elimination
  • 20:17or removal or phagocytosis of
  • 20:19those presynaptic axons in,
  • 20:21in a way that they were selectively
  • 20:23engulfing the less active input.
  • 20:24So this is an important sort of early
  • 20:26finding because it did tell us.
  • 20:28That it's, you know,
  • 20:29instructive cues must somehow be
  • 20:31regulating this process so that the
  • 20:32less active inputs perhaps may have
  • 20:34molecular cues that are different
  • 20:35than the than the red inputs and
  • 20:37then that might lead to microglia to
  • 20:39then come and engulf those synapses.
  • 20:41And we have a quite a bit of data
  • 20:43to support that hypothesis,
  • 20:44at least in the mouse visual system.
  • 20:46So how does this relate to the complement
  • 20:48C4 story I told you in genetics?
  • 20:50Well,
  • 20:50we started collaborating with Steve
  • 20:51Mccarroll and we collaborated
  • 20:52with also with an immunologist,
  • 20:54a wonderful immunologist at Harvard,
  • 20:56Michael Carroll,
  • 20:57who actually cloned C4 and have
  • 20:59been studying C4 in the context of
  • 21:01lupus and in many other contexts
  • 21:03in the immune system and using
  • 21:05a combination of of mouse models
  • 21:07that Mike's lab generated,
  • 21:09C4 knockouts and other model I'll
  • 21:11tell you about in a moment and a
  • 21:13human IPS neurons and human tissue
  • 21:15we showed that much like C1Q and
  • 21:17C3 we could also see C4 decorating.
  • 21:20Operating synopses in in neurons.
  • 21:23And we also using the same kind
  • 21:25of model system that I told you
  • 21:27about earlier when we looked at
  • 21:28pruning and refinement.
  • 21:30C4 knockout mice Pheno copy the
  • 21:33C1QC3CR3 mice again suggesting that the
  • 21:35C4 similarly at least in a mouse was
  • 21:38was was mediating the synaptic pruning.
  • 21:40That's a loss of function but that's
  • 21:42not what the genetics is telling us.
  • 21:43Remember it's telling us too
  • 21:45much C4 too much complement.
  • 21:48And so too much C4 could mean
  • 21:49more tagging of synapses,
  • 21:50but it could also mean more
  • 21:52activation of the classical comp
  • 21:54and cascade because C4 is necessary
  • 21:55for the whole pathway to happen.
  • 21:57So the question was?
  • 21:59Increase C4 levels,
  • 22:01it lead to excessive burning.
  • 22:02So this is more recent work.
  • 22:04And so this necessitated the need to develop
  • 22:06new models and in particular humanized
  • 22:09mouse models that we didn't have before.
  • 22:11And so Mike Carroll's lab developed a
  • 22:14C4A humanized mouse model when he could
  • 22:17introduce human C4A alleles into the
  • 22:19mouse genome using back DNA transgenesis.
  • 22:21So you can basically introduce
  • 22:23human C4A or B in this case.
  • 22:25I'm just telling you about a.
  • 22:26Based on the you put it in AC4 knockout
  • 22:29background and based on the the crosses
  • 22:31that you do hets versus homozygous,
  • 22:34you can also control copy number.
  • 22:35So it's pretty cool.
  • 22:36So as a proof of concept we wanted to know
  • 22:39by making a mouse that has a lot of the
  • 22:42genetic risk variant C4A over express.
  • 22:45Versus C4B,
  • 22:46which I'm not showing you.
  • 22:47Does that in fact lead to using
  • 22:49similar assays over pruning more
  • 22:51microgly engulfment less synapses?
  • 22:53And in the first study that was
  • 22:55led by Mike Carroll's lab in
  • 22:57collaboration with all of us showed
  • 22:58using many of the same mechanisms,
  • 23:00I just told you in the assays that
  • 23:02indeed in the visual system and in
  • 23:04the in the frontal cortex and in other
  • 23:07regions they showed enhanced engulfment.
  • 23:09And also,
  • 23:10they also went on to show a spine loss,
  • 23:13which,
  • 23:13you know,
  • 23:14this was really interesting because
  • 23:15a lot of the work we had done
  • 23:16in the visual system was a bit
  • 23:18more on the presynaptic side.
  • 23:19So this is now looking in the cortex,
  • 23:20getting closer to where
  • 23:21I was wanting to head,
  • 23:23but we weren't quite brave
  • 23:24enough to go there yet.
  • 23:25So what is all this telling us?
  • 23:27And there's a lot more I'm not telling you.
  • 23:28This paper was just published in 2020 if
  • 23:31you want to learn more about this study.
  • 23:34But the working model,
  • 23:36and this is building on a lot
  • 23:38of ongoing work in the lab.
  • 23:39We're really interested in understanding
  • 23:41the specificity of this process.
  • 23:42So I remember giving this talk
  • 23:44early on compliment work both to
  • 23:46neuroscientists and to immunologists.
  • 23:48And the question I always got was,
  • 23:49well, these are secreted.
  • 23:51How do you get any specificity
  • 23:52in this process if they just are
  • 23:54around and binding things in
  • 23:56this sort of nonspecific way?
  • 23:57I said, well,
  • 23:58I think they're probably
  • 23:59not binding things in it.
  • 24:00They can be binding in a nonspecific way,
  • 24:02but I think there could
  • 24:03be a specificity in this,
  • 24:04in this process and indeed.
  • 24:06The working mechanistic model,
  • 24:08especially bringing an activity
  • 24:10is perhaps it's it's the case
  • 24:12where there's some receptor,
  • 24:13some molecular difference and
  • 24:17the surface of synapses that's
  • 24:18recruiting or or enabling complement
  • 24:20to bind to certain synapses,
  • 24:22let's say the blue ones but not the red ones.
  • 24:24And there may also be molecules that are
  • 24:27protecting the synapses you want to keep.
  • 24:29Now this was a hypothesis that came out of,
  • 24:31you know,
  • 24:32actually I remember giving
  • 24:33this talk to immunologists
  • 24:34at Harvard. Early, early on,
  • 24:35where they said, well, could there be
  • 24:36don't eat me signals in the brain.
  • 24:38And I didn't even know what those
  • 24:39were because I was, you know,
  • 24:41neuroscientist trying to be an immunologist.
  • 24:43But it turned out I had a fantastic
  • 24:45graduate student who wanted to learn
  • 24:46about these don't eat me signals.
  • 24:47And it turns out there's a whole bunch
  • 24:49of inhibitors and don't eat me signals
  • 24:51that when we looked in the brain,
  • 24:53immunologists didn't pay attention
  • 24:54to the brain.
  • 24:55But we had antibodies and we
  • 24:57looked by expression profiling.
  • 24:58Well, there's a whole slew of them on the
  • 24:59brain and we better have those there.
  • 25:00Otherwise the compliment system is going to.
  • 25:03Kind of will be on OverDrive and they
  • 25:04needs to be this tightly regulated system.
  • 25:06So just as important as
  • 25:08having compliment there,
  • 25:09there needs to be the regulators,
  • 25:10the brakes that keep it from activating.
  • 25:13And so we started looking and I'm not
  • 25:14going to tell you about all of these,
  • 25:16but intriguingly in addition to a bunch of
  • 25:18don't eat me signals that we've identified,
  • 25:21I want to show you the working
  • 25:23model we identified for example.
  • 25:25CD47 which is also there's been some
  • 25:27genetics that are not as powerful but
  • 25:29there's some some hints that CD47 serve.
  • 25:31Alpha could be playing a role in
  • 25:33some of these in some of these
  • 25:35GY studies still early days.
  • 25:37But regardless of that we showed in
  • 25:40the brain that CD47 is a classic don't
  • 25:42eat me signal in the immune system and
  • 25:44it actually prevents a macrophage from
  • 25:47eating a self cell or healthy cell.
  • 25:49In fact healthy cells and self
  • 25:50cells have a whole shield of don't
  • 25:53eat me signals that say.
  • 25:54You know what do not even come
  • 25:56near me because I need to stay.
  • 25:57And the idea is when they're there
  • 25:59there's apartosis or when it's
  • 26:00some kind of a damage signal,
  • 26:02those get down regulated and relocalized,
  • 26:04and it exposes parts of cells that can
  • 26:06then lead to the removal by a macrophage.
  • 26:07And what my graduate student went
  • 26:09on to show is CD47 is one of those
  • 26:12signals highly expressed in neurons.
  • 26:13Microglia have SERP Alpha,
  • 26:14which is the receptor that recognizes that
  • 26:17and essentially that says don't eat me.
  • 26:19And one model is that.
  • 26:20The stronger synapses have a lot of
  • 26:23those protective molecules so that even
  • 26:25if microglia are tagged by complement,
  • 26:27synapses have complement on them.
  • 26:29They won't get removed.
  • 26:30And that's again a working model.
  • 26:31But we do have data to support
  • 26:33that idea because when we knock
  • 26:34out the don't eat me signals,
  • 26:35there's not only do we lose that
  • 26:38activity dependent specificity,
  • 26:39but you get an over pruning as well.
  • 26:41So that's one example.
  • 26:42We have others that I'm not going
  • 26:43to tell you about today because
  • 26:45that's what I talked about yesterday.
  • 26:46But I want to tell you about
  • 26:48another one and some,
  • 26:49if you guys are paying
  • 26:50attention to my second slide,
  • 26:51you might have remembered
  • 26:53another molecule called CSM D1,
  • 26:54which is a gene that came up really
  • 26:57early in GWAS schizophrenia.
  • 26:58That's been largely nothing
  • 27:00known about CSM D1 in the brain.
  • 27:02And so there was a I went to a meeting
  • 27:04in this is like a small world that I
  • 27:06went to a compliment meeting in in
  • 27:08Greece would not a bad place for a meeting.
  • 27:10And I met this woman who scientists
  • 27:12who came up to me and said I've been
  • 27:14really wanting to meet you because
  • 27:16we've been studying the CSM D1 and
  • 27:18we have evidence that inhibits C4 in
  • 27:20not in the brain but in a in a test
  • 27:22tube in the in the in the laboratory
  • 27:24and and it's a putative compliment
  • 27:26inhibitor I'm like.
  • 27:27Well, this is amazing.
  • 27:28So we started talking more
  • 27:29and and for many reasons,
  • 27:31we started thinking that this
  • 27:32would be an interesting molecule,
  • 27:33not just because of the genetics,
  • 27:35but if it is involved in the
  • 27:36classical complement cascade,
  • 27:37we want to know more about what
  • 27:38it might be doing.
  • 27:39And this is ongoing work.
  • 27:40The paper's on bio archive,
  • 27:41but we're just revising it now.
  • 27:42So there's more to come,
  • 27:43but just want to highlight
  • 27:44this work and again how, how?
  • 27:46Again,
  • 27:47two now common variants are
  • 27:48coming together that suggests some
  • 27:50role in the complement system.
  • 27:52So CSM D1 is a well localized
  • 27:54US signal as I mentioned with
  • 27:56schizophrenia risk on chromosome 8.
  • 27:58And although it's enriched in the brain,
  • 27:59in fact if you look expression
  • 28:01by protein and gene and and RNA,
  • 28:03there's unlike C4,
  • 28:04it is in nowhere else except the
  • 28:06testes like it is blazing in the brain.
  • 28:08So therefore, wow,
  • 28:09how can't we know what this thing does?
  • 28:11Okay.
  • 28:11And so we don't know about lost,
  • 28:14we don't know directionality or anything.
  • 28:16There's a lot more genetics to
  • 28:17be done in terms of the mapping,
  • 28:19but we wanted to look more closely
  • 28:21at this and so.
  • 28:22A postdoc, Matt Johnson,
  • 28:23now a group leader at the Stanley
  • 28:25Center who's been Co leading this
  • 28:26with me and collaboration with Steve
  • 28:28Mccarroll and our graduate student
  • 28:30Matt Baum is an MDPHD student who finished,
  • 28:33I'll tell you about what he
  • 28:34what he uncovered.
  • 28:35So it turns out,
  • 28:36see as I mentioned,
  • 28:37it's very highly expressed both at the
  • 28:39RNA and protein level in the brain.
  • 28:41So that was, you know,
  • 28:42obviously something worth looking at no
  • 28:44matter what but when we started looking.
  • 28:47Thanks to an amazing antibody
  • 28:49that we had access to,
  • 28:51we started staining and obtained
  • 28:53ACSM D1 knockout mouse.
  • 28:54Just to ask just like we did with complement,
  • 28:56you know what,
  • 28:57what's the phenotypes and where
  • 28:59is the protein.
  • 29:00So that was also a great tool
  • 29:01for our antibody because the
  • 29:03antibody is really specific,
  • 29:04not only does it light up the
  • 29:05brain in interesting regions of
  • 29:07the brain especially you could
  • 29:08see hippocampus and certain areas
  • 29:09of the brain at lomag.
  • 29:10But if you really is a man, I hard to see.
  • 29:12We saw a lot of punctate staining
  • 29:14and it colocalizes with subsets.
  • 29:16Of inhibitory and excitatory synopses.
  • 29:19So it's at synopsis not only at synapses,
  • 29:21but we have some data that's enriched
  • 29:23in synopsis because we've done
  • 29:24some synapticome preps as well,
  • 29:25which I'm not going to tell you about,
  • 29:26but it's in the paper actually.
  • 29:28This might be it.
  • 29:29Yes, it is. OK.
  • 29:29So there is a little bit of data
  • 29:30there to show that it's an,
  • 29:31it's an enriched in the synapticomes.
  • 29:33So again at the right
  • 29:34time and the right place,
  • 29:35nothing known really about its biology,
  • 29:37but that one interaction at the compliment
  • 29:39meeting in Greece made me start to think
  • 29:41about could the two be related in some way.
  • 29:44And so the idea would be, okay,
  • 29:45we already know that C4 is high and that
  • 29:48leads to activation of the cobman cascade.
  • 29:51At least in animal models that could
  • 29:54lead to over pruning could C4C,
  • 29:56SM D1.
  • 29:57Which the other reason why this
  • 29:58is really exciting is it is
  • 30:01a huge extracellular domain,
  • 30:02it's giant and it has a the reason
  • 30:05why it's called CSM D1 is it's
  • 30:08it's got cub and sushi domains.
  • 30:10And these are the domains
  • 30:11that are expressed in many,
  • 30:12many complement inhibitors
  • 30:13in the immune system.
  • 30:14And that's why my my colleague
  • 30:16was interested in it.
  • 30:18And so that led us to wonder,
  • 30:20could could it be that what csmd one
  • 30:23is normally doing is putting the
  • 30:25brakes on C4 and keeping it in check?
  • 30:28Therefore,
  • 30:29if there was a genetic mutation or loss
  • 30:32of function or an ability to disrupt csmd,
  • 30:35one's function could then that
  • 30:37therefore that would lead to
  • 30:38again an over activation of C4.
  • 30:40Again,
  • 30:40this is all hypothesis and I'll just
  • 30:42tell you the way we've been testing
  • 30:44it and it's still ongoing work.
  • 30:45One way we can also look at this
  • 30:47to see whether there'd be more
  • 30:48complement activation or more tagging
  • 30:50of complement was this experiment.
  • 30:52We not only do we have the knockout mice,
  • 30:54so we can look at whether there's
  • 30:56too much complement tagging
  • 30:57and removal of synapses.
  • 30:58We also took advantage of IPS
  • 31:00stem cell models where we could
  • 31:02use isogenic controls in a CSMD,
  • 31:04knockout neuronal differentiation
  • 31:06these N G2 neuron protocols.
  • 31:09And basically did a very classic
  • 31:11immunology experiment where we could
  • 31:13sensitize with an anti surface antibody
  • 31:14which would then bind to the surface.
  • 31:17And then we wanted to know
  • 31:18if we then add tag C3,
  • 31:20do we get more tagging or the
  • 31:23localization of synopses with C3
  • 31:24in mice that don't have CSM D1,
  • 31:26not sorry mice,
  • 31:27but yes mice but in this case cells.
  • 31:29OK.
  • 31:29So this is just an example of
  • 31:31the type of assay and indeed.
  • 31:33Much more data on this than I'm showing you,
  • 31:35but just to illustrate what what
  • 31:36Matt and others found was there was
  • 31:39a sort of a selective and enhanced
  • 31:41tagging of C3 in the neurites even in a
  • 31:43mixed culture that didn't have CSCSM D1.
  • 31:46So that was proof, not proof,
  • 31:48but certainly evidence that suggests
  • 31:50that it's somehow regulating complement
  • 31:52deposition and we think activation to
  • 31:54other experiments we're working on.
  • 31:56And then in the in the mouse model,
  • 31:58we I'm not going to show all the
  • 32:00data in the interest of time.
  • 32:01But we went on and did the same
  • 32:03kind of experiments by looking at
  • 32:05complement and localization at synapses.
  • 32:07And we wanted to know do we see
  • 32:09more complement tagging of synapses
  • 32:11in the in the CSM D1 knockout mice
  • 32:13and in the visual system at least
  • 32:15has increased complement tagging.
  • 32:17We see an enhanced refinement by a retina,
  • 32:19geniculate experiments,
  • 32:20decrease in synapses and some
  • 32:22electrophysiology work that's in progress.
  • 32:24So together suggesting that some
  • 32:26interesting phenotypes and that may be 1
  • 32:29mechanisms to the complement inhibition.
  • 32:31And so that and we also have some in
  • 32:33vitro and in vivo work ongoing that also
  • 32:36show that microglia can overprune or
  • 32:38engulf much like the C4A mice we're doing.
  • 32:40So that's sort of the working model and
  • 32:43in no way does this explain that this
  • 32:45is the mechanism that that the genetics,
  • 32:47this is the only way this might be working.
  • 32:49But I think it is together suggest a
  • 32:52mechanistic model that we're going to
  • 32:55continue to test in in various ways.
  • 32:57So this is a lot of the basic
  • 32:59science that I wanted to start with,
  • 33:01but now I want to zoom out and I
  • 33:03want to talk more about the timing
  • 33:04part because that's the part that
  • 33:05I'm particularly interested in,
  • 33:07is understanding why,
  • 33:09for example,
  • 33:11adolescence is a is a time where we know is
  • 33:15an onset for a lot of these mental illnesses.
  • 33:18In particular,
  • 33:19schizophrenia,
  • 33:20even even though potentially
  • 33:22there could be issues earlier,
  • 33:24but the emergence tends to
  • 33:25happen in laid adolescence,
  • 33:26early adulthood and this is
  • 33:27true of other things as well.
  • 33:29So that raised all kind of questions
  • 33:30as a developmental neurobiologist was,
  • 33:32could there have always been issues
  • 33:34but then something kind of opens
  • 33:35up and and it emerges at this
  • 33:37time in adolescence or is there
  • 33:39actually something happening during
  • 33:41adolescence that leads to that?
  • 33:42And so this is now in the
  • 33:43last part of my talk,
  • 33:44I want to switch down to this part,
  • 33:45the harder part,
  • 33:47understanding which circuits are relevant,
  • 33:49which brain regions and the timing.
  • 33:51And this is really trying to get
  • 33:53us to now get into the identifying
  • 33:55the circus in the timing.
  • 33:57So then we can start doing our
  • 33:59perturbations of our mechanisms and
  • 34:00then start to know what see what things
  • 34:02to read out in terms of phenotypes.
  • 34:04So it's around that time.
  • 34:06When we realized we can't just
  • 34:07study the visual system forever,
  • 34:09even though I love it,
  • 34:10I started collaborating with
  • 34:12auto sabertini's lab and we
  • 34:14recruited a terrific pH,
  • 34:15now postdoc,
  • 34:16who was a postdoc called Kevin
  • 34:18Mastro to join our labs to work
  • 34:21together on this project.
  • 34:22And in particular we wanted to try to
  • 34:24better understand and define the normal
  • 34:27developmental refinement and and changes
  • 34:28that are going on during adolescence
  • 34:30in particular in the frontal cortex,
  • 34:32the prefrontal cortex advice and
  • 34:34ultimately in human and and non human
  • 34:37primates which which is not an easy thing.
  • 34:40And and I talked to Amy and
  • 34:42many others about this,
  • 34:43but I'm going to tell you about some
  • 34:44of the the ways we're going about it
  • 34:46today and this is all unpublished and
  • 34:48ongoing work and I'm happy to to get
  • 34:50feedback from this group but I think.
  • 34:52You know, we've done a lot of our
  • 34:54work over here in early development
  • 34:55and of course that's super important.
  • 34:57But we wanted to better understand sort
  • 34:59of this next stage and we wanted to again,
  • 35:01after the sensory systems develop and refine,
  • 35:03now we want to get to the prefrontal,
  • 35:05which began as the last area of the
  • 35:07brain to myelinate and mature and all
  • 35:09those connections are still being built.
  • 35:10So we wanted to zone in on adolescence,
  • 35:12but to do that we need to define
  • 35:14what do we mean by adolescence and
  • 35:15start to do what we've done in the
  • 35:17visual system in the prefrontal and
  • 35:19and so then we can start to ask, OK,
  • 35:21how does environmental stressors,
  • 35:22how do genetic stressors at different
  • 35:25times impact circuit maturation
  • 35:27and ultimately behavior.
  • 35:29So this is before we could do any
  • 35:30of that we needed to establish
  • 35:32the neurotypical development and
  • 35:34understand some of those milestones
  • 35:35and we're doing it not only in mice.
  • 35:37But through collaborations and
  • 35:39work at the Stanley Center,
  • 35:41we have a marmoset colony and
  • 35:42we've been trying to have,
  • 35:43we have a smaller colony devoted
  • 35:45to these developmental studies.
  • 35:47Go Ping Feng and many others at the road
  • 35:48are leading the charge with the marmosets.
  • 35:50But we've been very fortunate to be
  • 35:51able to start to do some of this work.
  • 35:53And this is all work led by Kevin
  • 35:54Mastro that I'm telling you about.
  • 35:55And there's Kevin who's amazing and he's
  • 35:57on the job market and you guys should
  • 35:59recruit him and Bernardo Sabatini,
  • 36:00who's amazing collaborator,
  • 36:02electrophysiologist.
  • 36:02And So what Kevin really wanted to know is,
  • 36:05you know, let's try to better
  • 36:07understand again the match.
  • 36:08But also we want to link this to
  • 36:11behavioral readouts of decision making,
  • 36:13cognitive flexibility,
  • 36:14risk taking,
  • 36:15things that we know are relevant
  • 36:17to this adolescent window.
  • 36:18And so that's going to require
  • 36:20developing and identifying behavioral
  • 36:21readouts that we can use in these
  • 36:23different time points and and models.
  • 36:26So Kevin wanted to know you know
  • 36:28what circuit mechanisms support
  • 36:29these changes and with a sort of
  • 36:32focus on cognitive flexibility,
  • 36:33readouts and decision making and so.
  • 36:37The questions he's asking over what
  • 36:39time skills do does behavior change
  • 36:41and what circuits are changing?
  • 36:42And can we link changes in circuits
  • 36:44to these changes in behavior?
  • 36:45Right.
  • 36:45Many people are trying to do this,
  • 36:47but we really want to do this
  • 36:48over this developmental window.
  • 36:50And then if we identify circuit changes,
  • 36:52do they drive the behavioral changes?
  • 36:54So then you want to go in and start
  • 36:55to manipulate aspects of the circuit.
  • 36:57And so we started thinking a lot
  • 36:58about what time points are we
  • 37:00do we talking about here and we
  • 37:01of course did our due diligence,
  • 37:03looked into the literature of course lots
  • 37:04of work's been done in the prefrontal.
  • 37:06So. So that's that's amazing
  • 37:07because we could build on that.
  • 37:09But what we were a little bit surprised
  • 37:11to find is most times when we read these
  • 37:13papers but the sort of end point of
  • 37:15development of the prefrontal was like
  • 37:17P60 or something and we're like okay,
  • 37:19is that really the end because it
  • 37:21seems pretty early to me and Kevin
  • 37:23and so we started thinking about.
  • 37:26Expanding this for this window,
  • 37:27so not just stopping at PP60 you know,
  • 37:30but to to broaden this out into
  • 37:32early adulthood and to do it sort of
  • 37:34go after the second phase of this
  • 37:35using a combination of approaches
  • 37:38from electrophysiology,
  • 37:39slice Physiology and vivo
  • 37:40Physiology and behavior.
  • 37:42And as you'll see in a bit overlaying
  • 37:44things like single cell multi omic
  • 37:46sort of characterization on top of of
  • 37:49of the characterization by Physiology.
  • 37:51We were naive enough to think,
  • 37:52oh,
  • 37:52we'll just the first year we'll
  • 37:54do neurotypical development and
  • 37:55then we'll just start doing all
  • 37:56the cool stuff three years later.
  • 37:58Four years later,
  • 37:58we're just wrapping up the
  • 38:00first neurotypical paper.
  • 38:01But it was required because if you
  • 38:03don't have robust readouts and
  • 38:04really understand the development,
  • 38:06then you don't know what you know,
  • 38:07what's your readout.
  • 38:08And I think that was the goal.
  • 38:09So is the brain done developing at P60?
  • 38:12How many people think? The answer is yes.
  • 38:14Oh, good, cause it's not.
  • 38:17OK,
  • 38:17So what kinds of now this is
  • 38:18all new to me because I'm not a
  • 38:20behavioral neuroscientist.
  • 38:21So thank God for Kevin and Bernardo's
  • 38:23lab because they've developed a
  • 38:24lot of really great tools and and
  • 38:26behavioral tasks and obviously all
  • 38:29the electrophysiological readouts.
  • 38:30So what Kevin decided to do first is
  • 38:32start with a simple reversal task.
  • 38:34And so mice were placed in a
  • 38:35box with three nose port,
  • 38:37they had to learn to initiate by poking in
  • 38:39the center and then deciding right or left.
  • 38:42And over the course of these trial errors,
  • 38:43they would learn that one side
  • 38:45is rewarded and the other's not.
  • 38:46So after 20 tile,
  • 38:4820 trials,
  • 38:48then everything's reversed.
  • 38:49And So what you're going to
  • 38:51be measuring is switching.
  • 38:52And we want to know how switching happens.
  • 38:54That's plasticity and flexibility,
  • 38:55how that changes with age.
  • 38:58And what Kevin found is first of
  • 39:00all just to say that the it's not
  • 39:03really due to the number of trials.
  • 39:05So he did a lot of controls on this.
  • 39:06But what's really cool is in
  • 39:09assessing the differences between
  • 39:10the start and the end of the of the plateau.
  • 39:13What he's finding, oops,
  • 39:14I got, I clicked too fast,
  • 39:15is that the young animals were much better
  • 39:18at adapting their behavior than when the
  • 39:20rules shifted than the older animals.
  • 39:22And when I say young and old,
  • 39:23we're talking about between this P60 up to P,
  • 39:26right? Like. Okay.
  • 39:27So, so there's a big,
  • 39:29there's a lot happening up to P120 here,
  • 39:32right, and beyond just the simple
  • 39:34sort of deterministic reversal
  • 39:35task where this is now showing
  • 39:37the two ages in blue and red.
  • 39:39And that's really, you know,
  • 39:40the first important point I just showed
  • 39:42you just graphed slightly differently.
  • 39:43What's more interesting is
  • 39:45when he started bringing in.
  • 39:46Probabilistic 2 armed bandit task
  • 39:48which is now going to start to
  • 39:50get at behavioral strategies the
  • 39:51animals use during this process.
  • 39:53So the two armed bandit task is a task
  • 39:54used by many groups and Bernardo's lab
  • 39:56has done a lot on this but never really
  • 39:58looked during development and aging.
  • 40:00So that's what Kevin wanted to do.
  • 40:01And essentially it's it's a different
  • 40:03task because you can adjust the
  • 40:05probability that each port is rewarded.
  • 40:07You can kind of switch between
  • 40:0990 and 10 probabilities,
  • 40:10high versus low reward and then you can
  • 40:12start to introduce sort of this this.
  • 40:14You know,
  • 40:15you know this sort of variation
  • 40:16in the tasks and the animals
  • 40:18have to adjust their strategy.
  • 40:19It's harder, right?
  • 40:20So what does the results show on the right?
  • 40:22You can see again,
  • 40:24the younger animals are much
  • 40:25better at dealing with this
  • 40:27and switching versus the older.
  • 40:29So they they switch and they
  • 40:31they're much more flexible and they
  • 40:33switch to the reward report faster.
  • 40:35So then the question is what's
  • 40:36going on in the brain during this?
  • 40:38And so Kevin started to record the
  • 40:40activity using fiber photometry using
  • 40:43the calcium indicator G Camp 6 and he
  • 40:45can record activity during the task.
  • 40:48And what's really cool about these
  • 40:50experiments is what he found is that nice
  • 40:52essentially during the two on bandit task,
  • 40:55it turns out,
  • 40:55as you can see here that you can actually,
  • 40:58you know you can align to the
  • 41:00initiation choice and out the outcome.
  • 41:02You can see there's a huge difference
  • 41:03in the calcium activity during the
  • 41:05rewarded but not the unrewarded trials.
  • 41:07And interestingly there's
  • 41:08major age-related differences.
  • 41:10It's actually showing that there's
  • 41:12essentially a decrease, right?
  • 41:13You can see there's a decrease
  • 41:15in activity during the switching
  • 41:16which was a little bit unexpected,
  • 41:18but actually makes sense with other
  • 41:19data that you'll see in a second.
  • 41:21So there's age-related differences
  • 41:23in terms of.
  • 41:24Of of of how the activity patterns
  • 41:26are aligning with these behavioral
  • 41:28switching behavior.
  • 41:29So.
  • 41:30So now the question is what's
  • 41:31happening at the circuit level and
  • 41:32this is where slice Physiology comes
  • 41:34in and he's been doing a lot on this.
  • 41:36I'm only going to highlight the
  • 41:37key results here.
  • 41:38He's been looking at the input changes,
  • 41:39sort of looking at refinement and
  • 41:42connectivity, also local local circuit
  • 41:43changes in the in the different ages
  • 41:46and what he found by doing slice
  • 41:49electrophysiology in the prefrontal cortex.
  • 41:51Is in in the punchline of this given the
  • 41:53interest of time is it's a systematic
  • 41:56shift from excitation to inhibition,
  • 41:58they become more inhibition dominant during
  • 42:00this window of P60P90 to 120 exactly when
  • 42:04we're seeing the behavioral changes, right.
  • 42:05So you can see in the in on the
  • 42:07bottom the way the data is graphed,
  • 42:09he plots E / e E plus I.
  • 42:12It's really enabling us to look at the,
  • 42:14the, the inputs that are more excitation
  • 42:16dominant versus inhibition dominant.
  • 42:17Hopefully we could see as this big shift.
  • 42:20Right.
  • 42:20And so this is a lot of slice Physiology
  • 42:23is down over many different animals
  • 42:25and then he can go on and and do
  • 42:26more because he can then start to
  • 42:28look at the PV inner neurons and
  • 42:30using viral strategies where you
  • 42:32can target and label the PV cells,
  • 42:34he could then also record from the
  • 42:36PV neurons during the same task.
  • 42:38And what's cool about that?
  • 42:39This is just some of the the viral tools
  • 42:41we can use in mice and marmosets that
  • 42:43were developed by by Gord for Shell's
  • 42:45group and others and Ben Deverman's lab.
  • 42:47We can essentially he could find the opposite
  • 42:50in terms of activity changes in the PV cells.
  • 42:53So in the excitatory neurons when he recorded
  • 42:55from those right it's a shift from E to I,
  • 42:58but in the PV cells they shift
  • 42:59up right so is the opposite.
  • 43:01So it's really cool and so it now
  • 43:03it all makes sense but at the time
  • 43:04we didn't we didn't know this.
  • 43:06So now this is really suggesting
  • 43:07that the shift from excitation
  • 43:09inhibition might be underlying the
  • 43:10behavioral shift that he saw with
  • 43:12the two armed bandit and in very,
  • 43:14very like very new data now.
  • 43:16He's starting to test that
  • 43:18hypothesis more directly.
  • 43:19So the real killer experiment then
  • 43:20is to block inhibition in the older
  • 43:22mice and see if you can shift
  • 43:24them back to becoming a younger,
  • 43:25more plastic, more flexible mouse.
  • 43:28That could be interesting.
  • 43:29So we did that experiment
  • 43:30and this is very new data.
  • 43:31So basically he used the dreads,
  • 43:33the chemogenetic way to do with this.
  • 43:35So if you inhibit the PV
  • 43:37activity using dreads.
  • 43:38The older animals P120 were
  • 43:40trained on the two armed bandit.
  • 43:42All the animals received the drug treatment,
  • 43:44half had M cherry and orange
  • 43:45and the other had the inhibitory
  • 43:47dread and the PV neurons in blue.
  • 43:49And he found that upon acquiring the
  • 43:51two armed bandit task the adult mice.
  • 43:53With less inhibition performed
  • 43:55better than the control as shown
  • 43:57by their increased reward.
  • 43:58So they essentially the animals are
  • 44:00better at tracking reward over time.
  • 44:01And then, you know,
  • 44:02the same animals were then placed on
  • 44:04saline and SEM CNO and this is cool,
  • 44:06the effect went away so you can reverse it.
  • 44:08So there's a lot more to do here.
  • 44:09But the data suggesting the
  • 44:11inhibition of PV network improves
  • 44:13performance in the older mice.
  • 44:15Now, there's a lot more to do here
  • 44:17in terms of asking how how long,
  • 44:18how old you are to switch him back.
  • 44:20But I think this is pretty cool because
  • 44:22he's doing it in a very select way.
  • 44:24And now of course,
  • 44:25we're broadening out even more to say, well,
  • 44:26what else is happening mechanistically here,
  • 44:28not just in mice but also in marmosets?
  • 44:31Because we're basically Kevin's training
  • 44:33the marmosets to do the same task.
  • 44:35So we can track marmosets
  • 44:36from six months to two years,
  • 44:38and he's already taught them
  • 44:39how to do the two armed bandit.
  • 44:40They learn really well.
  • 44:41And we're also starting to take
  • 44:43the brains of mice and marmoset.
  • 44:45And start to look in a more unbiased
  • 44:47way using on the genetics using
  • 44:49cellular and single cell and Moxy
  • 44:51omics to look at which synapses
  • 44:53and cells are changing over time.
  • 44:54And again I just showed you some of
  • 44:56the behavior and and the Physiology
  • 44:58to try to zip all this together.
  • 44:59But the hope is at the end of
  • 45:01the day probably many years from
  • 45:02now when all this data comes in,
  • 45:04it might give us more of a mechanistic
  • 45:06handle on which cells are changing,
  • 45:08which circuits are changing and then how
  • 45:11those mechanisms relate to the behavior.
  • 45:13And just to say real quick you know
  • 45:14the single cell is starting to come
  • 45:16out super interesting already.
  • 45:17It's starting to highlight cell
  • 45:18types like astrocytes and all the
  • 45:20dendrocytes which is pretty cool.
  • 45:21So it's pretty early days I was
  • 45:23mentioning these marmosets if
  • 45:24you've never seen a marmoset they're
  • 45:26they're really pretty cool they
  • 45:28can actually learn to do this task.
  • 45:29They can touch the touchscreen
  • 45:31instead of licking like a mouse they
  • 45:33can Kevin's trained them how to how
  • 45:35to do this sort of sort of reversal
  • 45:37learning and and to to on bandit task.
  • 45:40They do quite well.
  • 45:41They,
  • 45:42they they like to do the task and so
  • 45:43stay tuned for some of this data.
  • 45:45But already he's starting to show
  • 45:47in parallel some of these animals
  • 45:49were starting to be able to then do
  • 45:51some of the work knowing what we
  • 45:53know in mouse and applying this to
  • 45:55the to the marmosets and and and
  • 45:56ultimately this is sort of a summary
  • 45:58of where we're going.
  • 45:59We can start to also look at anatomical
  • 46:01tracing experiments.
  • 46:02And we can also start to then manipulate C4C,
  • 46:06SM D1,
  • 46:07some of the schema mutants like Rin
  • 46:082A and then we can then pair that
  • 46:10with environmental challenges.
  • 46:11So first we look at genetics and
  • 46:13see what these genetic leads,
  • 46:15knockouts,
  • 46:15wild types are doing to circuits
  • 46:18and behavior.
  • 46:18And then we can,
  • 46:19based on the adolescent period do
  • 46:21a second hit and see how environmental
  • 46:23challenges like social isolation
  • 46:25or social stress.
  • 46:26Pairs with and combines with
  • 46:28these genetic challenges and how
  • 46:29ultimately that leads to changes in
  • 46:31these behaviors as a starting point.
  • 46:33And so we hope ultimately that at
  • 46:35the end you might learn more and in
  • 46:38more systematic way as we get more
  • 46:40on the genetics and the biology,
  • 46:41we we we can then apply what we
  • 46:43learn to these other sort of circuit
  • 46:45and cognitive level readouts.
  • 46:47And then ultimately the goal is,
  • 46:48Marina said in her introduction is
  • 46:50to try to translate some of this
  • 46:52work to the clinic to the patients.
  • 46:54And and one example,
  • 46:55C4 happens to be secreted and it has
  • 46:58come out in CSF and we can measure
  • 46:59it and Steve Mccarroll has done that
  • 47:01and some of that works published.
  • 47:02C4 can be not only read out
  • 47:04and relates to copy numbers.
  • 47:06So that's a good proof of concept,
  • 47:08but we can read out other molecules
  • 47:10that we're studying in the context
  • 47:11of other disorders like Alzheimer's,
  • 47:13a lot of neuroimmune molecules and
  • 47:15synaptic markers we can read out in CSF.
  • 47:17And thanks to a really amazing
  • 47:19collaborative effort by many here that
  • 47:21are also involved in the schizophrenia
  • 47:23Spectrum biomarker consortium.
  • 47:24The idea is what if we could
  • 47:26start to bank and collect CSF
  • 47:27not just from the later stage,
  • 47:29but from this early stage of individuals
  • 47:30that are at risk for developing
  • 47:32schizophrenia or schizophrenia,
  • 47:33bipolar and control and start to
  • 47:35measure some of the leads that
  • 47:37are coming out of the genetics.
  • 47:38And then that would hopefully enable
  • 47:40us to start to stratify patients.
  • 47:42And as we get more information,
  • 47:43we'll have better ways of reading
  • 47:45out these different markers
  • 47:46in the samples of patients.
  • 47:47And relate this to the biology
  • 47:49and ultimately to to cognition.
  • 47:51So longterm goal that I think C4 is
  • 47:54a good example of a genetic lead.
  • 47:56We understand a little bit about the
  • 47:58biology and we can in fact read out it
  • 48:00on the genetic level and in the CSF
  • 48:02and and I think this is the first start,
  • 48:04but I think we have a long ways to go.
  • 48:06But it really is going to require a village,
  • 48:08a lot of collaboration and a lot of
  • 48:10feedback from folks like you to think
  • 48:12about how we could then you know
  • 48:13expand some of this work into other
  • 48:15models or into other disease areas.
  • 48:17I focused on schizophrenia,
  • 48:18but I think this is highly relevant
  • 48:20to other disorders as well.
  • 48:21So I'll end by thanking an amazing
  • 48:23group of collaborators and support
  • 48:24the human microglia in my lab.
  • 48:26They're pretty cool.
  • 48:27I'm the nucleus there,
  • 48:29and this is the rest of them.
  • 48:30Be being goofy at one of our retreats.
  • 48:32So thanks very much.