Microglial restoration and systemic rejuvenation to treat age-related neurodegenerative disease

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Abstract/Contents

Abstract
A rapidly aging population and a limited therapeutic toolbox urgently necessitate new approaches to treat neurodegenerative diseases. Brain aging involves complex cellular and molecular processes that eventually result in cognitive decline. While cell-intrinsic defects in neurons, the effector cells of behavior, memory, and consciousness, may partially explain this decline, cell-extrinsic changes in the local environment, mediated by glia, and the systemic environment, mediated by blood, have recently been shown to drive chronic inflammation and subsequent brain dysfunction with age. Here, I describe my efforts to understand systemic mediators of brain aging and rejuvenation, to restore brain-resident immune cell function, and to develop next-generation glia-directed therapies for neurodegenerative disease. In the first case, I review the current understanding of how systemic factors interact with the brain sequentially, starting with known sources of systemic factors, conduits and barriers to entry, cellular targets in the brain, and clearance mechanisms. Next, I elucidate a mechanism of age-related microglial impairment and a strategy to restore homeostasis in the aging brain. Finally, I propose a microglia-directed treatment to ameliorate cognitive decline in Alzheimer's disease. Taken together, this work illuminates the roles of systemic and local brain inflammation on age-related cognitive dysfunction and provides new microglia-directed therapeutic strategies to restore homeostasis in the aging brain and to treat neurodegenerative diseases.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2019; ©2019
Publication date 2019; 2019
Issuance monographic
Language English

Creators/Contributors

Author Pluvinage, John Vincent
Degree supervisor Wyss-Coray, Anton
Thesis advisor Wyss-Coray, Anton
Thesis advisor Bassik, Michael
Thesis advisor Monje-Deisseroth, Michelle
Degree committee member Bassik, Michael
Degree committee member Monje-Deisseroth, Michelle
Associated with Stanford University, Program in Stem Cell Biology and Regenerative Medicine.

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility John Vincent Pluvinage.
Note Submitted to the Program in Stem Cell Biology and Regenerative Medicine.
Thesis Thesis Ph.D. Stanford University 2019.
Location electronic resource

Access conditions

Copyright
© 2019 by John Vincent Pluvinage
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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