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The Choroid Plexus Links Innate Immunity to Dysregulation of CSF Homeostasis in Diverse Forms of Hydrocephalus
The Choroid Plexus Links Innate Immunity to Dysregulation of CSF Homeostasis in Diverse Fo...
The Choroid Plexus Links Innate Immunity to Dysregulation of CSF Homeostasis in Diverse Forms of Hydrocephalus

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20250211151126
ISBN  
9798382321585
DDC  
610
저자명  
Kiziltug, Emre.
서명/저자  
The Choroid Plexus Links Innate Immunity to Dysregulation of CSF Homeostasis in Diverse Forms of Hydrocephalus
발행사항  
[Sl] : Yale University, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
100 p
주기사항  
Source: Dissertations Abstracts International, Volume: 85-11, Section: B.
주기사항  
Advisor: Herzog, Erica.
학위논문주기  
Thesis (M.D.)--Yale University, 2024.
초록/해제  
요약The choroid plexus (ChP) secretes a half-liter/day of cerebrospinal fluid (CSF) and is the blood-CSF barrier with critical immune functions. Hydrocephalus, commonly caused by infection or hemorrhage, lacks non-surgical treatments due to obscure pathobiology. We hypothesize that in acquired hydrocephalus, the dual ChP functions of CSF secretion and blood-CSF barrier maintenance become pathologically entangled in a maladaptive disease state. To test this hypothesis, we created novel rat models of post-infectious (PIH) and posthemorrhagic hydrocephalus (PHH) and conducted a multi-omics investigation of these animals to dissect the cellular, molecular, and physiological pathology underlying PIH and PHH . Our systems approach combined functional genomics to characterize the ChP immune response, including the first-ever single-cell transcriptomic profile of the ChP in a pathological condition, as well as in vivo assessments of ChP secretory capacity and CSF dynamics to systematically characterize fluid homeostasis. Integrated multi-omic analysis of diverse post-infectious (PIH) and post-hemorrhagic (PHH) hydrocephalus models show lipopolysaccharide and blood products, respectively, trigger highly similar Tlr4-dependent immune-secretory responses at the ChP-CSF interface. Activated ChP macrophages elicit a CSF "cytokine storm" that stimulates CSF production from ChP epithelial cells via a kinase-regulated multi-ion transporter protein complex. Genetic or pharmacological immunomodulation prevents acute PIH and PHH by antagonizing ChP-mediated CSF hypersecretion. These data expand our understanding of ChP immune-epithelial cell crosstalk, reframe PIH and PHH as related neuroinflammatory disorders, and identify a druggable target of ChP immune-secretory function.
일반주제명  
Medicine
일반주제명  
Neurosciences
일반주제명  
Bioinformatics
일반주제명  
Health sciences
키워드  
Choroid plexus
키워드  
Hydrocephalus
키워드  
Integrative genomics
키워드  
Cerebrospinal fluid
키워드  
Pharmacological immunomodulation
기타저자  
Yale University Yale School of Medicine
기본자료저록  
Dissertations Abstracts International. 85-11B.
전자적 위치 및 접속  
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MARC

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■020    ▼a9798382321585
■035    ▼a(MiAaPQ)AAI31147020
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a610
■1001  ▼aKiziltug,  Emre.
■24510▼aThe  Choroid  Plexus  Links  Innate  Immunity  to  Dysregulation  of  CSF  Homeostasis  in  Diverse  Forms  of  Hydrocephalus
■260    ▼a[Sl]▼bYale  University▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a100  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-11,  Section:  B.
■500    ▼aAdvisor:  Herzog,  Erica.
■5021  ▼aThesis  (M.D.)--Yale  University,  2024.
■520    ▼aThe  choroid  plexus  (ChP)  secretes  a  half-liter/day  of  cerebrospinal  fluid  (CSF)  and  is  the  blood-CSF  barrier  with  critical  immune  functions.  Hydrocephalus,  commonly  caused  by  infection  or  hemorrhage,  lacks  non-surgical  treatments  due  to  obscure  pathobiology.  We  hypothesize  that  in  acquired  hydrocephalus,  the  dual  ChP  functions  of  CSF  secretion  and  blood-CSF  barrier  maintenance  become  pathologically  entangled  in  a  maladaptive  disease  state.  To  test  this  hypothesis,  we  created  novel  rat  models  of  post-infectious  (PIH)  and  posthemorrhagic  hydrocephalus  (PHH)  and  conducted  a  multi-omics  investigation  of  these  animals  to  dissect  the  cellular,  molecular,  and  physiological  pathology  underlying  PIH  and  PHH  .  Our  systems  approach  combined  functional  genomics  to  characterize  the  ChP  immune  response,  including  the  first-ever  single-cell  transcriptomic  profile  of  the  ChP  in  a  pathological  condition,  as  well  as  in  vivo  assessments  of  ChP  secretory  capacity  and  CSF  dynamics  to  systematically  characterize  fluid  homeostasis.  Integrated  multi-omic  analysis  of  diverse  post-infectious  (PIH)  and  post-hemorrhagic  (PHH)  hydrocephalus  models  show  lipopolysaccharide  and  blood  products,  respectively,  trigger  highly  similar  Tlr4-dependent  immune-secretory  responses  at  the  ChP-CSF  interface.  Activated  ChP  macrophages  elicit  a  CSF  "cytokine  storm"  that  stimulates  CSF  production  from  ChP  epithelial  cells  via  a  kinase-regulated  multi-ion  transporter  protein  complex.  Genetic  or  pharmacological  immunomodulation  prevents  acute  PIH  and  PHH  by  antagonizing  ChP-mediated  CSF  hypersecretion.  These  data  expand  our  understanding  of  ChP  immune-epithelial  cell  crosstalk,  reframe  PIH  and  PHH  as  related  neuroinflammatory  disorders,  and  identify  a  druggable  target  of  ChP  immune-secretory  function.
■590    ▼aSchool  code:  0265.
■650  4▼aMedicine
■650  4▼aNeurosciences
■650  4▼aBioinformatics
■650  4▼aHealth  sciences
■653    ▼aChoroid  plexus
■653    ▼aHydrocephalus
■653    ▼aIntegrative  genomics
■653    ▼aCerebrospinal  fluid
■653    ▼aPharmacological  immunomodulation
■690    ▼a0564
■690    ▼a0317
■690    ▼a0715
■690    ▼a0566
■71020▼aYale  University▼bYale  School  of  Medicine.
■7730  ▼tDissertations  Abstracts  International▼g85-11B.
■790    ▼a0265
■791    ▼aM.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17160851▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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