Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan 3:12:e81154.
doi: 10.7554/eLife.81154.

The meningeal transcriptional response to traumatic brain injury and aging

Affiliations

The meningeal transcriptional response to traumatic brain injury and aging

Ashley C Bolte et al. Elife. .

Abstract

Emerging evidence suggests that the meningeal compartment plays instrumental roles in various neurological disorders, however, we still lack fundamental knowledge about meningeal biology. Here, we utilized high-throughput RNA sequencing (RNA-seq) techniques to investigate the transcriptional response of the meninges to traumatic brain injury (TBI) and aging in the sub-acute and chronic time frames. Using single-cell RNA sequencing (scRNA-seq), we first explored how mild TBI affects the cellular and transcriptional landscape in the meninges in young mice at one-week post-injury. Then, using bulk RNA-seq, we assessed the differential long-term outcomes between young and aged mice following TBI. In our scRNA-seq studies, we highlight injury-related changes in differential gene expression seen in major meningeal cell populations including macrophages, fibroblasts, and adaptive immune cells. We found that TBI leads to an upregulation of type I interferon (IFN) signature genes in macrophages and a controlled upregulation of inflammatory-related genes in the fibroblast and adaptive immune cell populations. For reasons that remain poorly understood, even mild injuries in the elderly can lead to cognitive decline and devastating neuropathology. To better understand the differential outcomes between the young and the elderly following brain injury, we performed bulk RNA-seq on young and aged meninges 1.5 months after TBI. Notably, we found that aging alone induced upregulation of meningeal genes involved in antibody production by B cells and type I IFN signaling. Following injury, the meningeal transcriptome had largely returned to its pre-injury signature in young mice. In stark contrast, aged TBI mice still exhibited upregulation of immune-related genes and downregulation of genes involved in extracellular matrix remodeling. Overall, these findings illustrate the dynamic transcriptional response of the meninges to mild head trauma in youth and aging.

Keywords: Traumatic brain injury; aging; immunology; inflammation; meninges; mouse; neurodegeneration; neuroimmunology; neuroinflammation.

PubMed Disclaimer

Conflict of interest statement

AB, DS, AD, WM, KB, MK, AR, HE, JL No competing interests declared

Figures

Figure 1.
Figure 1.. Alterations in the composition of meningeal cell populations following brain injury.
Male C57BL/6 J wild-type (WT) mice at 10 weeks of age were subjected to a mild closed-skull injury above the right inferior temporal lobe or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. (a) Schematic of scRNA-seq protocol. (b) Uniform Manifold Approximation and Projection (UMAP) representation of the cell populations present in the meninges where both Sham and TBI groups are included. Colors are randomly assigned to each cell population. (c) Dot plot representation of cluster defining genes for each cell population, where each gene represents the most significant cluster-defining marker for each population. The color and size of each dot represents the average expression and percent of cells expressing each gene, respectively. (d) UMAP representations of the cell populations present in the meninges separated by Sham (sage) and TBI (purple). (e) Bar graph depicting frequencies of cell populations in Sham vs. TBI samples. Graphs were calculated using Seurat by normalizing the dataset, finding the variable features of the dataset, scaling the data, and reducing the dimensionality. Each data point in a UMAP plot represents a cell. p Values were calculated using a two sample z-test. ****p<0.0001, *p<.05, bar chart pairs without * were not statistically significant. Exact statistics are provided in the source data file.
Figure 1—figure supplement 1.
Figure 1—figure supplement 1.. Initial brain and meningeal response following TBI.
Male C57BL/6 J wild-type (WT) mice at 10 weeks of age received a TBI or Sham procedure and then the brains or meninges were harvested for immunohistochemistry at 24 hours. (a) Schematic depicting the location of the TBI in relation to dorsal anatomical structures. (b) Representative images of meningeal whole mounts stained with DAPI (blue), CD31 (green) and Lyve-1 (grey). (c) Quantification of the percent area of CD31 in each meningeal whole mount. Each data point represents an individual mouse (Sham n=5, TBI n=5, rep = 1). (d) Representative images of brains with injury site (right) taken 24 hr following TBI stained with DAPI (blue), Iba1 (green), NeuN (grey) and GFAP (yellow). (e) Representative high-magnification images (63 x) of Iba1 and GFAP-positive cells (microglia/macrophages and reactive astrocytes respectively) and (f) quantification of the percent area of GFAP and Iba1-positive cells in the hemisphere ipsilateral to the injury 24 hr after TBI. Each data point represents an individual mouse (Sham n=4, TBI n=6, rep = 2). (g–i) Meningeal whole mounts stained with MHCII (red) taken 24 hr post TBI. Dashed boxes in (g) represent zoomed areas of transverse sinus shown in (h). (i) Quantification of the % area MHCII staining in each meningeal whole mount. Each dot represents one mouse (Sham n=8, TBI n=8, rep = 1). Error bars depict mean  ± s.e.m. p Values were calculated using an unpaired students t-test.
Figure 1—figure supplement 2.
Figure 1—figure supplement 2.. Stress and processing related genes after single cell RNA-sequencing.
Male WT mice at 10 weeks of age received a TBI or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. Violin plots depicting various genes split by experimental group: Sham (sage) and TBI (purple). Each dot represents an individual cell. The width of the violin plot represents the frequency of observations at that given y-value. Therefore, the wider the violin plot, the higher the frequency of observations. Plots without sage or purple coloring did not have enough cells expressing the gene to create the plot. Graphs were calculated using Seurat by normalizing the dataset, finding the variable features of the dataset, scaling the data, and reducing the dimensionality.
Figure 2.
Figure 2.. Transcriptional response of meningeal macrophages to mild TBI.
Male WT mice at 10 weeks of age received a TBI or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. (a) Quantification of the number of upregulated and downregulated macrophage genes following injury (FDR < 0.1). (b) Network analysis of significantly upregulated genes in meningeal macrophages following injury. Text size is proportional to the number of genes enriched in that cluster. Node size is roughly proportional to the number of GO terms in that cluster (node size was manually adjusted so may not be exactly proportional to GO terms included). Dot size is proportional to the number of genes contributing to each GO term. Dot color is proportional to p-value, where colors closer to white have lower p-values. Connecting lines represent GO terms with shared genes, more lines represents a higher number of shared genes between nodes. (c) Dot plot showing the 25 most enriched GO terms with significantly upregulated genes following TBI in the meningeal macrophage population. The color and size of each dot represents the size of the GO term and the number of upregulated genes that contribute to each term, respectively. (d) Feature plots depicting several significantly upregulated genes following injury (FDR < 0.1). The color of each data point represents the expression level of the indicated gene within that cell. Quantitative PCR relative expression of (e) Ifnar1, (f) Irf5, (g) Ifnb1, and (h) Ifi203 within the dural meninges one week after TBI (Sham n=5, TBI n=5, rep = 1). (i) UMAP representation showing re-clustering of the meningeal macrophage populations. (j) UMAP representation of the macrophages present in the meninges separated by Sham (sage) and TBI (purple). (k) Frequencies of meningeal macrophage populations in Sham vs. TBI samples represented as a gradient bar chart. Graphs were calculated using Seurat by normalizing the dataset, finding the variable features of the dataset, scaling the data, and reducing the dimensionality. Differential gene expression was calculated using the ZINB-WaVE function for zero-enriched datasets and DESeq2. Each data point in a UMAP plot represents a cell. Error bars in (e–h) depict mean  ± s.e.m. p Values for (e–h) were calculated using unpaired two-sample students t-tests and p values for (k) were calculated using a two sample z-test. ****p<0.0001. Bar chart pairings without * were not statistically significant, exact statistics are provided in the source data file. FDR; false discovery rate.
Figure 2—figure supplement 1.
Figure 2—figure supplement 1.. Cluster-defining genes for macrophage subpopulations.
Male WT mice at 10 weeks of age received a TBI or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. (a–d) Feature plots showing expression patterns of (a) Anti-inflammatory, (b) Resolution phase, (c) Inflammatory 1, and (d) Inflammatory 2 macrophage cluster-defining genes. The color of each data point represents the expression level of the indicated gene within that cell. Graphs were calculated using Seurat by normalizing the dataset, finding the variable features of the dataset, scaling the data, and reducing the dimensionality.
Figure 2—figure supplement 2.
Figure 2—figure supplement 2.. Ligand-target interactions between macrophages and other meningeal cells.
Male WT mice at 10 weeks of age received a TBI or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. (a) Heatmap showing the top prioritized macrophage ligands where the darkest shades represent the highest Pearson correlation coefficient, which corresponds to the ligands that best predict the TBI target genes. (b) Heatmap showing the prioritized ligands and their predicted receptors. The darkest shades represent the ligand-receptor pairs that interact most robustly. (c) Heatmap depicting the prioritized ligands and their predicted target genes. Warmer colors represent genes that are more likely regulated by the shown ligand whereas cooler colors are less likely to be regulated by the shown ligand. (d) Dotplot depicting which other cell populations are most likely to affect gene expression in the macrophage population through ligand-target interactions. The warmer colors represent higher average expression of the shown ligand within a cell population and the size of the dot represents the frequency at which the ligand is expressed within a certain cell population. Graphs were produced with NicheNet using the same Seurat object generated by normalizing the dataset, finding the variable features of the dataset, scaling the data, and reducing the dimensionality.
Figure 3.
Figure 3.. Dural fibroblasts express genes involved in tissue remodeling, cell migration, and immune activation in TBI.
Male WT mice at 10 weeks of age received a TBI or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. (a) Quantification of the number of upregulated and downregulated fibroblast genes following injury (FDR < 0.1). (b) Dot plot representation of highlighted fibroblast genes that were significantly upregulated following injury (FDR < 0.1). The color and size of each dot represents the average expression and percent of cells expressing each gene, respectively. (c–d) Representative images of meningeal whole mounts stained for collagen (green) (c) and a 16 color heatmap of the collagen staining intensity (d), where red is most intense and blue is least intense. (e) Quantification of collagen staining intensity using corrected total cellular fluorescence (CTCF). CTCF is calculated as mean fluorescence of meningeal whole mounts - (Area of meningeal whole mount x Mean fluorescence of background). Each data point represents an individual mouse (Sham n=5, TBI n=5, rep = 1). (f) Network map depicting significantly upregulated genes that enriched immune system-related GO terms (FDR < 0.1). The lines within the circle indicate which genes contribute to each GO term. (g) Scatter plot representation of the top enriched KEGG terms with significantly upregulated genes in the fibroblast population (FDR < 0.1). Dot size is proportional to term size. Genes contributing to one KEGG term may also contribute to other KEGG terms. (h) Dot plot depicting dural, arachnoid, and pial fibroblasts markers where the size of the circles represents the percent of cells expressing each gene. (i) Feature plots of genes characteristic of dural fibroblasts in both Sham and TBI conditions. The color of each data point represents the expression level of the indicated gene within that cell. Graphs were calculated using Seurat by normalizing the dataset, finding the variable features of the dataset, scaling the data, and reducing the dimensionality. Differential gene expression was calculated using the ZINB-WaVE function for zero-enriched datasets and DESeq2. Each data point in a UMAP plot represents a cell. Error bars depict mean  ± s.e.m. p value for (e) was calculated using an unpaired two-tailed t-test assuming unequal variances. FDR; false discovery rate, p.adj; adjusted p-value.
Figure 3—figure supplement 1.
Figure 3—figure supplement 1.. Ligand-target interactions between fibroblasts and other meningeal cells.
Male WT mice at 10 weeks of age received a TBI or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. (a) Heatmap showing the top prioritized fibroblast ligands where the darkest shades represent the highest Pearson correlation coefficient, which corresponds to the ligands that best predict the TBI target genes. (b) Heatmap showing the prioritized ligands and their predicted receptors. The darkest shades represent the ligand-receptor pairs that interact most robustly. (c) Heatmap depicting the prioritized ligands and their predicted target genes. Warmer colors represent genes that are more likely regulated by the shown ligand whereas cooler colors are less likely to be regulated by the shown ligand. (d) Dotplot depicting which other cell populations are most likely to affect gene expression in the fibroblast population through ligand-target interactions. The warmer colors represent higher average expression of the shown ligand within a cell population and the size of the dot represents the frequency at which the ligand is expressed within a certain cell population. Graphs were produced with NicheNet using the same Seurat object generated by normalizing the dataset, finding the variable features of the dataset, scaling the data, and reducing the dimensionality.
Figure 4.
Figure 4.. Transcriptional response of meningeal lymphocytes to mild TBI.
Male WT mice at 10 weeks of age received a TBI or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. (a) Quantification of the number of upregulated and downregulated genes in different immune cell populations following injury (FDR <0.1). (b–c) UMAP representation showing re-clustering of the (b) T cell and (c) B cell populations present within the meninges. (d-e) UMAP representation of pseudotime cellular trajectory profiles showing (d) T cell and (e) B cell maturation trajectories. The circle with the number ‘1’ represents the root node. The color of each data point represents advancement in pseudotime, with dark purple representing ‘early’ pseudotime and yellow representing ‘late’ pseudotime. The line represents the ‘path’ of pseudotime with intersections representing possible different differentiation events. Grey data points represent cell populations that were not connected in pseudotime with the selected node. (f) Circos plot depicting differentially expressed genes in the T cell populations within the TBI meninges (FDR <0.1) associated with different cellular processes. The proportion of the circle’s circumference allocated to each cellular process represents the number of T cell genes associated with that process that are differentially expressed in the TBI meninges. The lines connecting genes within the circle indicate which genes were shared amongst cellular processes. Colors were randomly assigned. (g) Treemap depicting significantly upregulated genes in the B cell population and the cellular process to which each gene contributes. The size of the square around each gene represents the Wald statistic, which is used to calculate the overall significance of the change in gene expression (a larger square indicates a larger Wald statistic, which leads to a lower adjusted p-value). The color of the boxes represents log2FC, where purple represents a lower log2FC and yellow represents a higher log2FC. An asterisk (*) indicates that the log2FC of the gene was higher than the scale (Ighv14-4 had a log2FC of 18.08). Graphs were calculated using Seurat by normalizing the dataset, finding the variable features of the dataset, scaling the data, and reducing the dimensionality. Each data point in a UMAP plot represents a cell. Differential gene expression was calculated using the ZINB-WaVE function for zero-enriched datasets and DESeq2. Pseudotime graphs were created using Monocle. AR, antigen recognition; CS, cytokine signaling; FDR; false discovery rate, log2FC; log 2 fold change.
Figure 4—figure supplement 1.
Figure 4—figure supplement 1.. Cluster-defining genes for T cell subpopulations.
Male WT mice at 10 weeks of age received a TBI or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. (a–c) Feature plots showing expression patterns of (a) Th2, (b) Th17 and (c) NK/NKT T cell subset cluster-defining genes. The color of each data point represents the expression level of the indicated gene within that cell. Graphs were calculated using Seurat by normalizing the dataset, finding the variable features of the dataset, scaling the data, and reducing the dimensionality.
Figure 4—figure supplement 2.
Figure 4—figure supplement 2.. Cluster-defining genes for B cell subpopulations.
Male WT mice at 10 weeks of age received a TBI or Sham procedure. One week later, the meninges from 5 mice per group were harvested, pooled, and processed for scRNA-seq. (a–c) Feature plots showing expression patterns of (a) Activated, (b) Immature and (c) Proliferating B cell subset cluster-defining genes. The color of each data point represents the expression level of the indicated gene within that cell. Graphs were calculated using Seurat by normalizing the dataset, finding the variable features of the dataset, scaling the data, and, reducing the dimensionality.
Figure 5.
Figure 5.. Effects of aging and mild TBI on the meningeal transcriptome.
(a) Schematic depicting experimental layout. Male WT mice at 10 weeks of age or 20 months of age received a TBI or Sham procedure. 1.5 months later, bulk RNA-seq was performed on the four experimental groups with three biological replicates per group (each biological replicate consisted of meningeal RNA samples from 2 to 3 independent mice). (b) Principal component analysis (PCA) showing clustering of samples. (c) Volcano plots illustrate the number of differentially expressed genes with statistically significant differences denoted in blue and red (FDR <0.1). Numbers in each corner depict the number of differentially expressed genes for each comparison. Blue data points represent significantly downregulated genes and red data points represent significantly upregulated genes. (d) Upset plots depicting significantly downregulated (blue) and upregulated (red) genes for each comparison and the number of genes that were shared between comparisons (FDR <0.1). The graph on the left sidebar shows the total number of differentially expressed genes per group. A single black dot indicates the differentially expressed genes are unique to the highlighted comparison. Two or more black dots connected by a line indicate that the differentially expressed genes are shared between the multiple highlighted comparisons. FDR and p-values were calculated with DESeq2 using the Wald test for significance following fitting to a negative binomial linear model and the Benjamini-Hochberg procedure to control for false discoveries. FDR; false discovery rate, DE; differentially expressed.
Figure 6.
Figure 6.. Aging promotes the upregulation of meningeal genes involved in type I IFN and antibody signaling.
Male WT mice at 10 weeks of age or 20 months of age received a TBI or Sham procedure. 1.5 months later, bulk RNA-seq was performed on the four experimental groups with three biological replicates per group (each biological replicate consisted of meningeal RNA samples from 2 to 3 independent mice). (a) Heatmap representation of the top 20 most significantly upregulated and downregulated (FDR <0.1) genes in the Young Sham vs. Aged Sham groups. The red asterisk (*) indicates genes associated with antibody production. (b) Dot plot of GO term biological processes shows enrichment of immune-related pathways with differentially expressed genes between young mice as compared to aged mice. Color and size of each dot represent the size of the GO term and the number of upregulated genes that contribute to each term, respectively. (c) Violin plot depicting counts of significantly activated antibody and B cell related genes in response to age (FDR <0.1). The number above each comparison on the graph represents the adjusted p-value calculated for each gene using DESeq2. The central line within each plot represents the median of the data set. The upper and lower boundaries of the box represent the third (Q3) and first (Q1) quartiles respectively. The violin plot encompasses the three biological replicates. The width of the violin plot represents the frequency of observations at that given y-value. Therefore, the wider the violin plot, the higher the frequency of observations. The meninges of 5 young Sham mice and 5 aged Sham mice were harvested for each immunohistochemical experiment. (d) Representative images from a young Sham mouse and aged Sham mouse showing a region of the SSS stained with J-chain (red) and Lyve-1 (grey) (e) and quantification of J-chain puncta in meningeal whole mounts along the SSS (Sham n=5, TBI n=5, rep = 1). (f) Representative images of the transverse sinus in young and aged mice stained with B220 (green) and Lyve-1 (grey). The dashed box on the top two images corresponds to the higher magnification images depicted below. (g) Quantification of the number of B220 cells along the entire transverse sinus (Sham n=5, TBI n=5, rep = 1). (h) Violin plot depicting counts of significantly activated type-I interferon related genes in response to age (FDR < 0.1). The violin plot parameters are the same as describe for (c). FDR and p-values in (a–c,h) were calculated with DESeq2 using the Wald test for significance following fitting to a negative binomial linear model and the Benjamini-Hochberg procedure to control for false discoveries. Error bars in (e,g) depict mean  ± s.e.m. p values in (e,g) were calculated using a two-tailed unpaired two-sample t-test assuming unequal variances. FDR; false discovery rate, SSS; superior sagittal sinus.
Figure 6—figure supplement 1.
Figure 6—figure supplement 1.. Aging does not appreciably influence the total numbers of meningeal CD19 + and B220 + cells.
Male WT mice at 10 weeks of age or 20 months of age were sacrificed and the dural meninges were processed for flow cytometry. (a) Flow cytometry gating strategy. Warmer colors indicate higher concentration of cells. (b) Quantification of total cell numbers in the dural meninges in young and aged mice (Young n=7, Aged n=6, rep = 1). (c) Quantification of the numbers of CD19+, B220+, and CD19 + B220 + cells in the dural meninges of young and aged mice (Young n=7, Aged n=6, rep = 1). (d) Quantification of the frequency of CD19+, B220+, and CD19 + B220 + cells of total CD45 + cells in young and aged dural meninges (Young n=7, Aged n=7, rep = 1). Two aged mice were excluded from this experiment: one mouse was excluded entirely due to gross hepatosplenomegaly and another mouse was excluded from the absolute cell count quantifications due to a suboptimal dissection. p values for were calculated using unpaired two-sample students t-tests.
Figure 7.
Figure 7.. Aging and mild TBI together promote a unique meningeal transcriptional signature.
Male WT mice at 10 weeks of age or 20 months of age received a TBI or Sham procedure. 1.5 months later, bulk RNA-seq was performed on the 4 experimental groups with 3 biological replicates per group (each biological replicate consisted of meningeal RNA samples from 2 to 3 independent mice). (a) Dot plot showing GO term molecular functions enriched by the repressed genes unique to the Young TBI vs Aged TBI comparison. The color and size of each dot represents the size of the GO term and the number of upregulated genes that contribute to each term, respectively. (b) Violin plot depicting counts of significantly repressed extracellular matrix related genes (FDR <0.1). (c) Quantitative PCR relative expression of Col4a1 and Col5a2 within the dural meninges 1.5 months after TBI (Sham n=10, TBI n=10, rep = 1). (d) Bar plot shows enrichment of GO term biological processes related to the immune system with the genes unique to the Young TBI vs Aged TBI comparison. The color of each bar represents the number of upregulated genes that contribute to each GO term. (e) Violin plots depicting counts of significantly activated immune-related genes (FDR <0.1). (b,e) Each statistic represents the adjusted p-value calculated for each gene using DESeq2. The central line within each plot represents the median of the data set. The upper and lower boundaries of the box represent the third (Q3) and first (Q1) quartiles respectively. The violin plot encompasses the three biological repeats. The width of the violin plot represents the frequency of observations at that given y-value. Therefore, the wider the violin plot, the higher the frequency of observations. FDR and p-values for (a,b,d,e) were calculated with DESeq2 using the Wald test for significance following fitting to a negative binomial linear model and the Benjamini-Hochberg procedure to control for false discoveries. Error bars in (c) depict mean  ± s.e.m. p values for (c) were calculated using unpaired two-sample students t-tests.
Figure 8.
Figure 8.. Shared gene signatures show dysregulated immune activation.
Differential gene expression was compared between the scRNA-seq dataset in young mice (1 week post-TBI) and the bulk RNA-seq dataset in aged mice (1.5 months post-TBI). Quantification of the number of differentially regulated genes shared between T cells, B cells, Fibroblasts, and Macrophages in the scRNA-seq dataset with the differentially expressed genes seen in (a) aging alone and (b) 1.5 months after TBI in aged mice (FDR < 0.1). Modified circos plots depicting the shared up- and down-regulated genes and the cellular processes to which they contribute, between the T Cells, B Cells, Fibroblasts, and Macrophages from the scRNA-seq dataset and the bulk RNA-seq dataset in (c) aging alone and (d) 1.5 months after TBI. The color of the circle with each gene represents the cell population to which the gene belongs. The size of the grey circles corresponds to the number of genes contributing to the term, which is shown by the intersecting line from each gene. FDR values in the bulk RNA-seq dataset were calculated with DESeq2 using the Wald test for significance following fitting to a negative binomial linear model and the Benjamini-Hochberg procedure to control for false discoveries. Differential gene expression in the scRNA-seq dataset was calculated using the ZINB-WaVE function for zero-enriched datasets and DESeq2. Graphs in (c–d) were constructed using ToppCluster and Cytoscape. FDR; false discovery rate.

References

    1. Abdullah A, Zhang M, Frugier T, Bedoui S, Taylor JM, Crack PJ. STING-mediated type-I interferons contribute to the neuroinflammatory process and detrimental effects following traumatic brain injury. Journal of Neuroinflammation. 2018;15:323. doi: 10.1186/s12974-018-1354-7. - DOI - PMC - PubMed
    1. Ahn JH, Cho H, Kim J-H, Kim SH, Ham J-S, Park I, Suh SH, Hong SP, Song J-H, Hong Y-K, Jeong Y, Park S-H, Koh GY. Meningeal lymphatic vessels at the skull base drain cerebrospinal fluid. Nature. 2019;572:62–66. doi: 10.1038/s41586-019-1419-5. - DOI - PubMed
    1. Alexis BP, Likang X, Jill D. Centers for disease control and prevention usdohahs. surveillance report of traumatic brain injury-related emergency department visits, hospitalizations, and deaths. United sates: Centers for Disease Control and Prevention; 2014.
    1. Alves de Lima K, Rustenhoven J, Da Mesquita S, Wall M, Salvador AF, Smirnov I, Martelossi Cebinelli G, Mamuladze T, Baker W, Papadopoulos Z, Lopes MB, Cao WS, Xie XS, Herz J, Kipnis J. Meningeal γδ T cells regulate anxiety-like behavior via IL-17A signaling in neurons. Nature Immunology. 2020a;21:1421–1429. doi: 10.1038/s41590-020-0776-4. - DOI - PMC - PubMed
    1. Alves de Lima K, Rustenhoven J, Kipnis J. Meningeal immunity and its function in maintenance of the central nervous system in health and disease. Annual Review of Immunology. 2020b;38:597–620. doi: 10.1146/annurev-immunol-102319-103410. - DOI - PubMed

Publication types

Associated data