Skip to main content
Top
Published in: Molecular Neurodegeneration 1/2021

Open Access 01-12-2021 | Narcolepsy | Methodology

Methods to investigate intrathecal adaptive immunity in neurodegeneration

Authors: Hamilton Oh, Olivia Leventhal, Divya Channappa, Victor W. Henderson, Tony Wyss-Coray, Benoit Lehallier, David Gate

Published in: Molecular Neurodegeneration | Issue 1/2021

Login to get access

Abstract

Background

Cerebrospinal fluid (CSF) provides basic mechanical and immunological protection to the brain. Historically, analysis of CSF has focused on protein changes, yet recent studies have shed light on cellular alterations. Evidence now exists for involvement of intrathecal T cells in the pathobiology of neurodegenerative diseases. However, a standardized method for long-term preservation of CSF immune cells is lacking. Further, the functional role of CSF T cells and their cognate antigens in neurodegenerative diseases are largely unknown.

Results

We present a method for long-term cryopreservation of CSF immune cells for downstream single cell RNA and T cell receptor sequencing (scRNA-TCRseq) analysis. We observe preservation of CSF immune cells, consisting primarily of memory CD4+ and CD8+ T cells. We then utilize unbiased bioinformatics approaches to quantify and visualize TCR sequence similarity within and between disease groups. By this method, we identify clusters of disease-associated, antigen-specific TCRs from clonally expanded CSF T cells of patients with neurodegenerative diseases.

Conclusions

Here, we provide a standardized approach for long-term storage of CSF immune cells. Additionally, we present unbiased bioinformatic approaches that will facilitate the discovery of target antigens of clonally expanded T cells in neurodegenerative diseases. These novel methods will help improve our understanding of adaptive immunity in the central nervous system.
Appendix
Available only for authorised users
Literature
1.
go back to reference Han S, Lin YC, Wu T, Salgado AD, Mexhitaj I, Wuest SC, et al. Comprehensive immunophenotyping of cerebrospinal fluid cells in patients with neuroimmunological diseases. J Immunol. 2014;192(6):2551–63.CrossRef Han S, Lin YC, Wu T, Salgado AD, Mexhitaj I, Wuest SC, et al. Comprehensive immunophenotyping of cerebrospinal fluid cells in patients with neuroimmunological diseases. J Immunol. 2014;192(6):2551–63.CrossRef
2.
go back to reference Perrin RJ, Fagan AM, Holtzman DM. Multimodal techniques for diagnosis and prognosis of Alzheimer's disease. Nature. 2009;461(7266):916–22.CrossRef Perrin RJ, Fagan AM, Holtzman DM. Multimodal techniques for diagnosis and prognosis of Alzheimer's disease. Nature. 2009;461(7266):916–22.CrossRef
3.
go back to reference Blennow K, Zetterberg H. The past and the future of Alzheimer's disease fluid biomarkers. J Alzheimers Dis. 2018;62(3):1125–40.CrossRef Blennow K, Zetterberg H. The past and the future of Alzheimer's disease fluid biomarkers. J Alzheimers Dis. 2018;62(3):1125–40.CrossRef
4.
go back to reference Ransohoff RM, Engelhardt B. The anatomical and cellular basis of immune surveillance in the central nervous system. Nat Rev Immunol. 2012;12(9):623–35.CrossRef Ransohoff RM, Engelhardt B. The anatomical and cellular basis of immune surveillance in the central nervous system. Nat Rev Immunol. 2012;12(9):623–35.CrossRef
5.
go back to reference Schafflick D, Xu CA, Hartlehnert M, Cole M, Schulte-Mecklenbeck A, Lautwein T, et al. Integrated single cell analysis of blood and cerebrospinal fluid leukocytes in multiple sclerosis. Nat Commun. 2020;11(1):247.CrossRef Schafflick D, Xu CA, Hartlehnert M, Cole M, Schulte-Mecklenbeck A, Lautwein T, et al. Integrated single cell analysis of blood and cerebrospinal fluid leukocytes in multiple sclerosis. Nat Commun. 2020;11(1):247.CrossRef
6.
go back to reference Aly L, Yousef S, Schippling S, Jelcic I, Breiden P, Matschke J, et al. Central role of JC virus-specific CD4+ lymphocytes in progressive multi-focal leucoencephalopathy-immune reconstitution inflammatory syndrome. Brain. 2011;134(Pt 9):2687–702.CrossRef Aly L, Yousef S, Schippling S, Jelcic I, Breiden P, Matschke J, et al. Central role of JC virus-specific CD4+ lymphocytes in progressive multi-focal leucoencephalopathy-immune reconstitution inflammatory syndrome. Brain. 2011;134(Pt 9):2687–702.CrossRef
7.
go back to reference Lossius A, Johansen JN, Vartdal F, Robins H, Jurate Saltyte B, Holmoy T, et al. High-throughput sequencing of TCR repertoires in multiple sclerosis reveals intrathecal enrichment of EBV-reactive CD8+ T cells. Eur J Immunol. 2014;44(11):3439–52.CrossRef Lossius A, Johansen JN, Vartdal F, Robins H, Jurate Saltyte B, Holmoy T, et al. High-throughput sequencing of TCR repertoires in multiple sclerosis reveals intrathecal enrichment of EBV-reactive CD8+ T cells. Eur J Immunol. 2014;44(11):3439–52.CrossRef
8.
go back to reference Salou M, Garcia A, Michel L, Gainche-Salmon A, Loussouarn D, Nicol B, et al. Expanded CD8 T-cell sharing between periphery and CNS in multiple sclerosis. Ann Clin Transl Neurol. 2015;2(6):609–22.CrossRef Salou M, Garcia A, Michel L, Gainche-Salmon A, Loussouarn D, Nicol B, et al. Expanded CD8 T-cell sharing between periphery and CNS in multiple sclerosis. Ann Clin Transl Neurol. 2015;2(6):609–22.CrossRef
9.
go back to reference Johansen JN, Vartdal F, Desmarais C, Tutturen AE, de Souza GA, Lossius A, et al. Intrathecal BCR transcriptome in multiple sclerosis versus other neuroinflammation: equally diverse and compartmentalized, but more mutated, biased and overlapping with the proteome. Clin Immunol. 2015;160(2):211–25.CrossRef Johansen JN, Vartdal F, Desmarais C, Tutturen AE, de Souza GA, Lossius A, et al. Intrathecal BCR transcriptome in multiple sclerosis versus other neuroinflammation: equally diverse and compartmentalized, but more mutated, biased and overlapping with the proteome. Clin Immunol. 2015;160(2):211–25.CrossRef
10.
go back to reference Planas R, Metz I, Ortiz Y, Vilarrasa N, Jelcic I, Salinas-Riester G, et al. Central role of Th2/Tc2 lymphocytes in pattern II multiple sclerosis lesions. Ann Clin Transl Neurol. 2015;2(9):875–93.CrossRef Planas R, Metz I, Ortiz Y, Vilarrasa N, Jelcic I, Salinas-Riester G, et al. Central role of Th2/Tc2 lymphocytes in pattern II multiple sclerosis lesions. Ann Clin Transl Neurol. 2015;2(9):875–93.CrossRef
11.
go back to reference Hoglund RA, Lossius A, Johansen JN, Homan J, Benth JS, Robins H, et al. In Silico prediction analysis of Idiotope-driven T-B cell collaboration in multiple sclerosis. Front Immunol. 2017;8:1255.CrossRef Hoglund RA, Lossius A, Johansen JN, Homan J, Benth JS, Robins H, et al. In Silico prediction analysis of Idiotope-driven T-B cell collaboration in multiple sclerosis. Front Immunol. 2017;8:1255.CrossRef
12.
go back to reference Rathbone E, Durant L, Kinsella J, Parker AR, Hassan-Smith G, Douglas MR, et al. Cerebrospinal fluid immunoglobulin light chain ratios predict disease progression in multiple sclerosis. J Neurol Neurosurg Psychiatry. 2018;89(10):1044–9.CrossRef Rathbone E, Durant L, Kinsella J, Parker AR, Hassan-Smith G, Douglas MR, et al. Cerebrospinal fluid immunoglobulin light chain ratios predict disease progression in multiple sclerosis. J Neurol Neurosurg Psychiatry. 2018;89(10):1044–9.CrossRef
13.
go back to reference Beltran E, Gerdes LA, Hansen J, Flierl-Hecht A, Krebs S, Blum H, et al. Early adaptive immune activation detected in monozygotic twins with prodromal multiple sclerosis. J Clin Invest. 2019;129(11):4758–68.CrossRef Beltran E, Gerdes LA, Hansen J, Flierl-Hecht A, Krebs S, Blum H, et al. Early adaptive immune activation detected in monozygotic twins with prodromal multiple sclerosis. J Clin Invest. 2019;129(11):4758–68.CrossRef
14.
go back to reference Tomescu-Baciu A, Johansen JN, Holmoy T, Greiff V, Stensland M, de Souza GA, et al. Persistence of intrathecal oligoclonal B cells and IgG in multiple sclerosis. J Neuroimmunol. 2019;333:576966.CrossRef Tomescu-Baciu A, Johansen JN, Holmoy T, Greiff V, Stensland M, de Souza GA, et al. Persistence of intrathecal oligoclonal B cells and IgG in multiple sclerosis. J Neuroimmunol. 2019;333:576966.CrossRef
15.
go back to reference Latorre D, Kallweit U, Armentani E, Foglierini M, Mele F, Cassotta A, et al. T cells in patients with narcolepsy target self-antigens of hypocretin neurons. Nature. 2018;562(7725):63–8.CrossRef Latorre D, Kallweit U, Armentani E, Foglierini M, Mele F, Cassotta A, et al. T cells in patients with narcolepsy target self-antigens of hypocretin neurons. Nature. 2018;562(7725):63–8.CrossRef
16.
go back to reference Schneider-Hohendorf T, Mohan H, Bien CG, Breuer J, Becker A, Gorlich D, et al. CD8(+) T-cell pathogenicity in Rasmussen encephalitis elucidated by large-scale T-cell receptor sequencing. Nat Commun. 2016;7:11153.CrossRef Schneider-Hohendorf T, Mohan H, Bien CG, Breuer J, Becker A, Gorlich D, et al. CD8(+) T-cell pathogenicity in Rasmussen encephalitis elucidated by large-scale T-cell receptor sequencing. Nat Commun. 2016;7:11153.CrossRef
17.
go back to reference Sulzer D, Alcalay RN, Garretti F, Cote L, Kanter E, Agin-Liebes J, et al. T cells from patients with Parkinson’s disease recognize α-synuclein peptides. Nature. 2017;546(7660):656–61.CrossRef Sulzer D, Alcalay RN, Garretti F, Cote L, Kanter E, Agin-Liebes J, et al. T cells from patients with Parkinson’s disease recognize α-synuclein peptides. Nature. 2017;546(7660):656–61.CrossRef
18.
go back to reference Gate D, Saligrama N, Leventhal O, Yang AC, Unger MS, Middeldorp J, et al. Clonally expanded CD8 T cells patrol the cerebrospinal fluid in Alzheimer's disease. Nature. 2020;577(7790):399–404.CrossRef Gate D, Saligrama N, Leventhal O, Yang AC, Unger MS, Middeldorp J, et al. Clonally expanded CD8 T cells patrol the cerebrospinal fluid in Alzheimer's disease. Nature. 2020;577(7790):399–404.CrossRef
19.
go back to reference Albert ML, Austin LM, Darnell RB. Detection and treatment of activated T cells in the cerebrospinal fluid of patients with paraneoplastic cerebellar degeneration. Ann Neurol. 2000;47(1):9–17.CrossRef Albert ML, Austin LM, Darnell RB. Detection and treatment of activated T cells in the cerebrospinal fluid of patients with paraneoplastic cerebellar degeneration. Ann Neurol. 2000;47(1):9–17.CrossRef
20.
go back to reference Hummert MW, Alvermann S, Gingele S, Gross CC, Wiendl H, Mirenska A, et al. Immunophenotyping of cerebrospinal fluid cells by Chipcytometry. J Neuroinflammation. 2018;15(1):160.CrossRef Hummert MW, Alvermann S, Gingele S, Gross CC, Wiendl H, Mirenska A, et al. Immunophenotyping of cerebrospinal fluid cells by Chipcytometry. J Neuroinflammation. 2018;15(1):160.CrossRef
21.
go back to reference Tickotsky N, Sagiv T, Prilusky J, Shifrut E, Friedman N. McPAS-TCR: a manually curated catalogue of pathology-associated T cell receptor sequences. Bioinformatics. 2017;33(18):2924–9.CrossRef Tickotsky N, Sagiv T, Prilusky J, Shifrut E, Friedman N. McPAS-TCR: a manually curated catalogue of pathology-associated T cell receptor sequences. Bioinformatics. 2017;33(18):2924–9.CrossRef
22.
go back to reference Kivisakk P, Mahad DJ, Callahan MK, Trebst C, Tucky B, Wei T, et al. Human cerebrospinal fluid central memory CD4+ T cells: evidence for trafficking through choroid plexus and meninges via P-selectin. Proc Natl Acad Sci U S A. 2003;100(14):8389–94.CrossRef Kivisakk P, Mahad DJ, Callahan MK, Trebst C, Tucky B, Wei T, et al. Human cerebrospinal fluid central memory CD4+ T cells: evidence for trafficking through choroid plexus and meninges via P-selectin. Proc Natl Acad Sci U S A. 2003;100(14):8389–94.CrossRef
23.
go back to reference de Graaf MT, de Jongste AH, Kraan J, Boonstra JG, Sillevis Smitt PA, Gratama JW. Flow cytometric characterization of cerebrospinal fluid cells. Cytometry B Clin Cytom. 2011;80(5):271–81.CrossRef de Graaf MT, de Jongste AH, Kraan J, Boonstra JG, Sillevis Smitt PA, Gratama JW. Flow cytometric characterization of cerebrospinal fluid cells. Cytometry B Clin Cytom. 2011;80(5):271–81.CrossRef
24.
go back to reference Sariyar M, Borg A. The RecordLinkage Package: Detecting Errors in Data. The R J. 2010;2(2):61–7. Sariyar M, Borg A. The RecordLinkage Package: Detecting Errors in Data. The R J. 2010;2(2):61–7.
25.
go back to reference Epskamp S, Cramer AOJ, Waldorp LJ, Schmittmann VD, Borsboom D. qgraph: Network Visualizations of Relationships in Psychometric Data. J Stat Software. 2012;1(4):2012. Epskamp S, Cramer AOJ, Waldorp LJ, Schmittmann VD, Borsboom D. qgraph: Network Visualizations of Relationships in Psychometric Data. J Stat Software. 2012;1(4):2012.
Metadata
Title
Methods to investigate intrathecal adaptive immunity in neurodegeneration
Authors
Hamilton Oh
Olivia Leventhal
Divya Channappa
Victor W. Henderson
Tony Wyss-Coray
Benoit Lehallier
David Gate
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Narcolepsy
Published in
Molecular Neurodegeneration / Issue 1/2021
Electronic ISSN: 1750-1326
DOI
https://doi.org/10.1186/s13024-021-00423-w

Other articles of this Issue 1/2021

Molecular Neurodegeneration 1/2021 Go to the issue