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Microglia

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Neurobiology December 06, 2018

New hope for treating "chemo brain," with a side of the joy of science

By Erin Digitale

A decades-long scientific collaboration points the way to therapies for "chemo brain," the cognitive impairment that follows cancer treatment.

A few years ago, one of my coworkers caused a minor fracas by showing up at our annual holiday party with buttons that said "Ask me about microglia." Everyone wanted one; our crew of science communicators is very nerdy.

Microglia belong to a group of brain cells - glia - whose secrets were unlocked by the late Stanford neuroscientist Ben Barres, MD, PhD. Our team's enthusiasm for these cells was stoked by one of my fellow writers, who would periodically come to meetings bubbling with excitement about new research from the Barres lab. It made me wish I was writing about these cool cells.

Then a neuroscientist on my beat asked me to cover her team's newest discovery: Microglia play a key role in "chemo brain," a problem affecting millions of cancer survivors. Known more formally as cognitive impairment following cancer treatment, chemo brain is especially severe for children.

In the new paper, published in Cell, Michelle Monje, MD, PhD, and her colleagues showed that microglia are conducting a symphony of problems in chemo brain. Chemotherapy over-activates the microglia, triggering malfunctions in two other types of glia.

From our press release:

'The biology of this disease really underscores how important intercellular crosstalk is,' Monje said. 'Every major neural cell type is affected in this pathophysiology.' She suspects this type of complex dysfunction may also underlie other cognitive disorders. 'I think that is probably more the rule than the exception,' she said.

Importantly, Monje's team also showed that when you administer a different drug that depletes microglia to mice with chemo brain, the cognitive symptoms resolve. It's an encouraging step toward targeted therapies for people experiencing chemo brain, she told me.

While I had Monje on the phone, I jokingly told her the story of my "Ask me about microglia" button. She laughed but then grew serious, noting that Barres, who died last winter, is a co-author on the new paper.

"Ben was a mentor of mine for 20 years," she said. During her final visit to him, though quite weakened by cancer, he wanted updates on their data. She filled him in. "His eyes just shot open; he was so focused and present and asked three really good questions," Monje said. "And when someone else came, his next visitor, he said 'Go away, we're talking about glia.'"

She laughed again. "I wish I could dedicate the paper to Ben," she added. "This was our last collaboration, and in a very nerdy way, it is so gratifying that all major classes of glia ended up being important for this project."

Photo by Erin Digitale

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Erin-Digitale-headshot-July-2015

Senior science writer

Erin Digitale

Erin Digitale, PhD, is a senior science writer in the Office of Communications. She earned a bachelor’s of science in biochemistry from the University of British Columbia and a doctorate in nutrition from the University of California, Davis, where she helped develop a new animal model of Type 2 diabetes. She holds a certificate in science writing from UC Santa Cruz and writes for the Stanford Medicine about pediatrics, obstetrics and gynecology, nutrition, and children’s health policy. Erin’s writing has been recognized with several national-level awards from the Association of American Medical Colleges and the Council for the Advancement and Support of Education. When she isn’t settling down at her desk with a pile of scientific studies and a large cup of tea, you can find her swimming, experimenting in the kitchen or going on hikes with her kids.