# Pericyte-Macrophage Interactions Maintain CNS Immune Tolerance

> **NIH NIH R01** · DUKE UNIVERSITY · 2021 · $395,182

## Abstract

Pericyte-Macrophage Interactions Maintain CNS Immune Tolerance
ABSTRACT
Multiple Sclerosis (MS) is an autoimmune disease of the central nervous system (CNS) where infiltrating T cells
ultimately lead to the destruction of myelin. T cells initially accumulate in the perivascular space of the brain and
the meninges where they must interact with antigen presenting cells prior to activating and infiltrating into the
parenchyma. This suggests immune interactions in the perivascular space may serve as a checkpoint and
determine the fate of infiltrating T cells. Macrophages and pericytes are two important cells in the perivascular
space of the brain and meninges. Under homeostatic conditions, border macrophages have an immuno-
surveillant phenotype and express surface markers typical for macrophages that help with healing tissues. The
signals that maintain CNS border macrophages in this state are unknown. Pericytes also reside in the
perivascular space and are a key component of the neurovascular unit where they regulate blood flow,
angiogenesis, the blood-brain barrier (BBB), and neuroinflammation. Although each cell type has be implicated
in multiple sclerosis (MS), the communication between the 2 cell types has not been described. Our preliminary
data demonstrate that cultured pericytes suppress the activation of T cells through engaging macrophages.
Pericytes directly contact macrophages and reprogram them to downregulate genes need for antigen
presentation and T cells activation. Pericytes/macrophage interactions are mediated by lipoprotein receptor-
related proteins (LRP) on macrophages and dependent on p-bodies in pericytes. P-bodies are membrane-less,
cytoplasmic organelles that contain mRNAs enriched in regulatory functions. In vivo, pericytes reside in close
proximity to perivascular and meningeal macrophages and have the potential to interact closely with
macrophages. When we deleted pericytes in vivo, CNS antigen specific T cells infiltrate the perivascular space
of the meninges in a manner that was dependent on macrophages. T cells further infiltrate into the parenchyma
when triggered by a second signal from the parenchymal.
We hypothesize that under homeostatic conditions pericytes communicate with perivascular and meningeal
macrophages to maintain them in an immunosuppressive and surveillant state. This contributes to the immuno-
privileged nature of the brain. In MS, we hypothesize that communication between pericytes and macrophages
breakdown and this unleashes CNS macrophages into a proinflammatory state that contributes to T cell
activation and infiltration into the brain. In this proposal, we will determine if pericytes instruct perivascular
macrophages to inhibit brain-specific T cells from entering the parenchyma, investigate whether pericytes
reprogram CNS macrophages in vivo, and determine if macrophages must engulf components of pericytes in
order to be reprogramed to suppress T cells. Overall, this proposal will investigate an ...

## Key facts

- **NIH application ID:** 10279865
- **Project number:** 1R01NS123084-01
- **Recipient organization:** DUKE UNIVERSITY
- **Principal Investigator:** Anthony J Filiano
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $395,182
- **Award type:** 1
- **Project period:** 2021-07-15 → 2026-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10279865

## Citation

> US National Institutes of Health, RePORTER application 10279865, Pericyte-Macrophage Interactions Maintain CNS Immune Tolerance (1R01NS123084-01). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10279865. Licensed CC0.

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