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Understanding communication between neurons and microglia through nucleic acid sensing in development and disease
Microglia, the brain's resident immune cells, sense the molecular patterns of their environment to guide brain development and maintain homeostasis. Unlike most tissues, the brain has little cellular turnover, making careful remodeling of neurons and synapses, along with clearance of cellular debris, essential to healthy circuit function. In our lab, we investigate the cellular and molecular mechanisms of neuron-microglia communication in health and disease. Our research focuses on how nucleic acid sensing pathways direct microglia to shape brain connectivity during development. We are now extending this work to investigate the role of microglia in the pediatric brain tumor microenvironment.
Our lab studies how neurons and microglia communicate through the sensing of molecular cues such as endogenous nucleic acids, and how this signaling axis shapes both the healthy developing brain and pediatric brain tumors. We combine mouse genetics, immunofluorescence microscopy, primary neuron-microglia co-culture systems, and computational approaches to ask how these signals are generated, sensed, and interpreted, and how they may be hijacked in disease.
Microglia, the brain's resident immune cells, exist in multiple transcriptional states during development, though the functional significance of this diversity remains poorly understood. We previously identified a Type I interferon (IFN-I)-responsive microglial state in the developing cortex that engulfs whole neurons carrying DNA damage, a process required for normal cortical maturation and behavior. We found that double-stranded RNA serves as an endogenous signaling cue between neurons and microglia to mediate this effect. This raises the intriguing hypothesis that nucleic acids are actively regulated during development to modulate neural circuit development and behavior.
We are currently investigating how endogenous nucleic acids such as double-stranded RNA are produced and direct neuro-immune functions in brain development. We use genetically engineered mouse models to perturb components of nucleic acid sensing pathways to determine how they regulate microglial state, function, and distribution, and ultimately, circuit development. We also leverage primary neuron-microglia co-culture to investigate how neurons regulate the production of endogenous nucleic acids and how microglia sense and respond to these signals.
Pediatric brain tumors are increasingly understood as developmental diseases: they arise while the brain is actively growing and being remodeled by microglia, and they typically carry a far lower mutational burden than adult brain tumors. This raises the possibility that the tumor microenvironment, rather than tumor-intrinsic mutations alone, plays an outsized role in disease progression. Notably, several of the molecular cues tightly regulated during normal brain development, such as nucleic acids or interferons, are also dysregulated within pediatric brain tumors. We hypothesize that this overlap reflects a fundamental vulnerability of the developing brain that pediatric tumors exploit.
While immune cells have been studied as targets for cancer immunotherapy, the role of microglia in tumor initiation and progression remains largely unexplored, particularly in pediatric brain cancers. We are using single-cell and spatial transcriptomic data from patient tumors and relevant mouse models to define conserved and tumor-specific microglial states, focusing initially on diffuse midline glioma, a tumor with abundant immune infiltration and few effective treatment options. By pairing a computational approach with functional studies of microglia-tumor cell interactions in vitro and in vivo, we aim to determine whether tumors hijack the same molecular signals that guide microglia during healthy brain development, ultimately opening new opportunities for improving treatments and patient outcomes.
Dr. Caroline Escoubas earned her MD from the University of Nice, France, and completed her PhD at the Harvard School of Public Health under the mentorship of Dr. William Mair, studying the role of nutrient sensing pathways in aging. She then pursued postdoctoral training in the laboratory of Dr. Anna Molofsky in the Department of Psychiatry at the University of California, San Francisco.
Dr. Escoubas opened her lab at St. Jude Children's Research Hospital in 2026, in the Center of Excellence for Neuro-Oncology Sciences (CENOS), in the Department of Developmental Neurobiology. Her laboratory builds on her postdoctoral discoveries to ask how neuron-microglia signaling through nucleic acid sensing drives cortical circuit development, and to define the role of microglia in the pediatric brain tumor microenvironment. By combining her training in medicine, molecular genetics and neuroimmunology, Dr. Escoubas is building a research program aimed at understanding how the immune system regulates brain development in both health and disease in an environment that fosters collaboration and diversity.
Caroline Escoubas, PhD, MD
Assistant Member, St. Jude Faculty
Center of Excellence in Neuro-Oncology Sciences
Department of Developmental Neurobiology
Room M3413
St. Jude Children's Research Hospital