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NEUROIMMUNOLOGY COURSE OUTLINE

This course focuses on the interaction between the immune and nervous systems at
molecular, cellular and systems levels. It provides an overview of current and
developing concepts in Neuroimmunology from both Neuroscience and Immunology
perspectives. It aims to familiarise participants with:

- The molecular and cellular elements of interconnectivity between the immune
and nervous systems and
- The effect of neuro-immuno interaction on physiological responses and
disease processes

The course comprises 10 x 3hr seminar-style sessions designed to encourage
interaction and discussion between lecturers and participants
A outline of the content and schedule for each of the seminars is indicated below.

Session 1: Neuroimmunology: Elements of the System(s)

10.00 � 11.15 Introduction & Overview � Clare O’Connor

To cover:
- Introduction to the course
- Brief overview of the key aspects of the Nervous, Endocrine and Immune Systems
- Introduction to elements that contribute to bidirectional communication between the
immune and nervous systems � chemokines & cytokines, neuromodulators, hormones
- Questions and Discussion

11.15 � 11.30 COFFEE

11.30 � 13.00 Molecular and cellular immune mediators of neuroprotection � Antonio Campos-Torres

To cover:
- Blood brain barrier
- Homeostasis of CNS microenvironment
- Questions and Discussion

Session 2: Role of Astrocytes and Microglia in CNS function, Neuroprotection
and Neuroinflammation

10.00 � 11.15 Glial cells activation (Astrocytes and Microglia) - Antonio Campos-Torres

To cover:
- Post-lesional plasticity, neuroregeneration, neuroinflammation, concepts,
mechanisms, cells and mediators.
- Neuro-immunological aspects of glial activation, role in the CNS post-lesional
plasticity and neurodegenerative diseases

11.15 - 11.30 COFFEE

11.30 � 13.00 Neuron-Glia interactions - Gethin McBean

To cover
- Functional support for neurons by astrocytes, immunorelated protection
- Metabolic trafficking, removal and inactivation of neurotransmitters
- Glutamate excitotoxicity, antioxidative activity (GSH)

13.00 � 13.20 Questions & Discussion

Session 3: Neuroendocrine modulation of the immune response

10.00 � 11.15: Neurotransmitter modulation of leukocyte function � Clare O’Connor

To cover
- Cholinergic anti-inflammatory pathway
- Neurogenic inflammation
- Opioids, VIP, CGP, Substance P
- Questions and Discussion

11.15 � 11.30 COFFEE

11.30 � 13.00: Neuroendocrine modulation of the mucosal immune system � Ann Hopkins

To cover
- Neuroendocrine (NE) inputs in the genesis of mucosal tissue and MALT antigen
sampling sites
- NE role in the maintenance of mucosal tissue
- NE involvement in parasitic infection of mucosal surfaces
- NE involvement in mucosal inflammation and repair
- Questions and Discussion
back to main programme

Session 4: Neuroprotective immunity

10.00 � 11.15 Innate immune responses in neuroprotection, neurodegeneration and post-lesional plasticity -Antonio Campos-Torres

To cover:
- Postlesional plasticity within the context of neuroinflammation
- Complement cascade activation in neurons and glial cells signalling in the CNS
- Questions and Discussion

11.15 � 11.30 COFFEE

11.30 � 13.00: Role of Regulatory T Cells in the CNS � Antonio Campos-Torres

To cover:
- Neuroprotective autoimmunity
- Questions and Discussion
back to main programme

Session 5: Neuroimmune modulation of neuronal function

10.00 � 11.15 Inflammatory mediators and ion channels - Caroline Herron

To cover:
- Postlesional plasticity within the context of neuroinflammation
- Complement cascade activation in neurons and glial cells signalling in the CNS
- Questions and Discussion

11.15 � 11.30 COFFEE

11.30 � 13.00 Modulation of neurotransmitter receptor function by cytokines - John O’Connor

To cover:
- Il-1 beta,
- TNF-alpha
- Long term potentiation
- Questions and Discussion
back to main programme

Session 6: Neuropathology and neuroinflammation from basic science to clinical
issues - I

10.00 � 11.15: Alzheimer disease � Dominic Walsh

To cover:
- Molecular and cellular events underlying the neuropathological condition.
- Use of technology and development of novel approaches to study Alzheimer disease.
- Questions and Discussion

11.15 � 11.30 COFFEE

11.30 � 13.00: Amyotrophic Lateral Sclerosis, Huntington’s disease - Gethin McBean

To cover:
- Molecular and cellular events underlying the neuropathological condition
- Use of technology and development of novel approaches to these diseases.
- Questions and Discussion
back to main programme

Session 7: Neuropathology and neuroinflammation from basic science to clinical
issues - II


10.00 � 11.15: Multiple Sclerosis � Michelle Armstrong

To cover:
- Molecular and cellular events underlying the neuropathological condition.
- Use of technology and development of novel approaches to study Multiple Sclerosis.
- Questions and Discussion

11.15 � 11.30 COFFEE

11.30 � 13.00: Therapeutic strategies & Drug discovery � TBA

To cover:
- Recent developments on new and improved therapies
- Monoclonal approaches to the study of multiple sclerosis, Alzheimer’s, etc.,
- Current blue skies research
back to main programme

Session 8. Examples of Neuroendocrine modulation of inflammatory disease

10.00 � 11.15: Neuroendocrine-immune regulation of rheumatoid arthritis � Evelyn Murphy

To cover:
- Growing evidence that alterations of the stress response and interactions between the
neuroendocrine and immune systems contribute to the pathogenesis of rheumatic
diseases such as rheumatoid arthritis (RA)
- Involvement of the HPA axis and the autonomic nervous system (ANS)
- Role of Corticotropin-releasing hormone (CRH)
- Questions and Discussion

11.15 � 11.30 COFFEE

11.30 � 13.00: Acute and chronic effects of stress on the immune system � Philip Newsholme

To cover:
- Acute stress: Action of adrenaline on neutrophil and macrophage functions
(Phagocytosis and ROS generation)
- - Chronic stress: Cortisol and effect on Lymphocyte, neutrophil and macrophage
function (cell proliferation, secretory activities, phagocytosis
- Questions and Discussion
back to main programme

Session 9. Immunomodulation and Behaviour

10.00 � 11.15: Sickness behaviour and depression � Jana Haase

To cover:
Characteristics of cytokine-induced sickness behaviour
Cytokine hypothesis of depression
Possible mechanisms of cytokine-induced sickness behaviour and depression �
emphasis on the serotonergic system
Immunmodulatory role of antidepressants?

11.15 � 11.30 COFFEE

11.30 � 13.00: A role for immune signals in cognitive function and behaviour � Keith Murphy

To cover:
- Normal basal expression of immune signalling molecules in the brain in the absence
of inflammation
- Possible roles of immune signalling molecules in normal cognitive function
- Requirement for several proinflammatory cytokines for normal memory formation
- Questions and Discussion
back to main programme

Session 10. Clinical Overview and Perspective on therapeutic strategies

10.00 � 11.15: Clinical overview of neurodegenerative diseases � Gavin Rush

To cover:
- Introduction to clinical neurology � history, examination and investigation.
- Degenerative diseases affecting the cerebral cortex � focus on dementia, clinical
presentation (history and examination) of various categories of dementia and clinical
diagnosis
- Degenerative disease of the basal ganglia and brain stem � Parkinsonism, clinical
presentation, history and examination.
- Huntingtons Disease � clinical presentation and features
- Spinocerebellar degenerations
- Degenerative diseases affecting motor neurons

11.15 � 11.30 COFFEE

11.30 � 13.00: Clinical perspective on current and developing therapeutic strategies for neuroimmunological
diseases
� Gavin Rush

To cover:
- From the lab to the bedside, a discussion on clinical use of immunological based
treatments for CNS disease
- Questions and Discussion
back to main programme