A group of researchers have discovered the existence of previously unknown lymphatic vessels in the brain — a stunning find that upends current medical science and could have far-reaching implications for the study and treatment of neurological diseases like Alzheimers and multiple sclerosis.
The discovery, published in the journal Nature, elicited excitement and surprise among other researchers. Even lead author Jonathan Kipnis, director of the Center for Brain Immunology and Glia at the University of Virginia in Charlottesville, was skeptical at first.
“I really did not believe there are structures in the body that we are not aware of. I thought the body was mapped,” he told one interviewer. “I thought that these discoveries ended somewhere around the middle of the last century. But apparently they have not.”
The discovery was made possible by a “phenomenal post-doctoral fellow” in Kipnis's lab, Dr. Antoine Louveau. Kipnis’s research focuses primarily on the meninges, membranes that cover the brain and spinal cord. Louveau developed a technique of mounting the entire covering onto a single slide that could be viewed through a microscope. The vessels were apparently hiding in plain sight, behind a larger blood vessel in the sinus cavity, a difficult area of the body to image.
Courtesy of the University of Virginia
Lymphatic vessels function as the pathway for immune cells to move through the body to fight infection and disease. Researchers were certain that these vessels did not exist in the brain. Now they know that they do — and this has potentially profound significance.
“The immune link with so many neurological disorders is now obvious,” Kipnis says. “If the immune system is involved with those disorders, [then] the communication between the brain and the immune system is mediated by these vessels. We believe that they probably will be found to play a major role in most, if not all, neurological conditions where the immune system is involved.”
A common reaction to the new discovery has been “we need to rewrite all the anatomy textbooks.” Kipnis agrees.
“If you open today's textbooks, it says that the central nervous system is an immune-privileged site and it has no lymphatic vessels,” he says. “I think this immune-privileged site has lymphatic vessels. So they should definitely be revised.”