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Minutes from March 20th

Finding Leukocyte Repulsion Attractive and Advancing it to the Bedside

Date:

20th March, 2013

Speaker:

Mark Poznansky, M.D., Ph.D.
Associate Professor of Medicine
HarvardMedicalSchool
Director, Vaccine and ImmunotherapyCenter
Massachusetts GeneralHospital

Members Present:

Barbara Gilchrest
Joe Majzoub
David Nathan
Mark Poznansky
Thoru Pederson
Robert Sackstein

Cocktails:

Conversation ranged from members’ recent visits to Denver and elsewhere and their impressions of these other academic medical centers. Some members feel they are treated far more regally on these visits than even more distinguished guests are by some Boston institutions. Discussion then progressed to the subject of new members and Barbara Gilchrest made two sterling suggestions that are being pursued. She encouraged all members to make suggestions. The members reminded themselves that we should continue to focus on interesting people who are particularly likely to enjoy the ambience of the Medical Exchange Club, which- as we know, differs from many other groups and events and may not appeal to all potential members we think of.

Seminar:

Mark Poznansky began his presentation very informally, as a conversation really- evocatively telling us about the origins of his research and also remembering key mentors, one of whom was his mother, a pathologist, Dulcie Coleman who alerted him to her cell culture work and her discovery with her colleagues of BK virus. He described how he had been fascinated to see how the thymus, with its matrix of stroma, harbors a population of differentiating cells, maybe it would not be immunologically inaccurate to think of them of cells undergoing their education, that would then- in a precisely timed way, leave the gland. He also recalled how impressed he had been as he entered this field by how readily thymocytes spill out from an isolated thymus gland when it is extirpated and gently squeezed. Clearly, there is not a durable barrier to their exit, so the in vivo process must be developmental biology. From these insightful and intimate recollections as his point of departure, Mark then described ingenious studies using chemokine gradients in microfluidic chambers that resulted in a major discovery, that certain leukocytes, including T cells and neutrophils can reverse their chemotactic behavior – a process he termed fugetaxis (from the Latin root, fugere). One is reminded of the scene in the movie “Fargo” when the car dealer played by William H. Macy runs out and drives away when being questioned by the lead detective, played by Frances McDormand. Her wonderful line was “Geez, the suspect’s fleeing the interview.” Mark’s results beautifully demonstrate that these T cells are, like that fleeing character in the movie, exquisitely sensitive to the inputs they are confronting. A second finding Mark described is that fugetaxis can be faster, as velocity, than chemotaxis, a profoundly interesting result. From here, Mark went on to describe the role of the chemokine CXCL12 in this regulated pathway, including studies with pancreatic islets. The concept here is how an immunologically privileged zone may be established with a chemorepellent agent and whether a chemokine like CXCL12 is a pro-survival factor (and thus allows these cells to live long enough to respond to new differentiation signals) or that it plays a more direct role. Mark also went on to describes contrary setting in ovarian cancer in which this mechanism is applied and can be antagonized to the advantage of the host. Mark showed how ovarian cancer over-expresses both CXCL12 and its cognate receptor, CXCR4 and thereby engineers a pro-survival and immune isolated environment for itself.

Post Seminar Discussion:

Mark’s talk elicited many questions during the presentation, as is our custom, these being the usual mix of points of clarification and interesting ideas, all gratefully received and nicely amplified by the speaker. Over dessert, the conversation turned to the translational research opportunities that may be coming into view from this work. Mark offered a thoughtful analysis of these opportunities and challenges. This then led to a broader discussion on the overall complexities of clinical research in today’s environment, particularly with respect to the conflicts of interest policies of various institutions, some of which were recited with considerable dyspepsia, but none of that a sequella to the fine dinner that had been laid down by the Club, as always. As this lively conversation closed Mark again mentioned how he had gone into his mother’s lab and has had his own children come into his, despite draconian rules. It was agreed that this is a good thing to do and that rules such as this can be broken, absent human pathogens and strong beta or gamma emitting isotopes. At about 8:20 PM the members again thanked Mark for a wonderful talk and soldiered out into the chilly night on Commonwealth Avenue and observed that the vernal season still had not touched down despite the Earth’s and Sun’s nexus earlier that morning. But warm we were, from our good company.