Brain Repair, Aging & Inflammation in Neurodegeneration (BRAIN) Lab · UTMB

Decoding the Molecular
Origins of Neurodegeneration

We study HMGB1-mediated DNA repair failure, cellular senescence, and neuroinflammation as the upstream molecular events that initiate Alzheimer's disease — with the goal of turning mechanistic insight into therapeutic action.

Immunofluorescence confocal image — neurons with DAPI (blue nuclei), MAP2/tubulin (green dendrites), and tau oligomers (orange) — BRAIN Lab UTMB
Confocal Immunofluorescence
DAPI (blue) · MAP2/Tubulin (green) · Tau oligomers (orange)
BRAIN Lab · UTMB

Research Vision

The BRAIN Lab investigates the molecular events that initiate neurodegeneration — before amyloid plaques form, before tau tangles appear, before the clinical symptoms of Alzheimer's disease emerge.

Our central discovery positions nuclear HMGB1 depletion as "Phase 0" of AD pathology — the initiating event that impairs non-homologous end joining (NHEJ) DNA repair, allows double-strand breaks (DSBs) to accumulate, activates the cGAS-STING innate immune pathway, and drives neurons and glia into a pro-inflammatory senescent state that fuels tau propagation and neurodegeneration.

We combine human transcriptomic meta-analysis (snRNA-seq of ~1.5M nuclei across 176 subjects), biochemical studies in human AD brain tissue, immunofluorescence and immunoelectron microscopy, co-immunoprecipitation, and translational therapeutic development — including intranasal delivery platforms and next-generation CAR-T cell approaches.

The lab is embedded within UTMB's Department of Neurobiology, with close collaborations with the Sarkar Lab (Huntington's disease, mitochondrial DNA repair) and other UTMB investigators in tauopathy and neurodegeneration.

🏆 Inge Grundke-Iqbal Award — AAIC 2022
🔬 Science Translational Medicine 2024 — Nasal Tau Immunotherapy
📄 Cell Reports 2021 — Cover Feature
🎓 Alzheimer's Association Research Fellow (AARF)
15
Publications
7
First-Author
14
h-index
1,174+
Citations
Astrocyte immunofluorescence — HMGB1 senescence in Alzheimer's disease

Astrocytes (green, GFAP) with tau oligomer-induced HMGB1 translocation (magenta) — a hallmark of cellular senescence. Cell Reports, 2021.

The Science We Do

01
Core Mechanism
HMGB1-NHEJ-Senescence Axis in Alzheimer's Disease
Nuclear HMGB1 serves as a structural scaffold within the NHEJ repair complex, binding Ku70, Ku80, and DNA-PKcs. Its aberrant cytoplasmic translocation — triggered by tau oligomers — dismantles this complex, leaving DSBs unrepaired. We established the "Phase 0" framework: nuclear HMGB1 loss precedes and causally drives canonical AD pathology. snRNA-seq meta-analysis across ~1.5M nuclei and 176 subjects confirms NHEJ gene downregulation as early as Braak stage 0–III.
HMGB1 senescence research
02
Innate Immunity & Inflammation
cGAS-STING Activation & Neuroinflammation
Unrepaired DSBs activate cGAS-STING, converting genomic damage into a chronic inflammatory signal. This drives SASP (senescence-associated secretory phenotype) in neurons and glia, creating a neuroinflammatory milieu that accelerates tau propagation and synaptic loss. We map these events using quantitative immunofluorescence on human FFPE and frozen cortical tissue from AD versus age-matched controls.
cGAS-STING neuroinflammation
03
Translational Therapy
uPAR-CAR-T Senolytic Therapy for AD
We are developing a first-in-class CAR-T cell therapy targeting uPAR (CD87), a surface marker upregulated on senescent brain cells, to selectively eliminate the senescent burden in AD. Using unmodified mRNA for CAR construction (35% cost reduction, no immune activation; Kahwaji et al. 2025), this approach is paired with anti-HMGB1 antibody blockade to prevent new senescent cell formation — a dual clearance-and-prevention strategy.
CAR-T senolytic therapy
04
Neuro-infectious Disease
HIV CNS Reservoir & HIV-Associated Dementia
We investigate cellular senescence as a structural niche that protects the HIV CNS reservoir from antiretroviral penetration and immune clearance. HMGB1 blockade combined with senolytic drugs (dasatinib + quercetin) is being evaluated as a combinatorial strategy to disrupt the reservoir and reduce viral-mediated neuroinflammation driving HIV-associated dementia pathology.
HIV CNS reservoir research

Our Science in Print

2025
Huntingtin preserves mitochondrial genome integrity in neurons, which is impaired in Huntington's disease
bioRxiv (Preprint)
PubMed Preprint
2024
Nasal tau immunotherapy clears intracellular tau pathology and improves cognitive functions in aged tauopathy mice
Science Translational Medicine, 16(754):eadj5958
PubMed Journal First Author
2024
Senescence, brain inflammation, and oligomeric tau drive cognitive decline in Alzheimer's disease: Evidence from clinical and preclinical studies
Alzheimer's & Dementia, 20(1):709–727
PubMed First Author Review
2024
Chromatin remodeler BRG1 recruits huntingtin to repair DNA double-strand breaks in neurons
bioRxiv (Preprint)
PubMed Preprint
2022
Lysine 63-linked ubiquitination of tau oligomers contributes to the pathogenesis of Alzheimer's disease
Journal of Biological Chemistry, 298(4):101766
PubMed
2022
HMGB1-mediated senescence and brain inflammation contributes to cognitive dysfunctions
Alzheimer's & Dementia, 18(S8):e068747
Journal First Author
2021
Tau oligomer–induced HMGB1 release contributes to cellular senescence and neuropathology linked to Alzheimer's disease and frontotemporal dementia
Cell Reports, 36(3):109419
PubMed Journal AlzForum First Author Cover · AAIC Award
2020
Internalization mechanisms of brain-derived tau oligomers from patients with Alzheimer's disease, progressive supranuclear palsy and dementia with Lewy bodies
Cell Death & Disease, 11(5):314
PubMed
2019
Cytokine signature associated with disease severity in dengue
Viruses, 11(1):34
PubMed
2018
Spleen tyrosine kinase inhibition ameliorates inflammation through modulation of NLRP3 inflammasome and Th17/Treg axis
International Immunopharmacology, 54:143–150
PubMed
2018
The biological clock: Future of neurological disorders therapy
Neural Regeneration Research, 13(3):567–568
PubMed First Author
2017
CD40 negatively regulates ATP-TLR4-activated inflammasome in microglia
Cellular and Molecular Neurobiology, 37(2):351–359
PubMed First Author
2016
Toll-like receptor-4 antagonism mediates benefits during neuroinflammation
Neural Regeneration Research, 11(5):722–723
PubMed First Author
2016
Interleukin-6 trans-signaling mediates microglial activation and neuropathology in neuroinflammation
Journal of Neuroinflammation, 13(1):212
First Author
2015
Lipopolysaccharide from Rhodobacter sphaeroides attenuates microglia-mediated inflammation and phagocytosis and directs regulatory T cell response
International Journal of Inflammation, 2015:361326
First Author
All Publications on PubMed → Google Scholar →

Supported By Leading Agencies

NIH/NIMH · R21
HIV-Associated Dementia: Senescence as a CNS Viral Reservoir Niche
1R21MH146922-01
Under Review
NIH/NIA · R21
HMGB1-Mediated DNA Damage and Senescence in Alzheimer's Disease
1R21AG103568-01
Under Review
Alzheimer's Association · AARF
Alzheimer's Association Research Fellowship
AARF-22-967275
Intranasal tau immunotherapy focus
Active
UTMB · Pepper OAIC
Senescent Cell Burden in Aging and Neurodegeneration
Pilot Grant · $50,000
Generated foundational preliminary data
Completed
In Development · R01
HMGB1 as the Upstream Driver of AD — From Phase 0 to Therapy
Full R01 mechanism
NHEJ → cGAS-STING → Senescence → Tau cascade
snRNA-seq meta-analysis as human evidence base
In Development

The People Behind the Science

Sagar Gaikwad, PhD
Sagar Gaikwad, PhD
Assistant Professor, Department of Neurobiology
University of Texas Medical Branch (UTMB) · Galveston, TX 77555
✉ sagaikwa@utmb.edu
Dr. Gaikwad's laboratory investigates the molecular mechanisms that initiate neurodegeneration, with a focus on nuclear HMGB1 depletion as a "Phase 0" event preceding canonical Alzheimer's disease pathology. His research program integrates HMGB1-mediated DNA repair failure (NHEJ), cGAS-STING innate immune activation, cellular senescence, and tau propagation across multiple neurodegenerative conditions including Alzheimer's disease, HIV-associated dementia, and related tauopathies. His translational work includes development of intranasal tau immunotherapy and next-generation uPAR-targeted CAR-T senolytic strategies.
🏆 Inge Grundke-Iqbal Award — AAIC 2022
🔬 Science Translational Medicine 2024
📄 Cell Reports 2021 — Cover Feature
🎓 Alzheimer's Association Research Fellow

We are actively recruiting motivated scientists at all levels. Contact Dr. Gaikwad to discuss opportunities.

Postdoctoral Fellow
Molecular Neuroscience · Cell Therapy · In Vivo Models

Expertise in mouse models of neurodegeneration, single-cell genomics, or CAR-T cell therapy development preferred.
Apply →
PhD Graduate Student
UTMB Graduate School of Biomedical Sciences

Students interested in HMGB1 biology, DNA damage response, cellular senescence, or CAR-T senolytic therapy encouraged to apply.
Apply →
Research Scientist
Biochemistry · Immunohistochemistry · Brain Tissue

Experienced scientist to manage lab operations and contribute to human brain tissue biochemistry and co-immunoprecipitation projects.
Apply →

Faculty Collaborators

PS
Partha Sarkar, PhD
Associate Professor (with Tenure) · Department of Neurobiology · UTMB
Seminal contributions to understanding how DNA double-strand break repair deficiency drives neuronal dysfunction in Huntington's disease, spinocerebellar ataxias, and related polyglutamine expansion disorders. Active R01 funding (NS130830).
DNA Repair Huntington's Disease NHEJ HIV R21 Co-I
XB
Xiaoyong Bao, PhD
Associate Professor · Department of Pediatrics · UTMB
Expert in cerebral organoid technology and HIV CNS research. Develops human brain organoid models as preclinical platforms for studying HIV reservoir dynamics and neuroinflammation. HIV R21 co-investigator.
Cerebral Organoids HIV CNS HIV R21 Co-I
EE
Eliseo Eugenin, PhD
Professor · Department of Neurobiology · UTMB
Leading expert in NeuroHIV, specializing in HIV CNS reservoirs, blood-brain barrier dysfunction, and the mechanisms by which HIV persists in the central nervous system despite antiretroviral therapy. HIV R21 consultant.
NeuroHIV CNS Viral Reservoirs Blood-Brain Barrier

We Are Recruiting

The BRAIN Lab is actively growing. We are looking for enthusiastic scientists at all levels — from undergraduate researchers to experienced postdoctoral fellows — who are passionate about understanding and treating Alzheimer's disease and neurodegeneration.

Our lab offers rigorous scientific training in molecular biology, human brain tissue research, single-nucleus RNA sequencing, immunofluorescence microscopy, preclinical mouse modeling, and cutting-edge CAR-T cell therapy. We prioritize mentorship, scientific independence, and career development. Trainees are supported in grant writing, publications, and presentations at AAIC and SfN.

🏛 Department of Neurobiology, UTMB Health
📍 301 University Blvd, Galveston, TX 77555
Postdoctoral Fellow
Molecular Neuroscience · Cell Therapy · In Vivo Models
PhD Graduate Student
UTMB Graduate School of Biomedical Sciences
Research Scientist / Lab Manager
Biochemistry · Immunohistochemistry · Brain Tissue
Undergraduate Research Assistant
Part-time · UTMB Students Preferred
Visiting Scholar / Rotation Student
Short-term research rotations welcome
Sunset on Galveston beach
Life & Community

Island Living, Redefined

Just an hour south of Houston, Galveston Island isn't just a place — it's a way of life. A vibrant mix of historic charm, coastal beauty, and modern convenience, this Gulf Coast gem offers a laid-back lifestyle with big-city access.

UTMB Living Guide →
A Coastal City with Character

Where History Meets Home

Galveston's history runs deep. Once known as the "Wall Street of the South," it was a booming port city, home to tycoons and traders. Today, it retains that same energy, blending Southern hospitality, artistic culture, and coastal adventure — often compared to Charleston and Savannah, but with its own distinct identity: welcoming, eclectic, and effortlessly cool.

Walking through the East End Historic District, you'll find stunning mansions preserved by the Galveston Historical Foundation — each telling a story of the island's storied past. On the West End, beachfront homes elevated on pilings offer unparalleled access to sand, surf, and sunsets.

The iconic Seawall Boulevard — spanning over 10 miles and rising 17 feet above sea level — is the heartbeat of the island, offering biking, running, and endless Gulf views alongside local restaurants, coffee shops, and the beloved Pleasure Pier.

Family life in Galveston
Life on the Water

A Playground for Outdoor Lovers

🏖️
32 Miles of Beaches

Wide, uncrowded Gulf beaches with warm, gentle waves — year-round sunshine for swimming, surfing, and relaxing on the sand.

🐦
World-Class Birding

Galveston sits on the Central Flyway, making it a paradise for birdwatchers with hundreds of migratory species passing through the coastal marshlands.

Fishing, Boating & Water Sports

The Gulf of Mexico offers unmatched opportunities for deep-sea fishing, sailing, kayaking, and paddleboarding right from your doorstep.

Downtown Galveston cycling Grand 1894 Opera House Mardi Gras Galveston Dickens on the Strand festival
Culture & Community

A Cultural Hub Beyond the Beach

The historic Strand District is packed with unique boutiques, cozy cafés, and lively entertainment. The Grand 1894 Opera House and the East End Theater Company bring world-class performances to the island, while art galleries showcase work inspired by Galveston's natural beauty.

Major annual events:

Mardi Gras Galveston
Texas's biggest Mardi Gras celebration — parades, music, and parties spanning two weekends
Dickens on the Strand
A beloved Victorian-era holiday festival filling the historic Strand District every December
Oktoberfest · ArtWalk · Lone Star Biker Rally
Year-round community events that make every season a reason to celebrate on the island
Explore the Region

Unique Coastal Communities

🏝️
Bolivar Peninsula

A serene coastal stretch known for uncrowded beaches, world-class birdwatching, and relaxed coastal living. Accessible via the free Galveston ferry — a scenic 20-minute crossing.

🌊
Jamaica Beach

A quaint beachside city on the west end of Galveston Island, offering a laid-back atmosphere with close-knit community vibes and easy Gulf access, ~12 miles from downtown.

Tiki Island

A picturesque canal village with waterfront living and a tropical flair, just 7 miles from Galveston. Direct Galveston Bay access makes it ideal for boating and fishing enthusiasts.

Galveston harbor port view
The Best of Both Worlds

Small-Town Charm,
Big-City Access

Galveston Island offers the perfect blend of close-knit community, a thriving medical and research hub, and a lifestyle that balances relaxation with opportunity. Houston's world-class museums, restaurants, and international airport are just 50 miles away.

Whether you're drawn to historic homes, coastal adventures, or a vibrant arts scene, Galveston is a one-of-a-kind place to call home — and an exceptional environment in which to build a research career.

50 mi
to Houston
32 mi
of beaches
1891
UTMB founded

Source: UTMB Living — Galveston Island and The Coast ↗