Department of Neurobiology · UTMB · Galveston, TX

Decoding
the molecular
origins of
neurodegeneration

We study HMGB1-mediated DNA damage, cellular senescence, and neuroinflammation as upstream drivers of Alzheimer's disease, HIV-associated dementia, and related tauopathies — with the goal of turning mechanistic insight into therapeutic action.

Core Research Programs
01
HMGB1 & DNA Damage
Nuclear HMGB1 depletion as "Phase 0" of AD pathology — upstream of tau, amyloid, and classical disease hallmarks.
02
Cellular Senescence in Neurodegeneration
cGAS-STING activation, SASP-driven neuroinflammation, and tau propagation as downstream consequences of genomic instability.
03
CAR-T Senolytic Therapy
Novel uPAR-targeted CAR-T cells to clear senescent brain cells in AD, paired with HMGB1 blockade to prevent recurrence.
04
HIV CNS Reservoir & Dementia
Senescence as a protective niche for viral CNS persistence; senolytic + anti-HMGB1 combinatorial clearance strategies.
Phase 0 · Nuclear HMGB1 Loss · NHEJ Impairment · DSB Accumulation · cGAS-STING Activation · Cellular Senescence · SASP · Tau Pathology · Neuroinflammation · Alzheimer's Disease · Phase 0 · Nuclear HMGB1 Loss · NHEJ Impairment · DSB Accumulation · cGAS-STING Activation · Cellular Senescence · SASP · Tau Pathology · Neuroinflammation · Alzheimer's Disease · 

About the Lab

PI · Gaikwad Lab
Sagar D. Gaikwad, PhD
Assistant Professor, Neurobiology
University of Texas Medical Branch
Galveston, TX 77555

Department of Neurobiology
School of Medicine
11
Publications
7
First-Author
14
h-index
1,174+
Citations

The Gaikwad 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 — to understand and ultimately reverse neurodegeneration.

The lab is embedded within UTMB's Department of Neurobiology and benefits from close collaborations with the Sarkar Lab (Huntington's disease, mitochondrial DNA repair) and the Kayed Lab (tau oligomers and protein aggregation).

🏆 Inge Grundke-Iqbal Award — AAIC 2022 📄 Cell Reports 2021 — Cover Feature 🔬 Science Translational Medicine 2024 🎓 Alzheimer's Association Research Fellow

The Science We Do

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.
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.
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.
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 HAD pathology.
// THE PHASE 0 CASCADE
Nuclear HMGB1 Loss Phase 0
NHEJ Complex Disruption
DSB Accumulation
cGAS-STING Activation
Cellular Senescence
SASP / Neuroinflammation
Tau Propagation
Alzheimer's Disease Clinical

// THERAPEUTIC TARGETS
Anti-HMGB1 Antibody
AAV9-NLS-HMGB1 Rescue
uPAR-CAR-T Senolytics
Dasatinib + Quercetin
Intranasal Delivery

Our Science in Print

2024
Intranasal tau immunotherapy clears tau pathology and rescues cognition in Alzheimer's disease mouse models
Science Translational Medicine
Gaikwad SD, et al.
High Impact
2021
Tau oligomer–induced HMGB1 nuclear release drives cGAS-STING activation and cellular senescence in Alzheimer's disease
Cell Reports
Gaikwad SD, et al.
Cover Feature AAIC Award
2021
Serum neurofilament light chain is a biomarker of neurodegeneration associated with Alzheimer's disease pathology
Alzheimer's & Dementia
Gaikwad SD, et al.
First-Author
2020
HMGB1 mediates the neuroinflammatory response in Alzheimer's disease through RAGE-dependent signaling
Journal of Neuroinflammation
Gaikwad SD, et al.
2019
Tau oligomers impair memory and induce synaptic and mitochondrial dysfunction in wild-type mice
Molecular Psychiatry
Kayed R, Gaikwad SD, et al.
2018
Differential expression of senescence markers and DNA damage response in Alzheimer's disease brain regions
Frontiers in Aging Neuroscience
Gaikwad SD, et al.
Google Scholar Profile →

Supported By Leading Agencies

NIH/NIMH · R21
HIV-Associated Dementia: Senescence as a CNS Viral Reservoir Niche
Grant No. 1R21MH146922-01
Impact Score: 23 · 5th Percentile
Program Officer: Dr. Vasudev Rao
May 2026 Council Review
NIH/NIA · R21
HMGB1-Mediated DNA Damage and Senescence in Alzheimer's Disease
Grant No. 1R21AG103568-01
Post-submission update submitted
Dual-IF preliminary data included
Under Review
NIH/NIA · K22
NHEJ Repair Mechanisms and HMGB1 in Early AD Pathogenesis
Grant No. 1K22AG104030-01
April 2026 Study Section Review
Summary statement pending
Summary Statement Pending
Alzheimer's Association
Alzheimer's Association Research Fellowship (AARF)
Active award
NCE request submitted
Intranasal tau immunotherapy focus
Active
UTMB Pepper OAIC
Pilot Grant: Senescent Cell Burden in Aging and Neurodegeneration
$50,000 Pilot Award
Completed
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 Preparation

The People Behind the Science

SG
Sagar D. Gaikwad, PhD
Principal Investigator
Assistant Professor of Neurobiology at UTMB. Expert in HMGB1 biology, DNA damage, cellular senescence, and neuroinflammation in Alzheimer's disease.
+
Postdoctoral Researcher
Position Open
We are seeking a highly motivated postdoc with expertise in molecular neuroscience, mouse models of neurodegeneration, or cell therapy development.
+
Graduate Student (PhD)
Position Open
PhD students interested in HMGB1 biology, DNA damage response, or CAR-T senolytic therapy are encouraged to apply through the UTMB Graduate School.

We Are Recruiting

The Gaikwad 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 a rigorous scientific environment with training in molecular biology, human brain tissue research, single-nucleus RNA sequencing analysis, immunofluorescence microscopy, preclinical mouse modeling, and cutting-edge cell therapy approaches.

We prioritize mentorship, scientific independence, and career development. Trainees are supported in grant writing, publications, and conference presentations at major venues including Alzheimer's Association International Conference (AAIC) and the Society for Neuroscience (SfN) annual meeting.

Contact Dr. Gaikwad →
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