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Staci D. Bilbo

Professor of Psychology and Neuroscience
Psychology & Neuroscience
GSRB II Rm 3016, Box 91050, Durham, NC 27708-0086
GSRB II Rm 3016, Box 91050, Durham, NC 27708

Overview


The brain, endocrine, and immune systems are inextricably linked. Immunocompetent cells are located throughout virtually every organ of the body, including the brain and other endocrine tissues, and sophisticated interactions occur among these cells, via hormones, neurotransmitters, and soluble protein messengers called cytokines and chemokines (small chemotactic cytokines). These immune molecules have a powerful impact on neuroendocrine function, including behavior, during health as well as sickness.  Similarly, alterations in hormones, such as during stress, can powerfully impact immune function or reactivity.  These functional shifts are evolved, adaptive responses that organize changes in behavior and mobilize immune resources but can also lead to pathology or exacerbate disease if prolonged or exaggerated. However, the mechanisms by which such pathology develops, in particular the precipitation of mental health disorders, remain largely misunderstood. The developing brain is exquisitely sensitive to both endogenous and exogenous signals, and increasing evidence suggests the immune system has a critical role in brain development and associated behavioral outcomes for the life of the individual. There is now ample evidence that immune activation during prenatal or early postnatal development can have profound and long-lasting effects on the brain, and I believe the early-life immune history of an individual may indeed be critical to understanding the later-life risk or resilience of developing certain neuropsychiatric disorders.  

A particular focus of my research is on microglia, the primary immunocompetent cells of the CNS, which are involved in multiple aspects of brain development and function, including activity-dependent synaptic pruning and stripping, phagocytosis of apoptotic cells, and angiogenesis.  Cytokines such as tumor necrosis factor [TNF]a, interleukin [IL]-1b, and IL-6 are produced primarily by glia within the CNS and are implicated in the developing and adult brain in synaptic scaling, long-term potentiation, and neurogenesis.  Microglia originate early in the life of the fetus and are very long-lived, meaning they may have the capacity to reside in the brain for most of the life of the animal. Taken together, I have hypothesized that the developing brain is particularly sensitive to early-life immune activation and the associated risk of later-life neuropsychiatric disorders because (1)microglia are long-lived such that previously activated/functionally altered microglia (i.e. microglia exposed to an early-life immune challenge) may remain within the brain into adulthood, (2) immature microglia within the developing brain are functionally and/or immunologically different than microglia within the adult brain such that early-life immune activation can have greater consequences for neuroimmune function when compared to the adult brain, and (3) microglia and their inflammatory products are critical for normal cognitive function and behavior such that neuroimmune dysfunction results in mental health dysfunction.  

The simple goal of my research is thus to understand the important role of the immune system during brain development, and thereby the ways in which immune activation during early brain development can affect the later-life outcomes of neural function, immune function, mood and cognition.  In concert with this, I am interested in modeling current social and environmental issues (e.g. poverty, pollution, addiction) that impact the developing brain, and thereby how these factors may eventually be mitigated via careful scholarship, education, and engagement with trainees, collaborators, and members of society.

Current Duke Appointments & Affiliations


Professor of Psychology and Neuroscience · 2019 - Present Psychology & Neuroscience, Trinity College of Arts & Sciences
Interim Chair, Department of Neurobiology · 2025 - Present Neurobiology, Basic Science Departments
Professor of Neurobiology · 2019 - Present Neurobiology, Basic Science Departments
Professor in Cell Biology · 2021 - Present Cell Biology, Basic Science Departments
Professor in Integrative Immunobiology · 2024 - Present Integrative Immunobiology, Basic Science Departments
Faculty Network Member of the Duke Institute for Brain Sciences · 2020 - Present Duke Institute for Brain Sciences, University Institutes and Centers

Recent News Items


Published November 28, 2022
Mom’s Dietary Fat Rewires Male And Female Brains Differently
Published November 17, 2022
How Encouraging Words Led to a Postdoc at Duke
Published August 3, 2022
Air Pollution And Stress Alter Brains and Social Behavior of Male Mice

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Recent Scholarly Works


Context-dependent effects of microglial MyD88 removal on voluntary ethanol consumption in mice.

Journal article Neuropharmacology · June 2026 Neuroimmune signaling is increasingly implicated in alcohol use disorder (AUD). Microglia, the brain's resident immune cells, signal in part through the adaptor protein myeloid differentiation primary response 88 (MyD88), a key mediator of innate immune re ... Full text Cite

CGRP reception potentiates anxiety in an influenza A derived immune engram.

Preprint · May 22, 2026 An immune engram is a recently described phenomenon in which neuronal populations encode functional aspects of an immune challenge. Here we investigate an immune engram arising from respiratory infection with influenza A virus, demonstrating a molecular me ... Full text Link to item Cite

Astrocyte-microglia crosstalk through Hevin and Toll-like receptor signaling controls developmental thalamocortical synapse refinement.

Journal article Neuron · April 15, 2026 Synapse formation and elimination are two crucial processes that occur concurrently in the developing brain. Astrocytes and microglia control both processes, yet how these two major glial cell types of the central nervous system (CNS) communicate to balanc ... Full text Link to item Cite
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Recent Grants


Cell and Molecular Biology Training Program

Inst. Training Prgm or CMEMentor · Awarded by National Institute of General Medical Sciences · 2026 - 2031

Epitranscriptomic Regulation of Microglia in Alzheimer's Disease

ResearchCollaborator · Awarded by National Institutes of Health · 2025 - 2030

Neurobiology Training Program

Inst. Training Prgm or CMEMentor · Awarded by National Institute of Neurological Disorders and Stroke · 2024 - 2029

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Education


Johns Hopkins University · 2003 Ph.D.
University of Texas, Austin · 1998 B.A.