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Staci D. Bilbo

Haley Family 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 Appointments & Affiliations


Haley Family Professor of Psychology and Neuroscience · 2019 - Present Psychology & Neuroscience, Trinity College of Arts & Sciences
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

In the News


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 Publications


Electrical stimulation of the vagus nerve improves amyloid pathology in delirium superimposed on dementia.

Journal Article Bioelectron Med · January 16, 2026 BACKGROUND: Delirium and delirium superimposed on dementia (DSD) are common complications affecting patients suffering from ongoing neurodegenerative pathologies. Peripheral surgical trauma can trigger neuroinflammation and ensuing DSD via mechanisms that ... Full text Link to item Cite

Excitatory-neuron-derived interleukin-34 supports cortical developmental microglia function.

Journal Article Immunity · August 2025 Neuron-microglia interactions dictate the development of neuronal circuits in the brain. However, the factors that regulate these processes across development are largely unknown. Here, we found that interleukin-34 (IL-34), a neuron-derived cytokine, was u ... Full text Cite
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Recent Grants


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

Duke-NCCU Interdisciplinary Postdoctoral Training Program in Child Psychiatric and Neurodevelopmental Conditions Program (DN-IPT)

Inst. Training Prgm or CMEPreceptor · Awarded by National Institute of Mental Health · 2024 - 2029

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Education, Training & Certifications


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