MerTK Is a Functional Regulator of Myelin Phagocytosis by Human Myeloid Cells

Luke M Healy1, Gabrielle Perron1, So-Yoon Won1

  • 1Neuroimmunology Unit, Montreal Neurological Institute, McGill University, Montreal, Quebec H3A 2B4, Canada;

Insights

Multiple sclerosis involves myelin destruction. TGF-β enhances microglia’s myelin ingestion via MerTK, while classical activation reduces it, impacting disease progression.

Area of Science:

  • Neuroimmunology
  • Cellular Biology
  • Pathology

Background:

  • Multiple sclerosis is characterized by inflammatory lesions and myelin destruction in the central nervous system (CNS).
  • Myeloid cells, including microglia and monocyte-derived macrophages, play a critical role in clearing myelin debris within these lesions.
  • Understanding the regulation of myelin phagocytosis by these cells is crucial for developing therapeutic strategies.

Purpose of the Study:

  • To investigate the influence of cellular polarization states on myelin phagocytosis by human microglia.
  • To identify key molecular mechanisms, particularly the MerTK pathway, involved in myelin uptake by microglia and macrophages.
  • To assess the potential of modulating these mechanisms for therapeutic benefit in multiple sclerosis.

Main Methods:

  • Isolation and polarization of human microglia and monocyte-derived macrophages.
  • Assessment of myelin phagocytosis under different polarization conditions (TGF-β, classical activation).
  • Transcriptional analysis and gene expression profiling (e.g., MerTK, growth arrest-specific 6, Protein S).
  • Pharmacological inhibition of MerTK to evaluate its role in phagocytosis and cytokine response.

Main Results:

  • Myelin phagocytosis by microglia is significantly enhanced by TGF-β polarization and reduced by classical activation.
  • TGF-β-treated microglia exhibit upregulated MerTK expression, resembling M0 cells.
  • MerTK and its ligands are downregulated in classically activated cells.
  • CNS-derived microglia show higher MerTK expression and myelin phagocytosis compared to monocyte-derived macrophages.
  • MerTK inhibition reduces myelin phagocytosis and promotes anti-inflammatory cytokine production.

Conclusions:

  • Cellular polarization state critically regulates myelin phagocytosis in human microglia.
  • The MerTK pathway is a key mediator of myelin ingestion and is differentially regulated by polarization states.
  • Modulating MerTK activity offers a potential therapeutic avenue for enhancing myelin clearance and promoting tissue repair in multiple sclerosis.

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