Dimethyl fumarate alters microglia phenotype and protects neurons against proinflammatory toxic microenvironments

Haiyan Peng1, Huo Li1, Adam Sheehy1

  • 1Biogen, Inc., 225 Binney St, Cambridge, MA 02142, United States.

Insights

Dimethyl fumarate (DMF) modulates microglia, reducing inflammation and neurotoxicity in multiple sclerosis (MS) models. This suggests DMF

Area of Science:

  • Neuroimmunology
  • Pharmacology

Background:

  • Microglia play a key role in multiple sclerosis (MS) pathophysiology.
  • The precise effects of dimethyl fumarate (DMF) and its metabolite monomethyl fumarate (MMF) on microglia remain incompletely understood.

Purpose of the Study:

  • To investigate the impact of DMF and MMF on microglial activation and function.
  • To elucidate the molecular mechanisms underlying DMF's therapeutic effects in MS.

Main Methods:

  • Primary microglia were treated with DMF and MMF.
  • Transcriptional responses were analyzed, focusing on the nuclear factor (erythroid-derived 2)-like 2 (NRF2) pathway.
  • Proinflammatory mediator production and neuronal mitochondrial function were assessed.

Main Results:

  • Both DMF and MMF altered transcriptional profiles in microglia, involving the NRF2 pathway.
  • DMF, independently of NRF2, suppressed proinflammatory mediator release from classically activated microglia.
  • DMF mitigated microglial-induced mitochondrial dysfunction in primary cortical neurons.

Conclusions:

  • DMF's mechanism of action in MS may involve the modulation of microglial inflammatory responses.
  • DMF demonstrates neuroprotective effects by attenuating microglial-induced neurotoxicity.

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