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Updated: Feb 15, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Microglial activation and the nitric oxide/cGMP/PKG pathway underlie enhanced neuronal vulnerability to mitochondrial
Andrea Mancini1, Michela Tantucci1, Petra Mazzocchetti1
1Clinica Neurologica, Dipartimento di Medicina, Università degli Studi di Perugia, Ospedale Santa Maria della Misericordia, S. Andrea delle Fratte, 06132 Perugia, Italy.
Abstract:
During multiple sclerosis (MS), a close link has been demonstrated to occur between inflammation and neuro-axonal degeneration, leading to the hypothesis that immune mechanisms may promote neurodegeneration, leading to irreversible disease progression. Energy deficits and inflammation-driven mitochondrial dysfunction seem to be involved in this process. In this work we investigated, by the use of striatal electrophysiological field-potential recordings, if the inflammatory process associated with experimental autoimmune encephalomyelitis (EAE) is able to influence neuronal vulnerability to the blockade of mitochondrial complex IV, a crucial component for mitochondrial activity responsible of about 90% of total cellular oxygen consumption. We showed that during the acute relapsing phase of EAE, neuronal susceptibility to mitochondrial complex IV inhibition is markedly enhanced. This detrimental effect was counteracted by the pharmacological inhibition of microglia, of nitric oxide (NO) synthesis and its intracellular pathway (involving soluble guanylyl cyclase, sGC, and protein kinase G, PKG). The obtained results suggest that mitochondrial complex IV exerts an important role in maintaining neuronal energetic homeostasis during EAE. The pathological processes associated with experimental MS, and in particular the activation of microglia and of the NO pathway, lead to an increased neuronal vulnerability to mitochondrial complex IV inhibition, representing promising pharmacological targets.
Insights
Inflammation in multiple sclerosis (MS) increases neuronal vulnerability to mitochondrial dysfunction. Inhibiting microglia and the nitric oxide (NO) pathway protects neurons, suggesting new therapeutic targets for MS neurodegeneration.
Area of Science:
- Neuroscience
- Immunology
- Mitochondrial Biology
Background:
- Multiple sclerosis (MS) involves inflammation and neuro-axonal degeneration.
- Immune mechanisms are hypothesized to drive MS neurodegeneration.
- Mitochondrial dysfunction and energy deficits are implicated in MS pathogenesis.
Purpose of the Study:
- To investigate if inflammation in experimental autoimmune encephalomyelitis (EAE) enhances neuronal vulnerability to mitochondrial complex IV inhibition.
- To identify potential cellular and molecular targets for mitigating this vulnerability.
Main Methods:
- Used striatal electrophysiological field-potential recordings in a rodent model of MS (EAE).
- Assessed neuronal response to blockade of mitochondrial complex IV.
- Evaluated the effects of pharmacological inhibition of microglia and the nitric oxide (NO) pathway (sGC/PKG).
Main Results:
- Neuronal susceptibility to mitochondrial complex IV inhibition was significantly increased during the acute relapsing phase of EAE.
- Pharmacological inhibition of microglia and the NO pathway (sGC/PKG) counteracted this enhanced neuronal vulnerability.
- Mitochondrial complex IV plays a critical role in neuronal energy homeostasis during EAE.
Conclusions:
- Pathological processes in experimental MS, including microglia activation and the NO pathway, increase neuronal susceptibility to mitochondrial complex IV inhibition.
- Microglia and the NO pathway represent promising pharmacological targets for preserving neuronal function in MS.
- Targeting mitochondrial complex IV may be a strategy to maintain neuronal energetic homeostasis in MS.
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