Graft-versus-host disease of the CNS is mediated by TNF upregulation in microglia

Nimitha R Mathew1,2, Janaki M Vinnakota1,2,3, Petya Apostolova1,2,4

  • 1Department of Medicine I, Faculty of Medicine, Medical Center.

Insights

Microglia play a key role in central nervous system (CNS) graft-versus-host disease (GVHD). Targeting the TAK1/TNF/MHC-II pathway in microglia offers a promising strategy to reduce neurotoxicity without affecting anti-leukemia effects.

Area of Science:

  • Neuroimmunology
  • Hematology
  • Oncology

Background:

  • Acute graft-versus-host disease (GVHD) can impact the central nervous system (CNS), but the role of microglia in this process is not well understood.
  • Microglia, the resident immune cells of the brain, are implicated in neuroinflammation and neurological disorders.

Purpose of the Study:

  • To elucidate the role of microglia in CNS GVHD.
  • To identify molecular pathways mediating microglial activation and neurotoxicity in CNS GVHD.
  • To evaluate the therapeutic potential of targeting microglia-derived factors in CNS GVHD.

Main Methods:

  • Utilized mouse models of CNS GVHD with genetic deletion of TNF or TAK1 specifically in microglia.
  • Performed RNA sequencing on purified microglia from GVHD mice.
  • Assessed neuroinflammation, T cell infiltration, endothelial cell activation, and neurocognitive function.
  • Investigated the effects of pharmacological TAK1 inhibition in vivo.
  • Analyzed human CNS samples from GVHD patients.

Main Results:

  • GVHD induction led to microglia activation, characterized by morphological changes and upregulation of MHC-II and CD80.
  • Microglia from CNS GVHD mice showed increased TNF production.
  • Selective deletion of TNF or TAK1 in microglia reduced MHC-II expression, CNS T cell infiltration, and endothelial cell activation.
  • TAK1 activation in microglia was linked to NF-κB/p38 MAPK signaling.
  • Pharmacological TAK1 inhibition improved neurocognitive activity and reduced GVHD-related pathology without compromising graft-versus-leukemia effects.
  • Activated microglia with increased TNF production were observed in the CNS of human GVHD patients.

Conclusions:

  • Microglia are key players in mediating CNS GVHD pathogenesis.
  • The TAK1/TNF/MHC-II signaling axis in microglia is a critical mediator of CNS GVHD-induced neurotoxicity.
  • Targeting microglial TAK1 presents a potential therapeutic strategy for mitigating CNS GVHD complications while preserving anti-leukemia immunity.