Microglial inflammasome activation drives developmental white matter injury

Rebecca K Holloway1, Graeme Ireland1, Gemma Sullivan1

  • 1Medical Research Council Centre for Reproductive Health, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK.

Glia
|January 8, 2021
PubMed

Insights

Inflammasome activation in microglia causes hypomyelination in developing brains. Blocking this inflammasome pathway and targeting follistatin or activin-A shows promise for restoring myelination after injury.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Immunology

Background:

  • Perinatal brain injury frequently results in hypomyelination, causing significant clinical deficits.
  • The precise molecular links between neuroinflammation, microglial activation, and hypomyelination remain incompletely understood.
  • Existing therapeutic options for developmental brain injury-induced hypomyelination are limited.

Purpose of the Study:

  • To elucidate the molecular mechanisms by which microglial inflammasome activation contributes to hypomyelination.
  • To identify novel therapeutic targets for restoring myelination following perinatal brain injury.
  • To investigate the role of the follistatin-activin-A axis in inflammasome-mediated hypomyelination.

Main Methods:

  • Analysis of human infant cerebrospinal fluid (CSF) and postmortem brain tissue to assess microglial inflammasome activation and associated pathology.
  • Development of a novel mouse brain explant model to study microglial inflammasome activation and its impact on myelination.
  • Pharmacological manipulation of the NLRP3 inflammasome pathway and the follistatin-activin-A axis in both human and mouse models.

Main Results:

  • Microglial activation of the NLRP3 inflammasome in human infant CSF and tissue correlates with neuropathology.
  • Inhibition of the NLRP3 inflammasome in mouse brain explants successfully rescued myelination.
  • A novel link was established between inflammasome product IL-1β, elevated follistatin levels, and reduced myelination.
  • Follistatin administration impaired myelination, while its neutralization or activin-A supplementation restored myelination in injured explants.

Conclusions:

  • NLRP3 inflammasome activation in microglia is a key driver of hypomyelination following perinatal brain injury.
  • The follistatin-activin-A pathway is a critical mediator of inflammasome-induced hypomyelination.
  • Targeting microglial inflammasomes and the follistatin-activin-A axis offers promising therapeutic strategies for treating developmental brain injury-related hypomyelination.