Oxidized phosphatidylcholines found in multiple sclerosis lesions mediate neurodegeneration and are neutralized by

Yifei Dong1, Charlotte D'Mello1, William Pinsky2

  • 1Hotchkiss Brain Institute and the Department of Clinical Neuroscience, University of Calgary, Calgary, Alberta, Canada.

Nature Neuroscience
|February 19, 2021
PubMed

Insights

Oxidized phosphatidylcholines (OxPCs) in multiple sclerosis (MS) lesions drive neurodegeneration. Microglia, particularly TREM2-expressing subsets, can clear OxPCs, suggesting a therapeutic target for MS neuroprotection.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Neurodegeneration is a key driver of disability progression in multiple sclerosis (MS).
  • Oxidative stress is implicated in MS pathogenesis, with oxidized phosphatidylcholines (OxPCs) identified as markers in MS lesions.
  • Understanding the specific mechanisms driving neurodegeneration is crucial for developing effective MS therapies.

Purpose of the Study:

  • To investigate the role of oxidized phosphatidylcholines (OxPCs) in driving neurodegeneration in multiple sclerosis (MS).
  • To explore the involvement of microglia and the TREM2 pathway in response to OxPCs in MS lesions.

Main Methods:

  • In vitro studies using cultured neurons and oligodendrocytes exposed to OxPCs.
  • In vivo studies involving OxPC injection into mouse spinal cords to induce lesions.
  • Single-cell RNA sequencing to analyze microglial responses.
  • Assessment of TREM2 expression in human MS lesions and in genetically modified mice.

Main Results:

  • Oxidized phosphatidylcholines (OxPCs) directly caused neurodegeneration in cultured neurons and oligodendrocytes.
  • OxPC injection in mice induced demyelinating lesions with significant axonal loss.
  • Microglia mitigated OxPC-induced neurotoxicity, while their depletion exacerbated it.
  • Single-cell RNA sequencing revealed TREM2-high microglia subsets responding to OxPC deposition.
  • TREM2 deficiency worsened OxPC-induced lesions, and TREM2 was present in human MS lesions.

Conclusions:

  • Oxidized phosphatidylcholines (OxPCs) are potent neurotoxins contributing to neurodegeneration in MS.
  • Microglia play a protective role by clearing OxPCs, with TREM2 being a key mediator.
  • Targeting microglia-mediated OxPC clearance via TREM2 represents a potential therapeutic strategy for preventing neurodegeneration in MS.

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