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Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
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.
Abstract:
Neurodegeneration occurring in multiple sclerosis (MS) contributes to the progression of disability. It is therefore important to identify and neutralize the mechanisms that promote neurodegeneration in MS. Here, we report that oxidized phosphatidylcholines (OxPCs) found in MS lesions, previously identified as end-product markers of oxidative stress, are potent drivers of neurodegeneration. Cultured neurons and oligodendrocytes were killed by OxPCs, and this was ameliorated by microglia. After OxPC injection, mouse spinal cords developed focal demyelinating lesions with prominent axonal loss. The depletion of microglia that accumulated in OxPC lesions exacerbated neurodegeneration. Single-cell RNA sequencing of lesioned spinal cords identified unique subsets of TREM2high mouse microglia responding to OxPC deposition. TREM2 was detected in human MS lesions, and TREM2-/- mice exhibited worsened OxPC lesions. These results identify OxPCs as potent neurotoxins and suggest that enhancing microglia-mediated OxPC clearance via TREM2 could help prevent neurodegeneration in MS.
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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