Meningeal inflammation in multiple sclerosis induces phenotypic changes in cortical microglia that differentially

Lynn van Olst1, Carla Rodriguez-Mogeda1, Carmen Picon2

  • 1Department of Molecular Cell Biology and Immunology, Amsterdam UMC, MS Center Amsterdam, Amsterdam Neuroscience, Amsterdam, Netherlands.

Acta Neuropathologica
|March 29, 2021
PubMed

Insights

In progressive multiple sclerosis (MS), meningeal inflammation drives cortical pathology. Microglia in MS patients and a rat model develop two distinct phenotypes, with early protective roles followed by neurodegeneration.

Area of Science:

  • Neuroimmunology
  • Neurodegeneration
  • Multiple Sclerosis Pathogenesis

Background:

  • Meningeal inflammation is linked to cortical damage and disability in progressive multiple sclerosis (MS).
  • The precise mechanisms by which meningeal inflammation causes cortical pathology remain unclear.
  • Cortical microglia play a crucial role in the central nervous system's response to inflammation.

Purpose of the Study:

  • To investigate the pathological mechanisms of meningeal inflammation-induced cortical pathology in progressive MS.
  • To identify and characterize distinct microglial populations in the MS cortex associated with meningeal inflammation.
  • To explore the dynamic changes in microglial phenotypes and their relationship with neurodegeneration in vivo.

Main Methods:

  • Analysis of post-mortem progressive MS cortical tissue to identify microglial populations.
  • Characterization of microglial phenotypes using markers (HLA class II, CD68, P2Y12, TMEM119) and morphology.
  • Utilizing a rat model of chronic meningeal inflammation to replicate MS-specific microglial changes over time.
  • In vivo assessment of microglial-neuronal interactions, including synaptic alterations and phagocytosis.

Main Results:

  • Two distinct MS-specific microglial populations (MS1 and MS2 cortex) were identified in progressive MS cortical tissue.
  • MS1 microglia exhibited increased activation markers and were associated with synaptic alterations and neuronal sparing.
  • MS2 microglia showed altered morphology, reduced specific markers, and were linked to substantial neuronal loss.
  • The identified microglial phenotypes were time-dependently replicated in the in vivo rat model of meningeal inflammation.

Conclusions:

  • Meningeal inflammation induces two distinct microglial phenotypes in the progressive MS cortex, differentially impacting neurodegeneration.
  • Early MS1 microglial activity may offer neuroprotection by managing synaptic changes.
  • Later MS2 microglial phenotype is associated with neuronal loss, suggesting a loss of protective functions over time.
  • These findings highlight the complex, dynamic role of microglia in MS pathogenesis and suggest potential therapeutic targets.

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