Modulation of microglial metabolism facilitates regeneration in demyelination

Chuan Qin1, Sheng Yang1, Man Chen1

  • 1Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Iscience
|May 4, 2023
PubMed

Insights

Researchers identified two microglial phenotypes in multiple sclerosis: pro-inflammatory phagocytic microglia (PEMs) and regenerative myelinating microglia (MAMs). A drug promoted the switch from PEMs to MAMs, aiding myelin repair.

Area of Science:

  • Neuroimmunology
  • Cellular Metabolism
  • Neurodegenerative Diseases

Background:

  • Microglia, the immune cells of the central nervous system, display diverse phenotypes.
  • Metabolic pathways significantly influence microglial activation and function in neurological disorders.
  • Understanding microglial heterogeneity is crucial for developing effective therapies for central nervous system diseases.

Purpose of the Study:

  • To identify and characterize distinct microglial clusters in human multiple sclerosis.
  • To investigate the functional roles and metabolic profiles of these microglial phenotypes.
  • To explore therapeutic strategies for modulating microglial phenotypes to promote myelin repair.

Main Methods:

  • Integration of public single-nucleus RNA sequencing (snRNA-seq) data from human multiple sclerosis patients.
  • Bioinformatic analysis to identify distinct microglial clusters.
  • Assessment of metabolic pathways (glycolysis, oxidative phosphorylation) and gene expression related to microglial function.

Main Results:

  • Discovery of two novel microglial clusters: phagocytic (PEMs) and myelinating (MAMs).
  • PEMs are associated with early demyelination, inflammation, and glycolysis; MAMs with later stages, regeneration, and oxidative phosphorylation.
  • Microglial triggering receptor expressed on myeloid cells 2 (Trem2) influences phenotype transition, but is not essential for PEM development.
  • Rosiglitazone treatment facilitated the conversion of PEMs to MAMs, promoting myelin repair.

Conclusions:

  • Microglial phenotypes dynamically change during demyelination, reflecting distinct metabolic states.
  • Targeting immunometabolism offers a promising strategy to enhance microglial regenerative functions in demyelinating diseases.
  • Pharmacological modulation of microglial phenotype holds potential for therapeutic intervention in multiple sclerosis.