Polysialic acid promotes remyelination in cerebellar slice cultures by Siglec-E-dependent modulation of microglia

Lara-Jasmin Schröder1,2, Hauke Thiesler3, Lina Gretenkort3

  • 1Clinic for Neurology, Hannover Medical School, Hannover, Germany.

Insights

Polysialic acid (polySia) with longer chains (DP24-30) promotes myelin repair in multiple sclerosis models by regulating microglia via the Siglec-E receptor. This finding suggests polySia as a potential therapeutic for enhancing myelin regeneration.

Area of Science:

  • Neuroscience
  • Immunology
  • Biochemistry

Background:

  • Multiple sclerosis (MS) involves inflammatory demyelination, where myelin repair efficiency decreases with disease progression.
  • Microglia and macrophages modulate inflammation and myelin repair, making them therapeutic targets.
  • Polysialic acid (polySia) regulates inflammatory responses and is found in MS lesions, suggesting a role in myelin repair.

Purpose of the Study:

  • To investigate polysialic acid (polySia) as a therapeutic agent for promoting myelin regeneration through immunomodulation.
  • To determine the optimal chain length of polySia for enhancing remyelination and regulating microglial activity.

Main Methods:

  • Organotypic cerebellar slice cultures were subjected to lysophosphatidylcholine-induced demyelination.
  • Cultures were treated with polySia of varying chain lengths (DP8-14 and DP24-30) during the remyelination phase.
  • Remyelination, microglial activation (arginase-1 expression), nitric oxide production, and Siglec-E dependency were assessed.

Main Results:

  • PolySia DP24-30 significantly enhanced remyelination in wildtype slice cultures.
  • Treatment with polySia DP24-30 increased arginase-1-positive microglia and reduced nitric oxide production.
  • These beneficial effects were dependent on the Siglec-E receptor and were not observed in Siglec-E-deficient cultures.
  • PolySia DP24-30 did not affect oligodendrocyte differentiation in vitro.

Conclusions:

  • Exogenously applied polysialic acid (polySia) with longer chain lengths (DP24-30) promotes myelin regeneration in a demyelination model.
  • PolySia DP24-30 exerts its beneficial effects by modulating microglia via the Siglec-E receptor, reducing inflammation and enhancing repair.
  • These findings highlight polySia as a promising therapeutic candidate for promoting remyelination in multiple sclerosis.

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