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Updated: Jul 5, 2025

Real-Time Measurement of the Mitochondrial Bioenergetic Profile of Neutrophils
Published on: June 2, 2023
Mitochondrial reverse electron transport in myeloid cells perpetuates neuroinflammation
Abstract:
Sustained smouldering, or low grade, activation of myeloid cells is a common hallmark of several chronic neurological diseases, including multiple sclerosis (MS) 1 . Distinct metabolic and mitochondrial features guide the activation and the diverse functional states of myeloid cells 2 . However, how these metabolic features act to perpetuate neuroinflammation is currently unknown. Using a multiomics approach, we identified a new molecular signature that perpetuates the activation of myeloid cells through mitochondrial complex II (CII) and I (CI) activity driving reverse electron transport (RET) and the production of reactive oxygen species (ROS). Blocking RET in pro-inflammatory myeloid cells protected the central nervous system (CNS) against neurotoxic damage and improved functional outcomes in animal disease models in vivo . Our data show that RET in myeloid cells is a potential new therapeutic target to foster neuroprotection in smouldering inflammatory CNS disorders 3 .
Insights
Myeloid cell activation drives chronic neurological diseases. Targeting mitochondrial reverse electron transport (RET) offers a new therapeutic strategy for neuroprotection in these conditions.
Area of Science:
- Neuroimmunology
- Mitochondrial Metabolism
- Chronic Neurological Disorders
Background:
- Sustained myeloid cell activation is a hallmark of chronic neurological diseases like multiple sclerosis.
- The metabolic drivers of persistent neuroinflammation remain poorly understood.
- Myeloid cell metabolic states influence their activation and function.
Approach:
- A multiomics approach was employed to investigate myeloid cell metabolism.
- The study identified a molecular signature linked to mitochondrial complex I and II activity.
- The role of reverse electron transport (RET) in myeloid cell activation was examined.
Key Points:
- Mitochondrial complex II (CII) and I (CI) activity drives reverse electron transport (RET) and reactive oxygen species (ROS) production.
- RET perpetuates myeloid cell activation and neuroinflammation.
- Blocking RET in myeloid cells demonstrated neuroprotective effects in animal models.
Conclusions:
- Myeloid cell RET is a novel therapeutic target for neuroinflammation.
- Targeting RET may foster neuroprotection in chronic inflammatory central nervous system disorders.
- This research opens new avenues for treating diseases like multiple sclerosis.
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Electron Transport Chain: Complex I and II
ROS generation is regulated and maintained at moderate levels necessary...
Mitochondrial Membranes

