Microglial ferroptotic stress causes non-cell autonomous neuronal death

Jeffrey R Liddell1, James B W Hilton2, Kai Kysenius2

  • 1Department of Anatomy and Physiology, The University of Melbourne, Parkville, VIC, 3010, Australia. jliddell@unimelb.edu.au.

PubMed
Abstract

Insights

Microglial ferroptosis triggers inflammation, causing non-cell autonomous neuronal death in neurodegenerative diseases like ALS. Targeting ferroptosis offers a new therapeutic strategy for these conditions.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pathology

Background:

  • Ferroptosis, a regulated cell death marked by lipid peroxidation and iron dependence, plays a dual role in disease, contributing to neuronal death in neurodegenerative conditions.
  • While ferroptosis is known to protect against cancer and infection, its precise role in central nervous system (CNS) neurodegeneration remains unclear.

Purpose of the Study:

  • To investigate the role of ferroptosis in neuronal death within the context of neurodegenerative diseases.
  • To elucidate the mechanisms by which ferroptosis influences neuronal survival and to explore potential therapeutic interventions.

Main Methods:

  • Utilized co-culture systems with microglia, astrocytes, and neurons, alongside conditioned medium transfer experiments.
  • Assessed human amyotrophic lateral sclerosis (ALS) spinal cord tissue and employed the SOD1G37R mouse model of ALS.
  • Administered a CNS-permeant ferroptosis inhibitor (CuII(atsm)) in vivo to evaluate its therapeutic potential.

Main Results:

  • Sublethal ferroptotic stress in microglia induced an inflammatory cascade leading to non-cell autonomous neuronal death.
  • Astrocytes were converted to a neurotoxic state, contributing to the observed neuronal death.
  • Human ALS spinal cord tissue exhibited a ferroptosis signature, which was mirrored in the SOD1G37R mouse model; treatment with CuII(atsm) ameliorated these markers and demonstrated neuroprotection.

Conclusions:

  • Microglial ferroptotic stress is implicated as a key factor in non-cell autonomous neuronal death, suggesting it as a targetable cause of neuronal loss in neurodegenerative diseases.
  • These findings reveal a novel pathophysiological role for ferroptosis beyond its traditional view as an intrinsic cell death mechanism, opening new avenues for therapeutic development in neurodegeneration.