Cortical CD200-CD200R and CD47-SIRPα expression is associated with multiple sclerosis pathology

Aletta M R van den Bosch1, Dennis Wever1, Pleun Schonewille1

  • 1Neuroimmunology Research Group, Netherlands Institute for Neuroscience, Amsterdam, 1105 BA, The Netherlands.

Brain Communications
|August 23, 2024
PubMed

Insights

In multiple sclerosis (MS), reduced CD200 expression in normal-appearing grey matter may drive grey matter lesion formation. Targeting CD200 pathways could mitigate MS pathology in both white and grey matter.

Area of Science:

  • Neuroimmunology
  • Neuroinflammation
  • Multiple Sclerosis Pathogenesis

Background:

  • Microglial activity is crucial for brain homeostasis, regulated by CD200-CD200R and CD47-SIRPα signaling pathways.
  • Altered microglial control is suspected in multiple sclerosis (MS) pathogenesis, particularly within grey matter (GM) and white matter (WM).

Purpose of the Study:

  • To investigate the expression of CD200, CD47, CD200R, and SIRPα in various MS brain tissues compared to controls.
  • To explore the potential role of altered microglial regulatory pathways in MS, focusing on grey matter lesions and normal-appearing tissues.

Main Methods:

  • Quantitative PCR (qPCR) and immunohistochemistry were employed to assess gene and protein expression.
  • Analysis included normal-appearing cortical grey matter (NAGM), normal-appearing white matter (NAWM), GM lesions, perilesional GM, and control brain tissue.

Main Results:

  • CD200 expression was lower in MS NAGM, particularly in cortical layers 1 and 2, and correlated negatively with cortical lesion rate.
  • CD200 and CD47 expression were reduced in GM lesions compared to NAGM and perilesional GM.
  • CD200R expression was lower in MS NAGM, while SIRPα expression increased in and around GM lesions.

Conclusions:

  • CD200 and CD47 signaling pathways are implicated in multiple sclerosis grey matter lesion formation and progression.
  • Modulating CD200 pathways presents a potential therapeutic strategy to reduce MS pathology in both white and grey matter.