Macrophages dying from ferroptosis promote microglia-mediated inflammatory responses during spinal cord injury

Xuan Zhao1, Xinli Hu1, Wei Wang1

  • 1Department of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, China; National Clinical Research Center for Geriatric Diseases, Beijing, China.

PubMed

Insights

Ferroptosis in macrophages worsens spinal cord injury (SCI) by activating microglia. Targeting ferroptosis and IL-23 may improve neurological recovery after SCI.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Traumatic spinal cord injury (SCI) causes significant neurological deficits and economic burden.
  • Ferroptosis, a regulated cell death, is implicated in acute organ injuries, but its role in SCI is unclear.
  • Understanding ferroptosis in SCI is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate the spatial and temporal distribution of ferroptosis in SCI.
  • To elucidate the role of ferroptotic macrophages in SCI pathogenesis.
  • To identify potential therapeutic targets for neurological recovery.

Main Methods:

  • In vivo experiments to observe cell proximity and ferroptosis markers post-SCI.
  • In vitro studies to assess the impact of ferroptotic macrophages on microglia.
  • Analysis of inflammatory cytokine expression (IL-1β, IL-6, IL-23) and signaling pathways (NF-κB).

Main Results:

  • Microglia are closely associated with ferroptotic macrophages following SCI.
  • Ferroptotic macrophages exacerbate SCI by inducing pro-inflammatory microglia.
  • Ferroptotic macrophages increase IL-1β, IL-6, and IL-23 expression in microglia via NF-κB activation and oxidative stress.
  • Increased oxidative phosphorylation contributes to inflammation and IL-23 production.

Conclusions:

  • Ferroptosis in macrophages plays a detrimental role in SCI by promoting neuroinflammation.
  • Targeting ferroptosis and IL-23 represents a promising therapeutic strategy for SCI.
  • This research provides novel insights into the mechanisms underlying SCI progression.