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DNA damage burden causes selective CUX2 neuron loss in neuroinflammation
Laura Morcom1,2,3,4, Wenlong Xia5, Zhaoyang Xu1,3,6,7
1Cambridge Stem Cell Institute, University of Cambridge, Cambridge, UK.
Nature
|April 1, 2026
Summary
Selective loss of upper cortical neurons in multiple sclerosis (MS) is linked to DNA damage. Inadequate repair mechanisms in CUX2+ neurons contribute to this vulnerability during neuroinflammation.
Area of Science:
- Neuroscience
- Cell Biology
- Immunology
Background:
- Neurodegeneration exhibits cell-type-specific patterns in aging and disease.
- Upper cortical layer thinning and selective loss of layer 2/3 excitatory neurons (L2/3ENs) expressing CUT-like homeobox 2 (CUX2) are observed in multiple sclerosis (MS).
Purpose of the Study:
- To investigate the mechanisms underlying the selective vulnerability of L2/3ENs in neuroinflammatory conditions like MS.
- To identify the role of CUX2 and activating transcription factor 4 (Atf4) in neuronal resilience.
Main Methods:
- Analysis of L2/3ENs in MS cortical lesions.
- Utilizing mouse models of demyelination and pan-cortical inflammation.
- In vitro studies using Interferon-gamma (IFN-γ) to assess reactive oxygen species (ROS) and DNA damage.
Main Results:
- L2/3ENs in MS lesions show an elevated DNA damage burden.
- Mouse models recapitulated selective L2/3EN loss and DNA damage.
- Cux2 and Atf4 are crucial for L2/3EN resilience by enhancing DNA double-strand break repair.
- IFN-γ induces ROS, leading to DNA damage-mediated neuronal death and selective L2/3 neuron depletion in mice.
Conclusions:
- Elevated DNA damage and impaired repair in CUX2+ L2/3ENs contribute to their selective vulnerability in neuroinflammatory injury.
- This highlights a potential therapeutic target for neurodegenerative diseases like MS.
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