Ferroptosis-associated myeloid cell heterogeneity and inflammatory amplification following spinal cord injury

Jian Zhang1,2, Song Wang1, Minghang Zhang1

  • 1Dongguan Key Laboratory of Central Nervous System Injury and Repair/Dongguan Institute of Spine and Spinal Cord Injury, The Sixth Affiliated Hospital of Jinan University (Dongguan), Dongguan, China.

Abstract

Insights

Spinal cord injury (SCI) involves ferroptosis, a cell death process, concentrated in myeloid cells. Heme oxygenase-1 (HMOX1) links iron dysregulation, ferroptosis, and inflammation in SCI.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Spinal cord injury (SCI) results in significant and lasting neurological deficits.
  • The role of ferroptosis, a regulated cell death pathway, in SCI pathophysiology, particularly concerning myeloid cell responses, inflammation, and iron metabolism, is not fully understood.

Purpose of the Study:

  • To investigate ferroptosis-associated molecular and cellular changes in SCI.
  • To elucidate the connection between ferroptosis, myeloid cell subpopulations, inflammation, and iron homeostasis following SCI.

Main Methods:

  • Integration of bulk and single-cell RNA sequencing data with experimental validation in a rat SCI model.
  • Utilized differential expression, pathway enrichment, co-expression, protein-protein interaction, pseudotime, and cell-cell communication analyses.
  • Validated findings using qPCR, western blotting, and immunofluorescence.

Main Results:

  • Ferroptosis alterations in SCI exhibit temporal dynamics and are linked to inflammation, oxidative stress, and hypoxia.
  • Single-cell analysis identified ferroptosis signals predominantly in HMOX1-high myeloid cells (M1a and M1b subclusters).
  • Myeloid subpopulations showed progression towards inflammation-amplifying states, potentially influencing the microenvironment via specific signaling pathways; animal models confirmed sustained inflammation and myeloid activation.

Conclusions:

  • Ferroptosis signals in SCI are concentrated in HMOX1-associated myeloid cells and sustained by cell reprogramming and signaling networks.
  • Heme oxygenase-1 (HMOX1) is identified as a key molecule connecting iron dysregulation, ferroptosis, and myeloid inflammatory responses in SCI.

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