T cell-microglial interactions that impair myelin maintenance and regeneration: cellular mechanisms on white-matter
Chaehyun Song1,2, Yoonsung Lee1,2,3, Man S Kim1,2,3
1Translational-Transdisciplinary Research Center, Clinical Research Institute, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Abstract:
White matter changes are a hallmark of aging and neurodegenerative diseases, characterized by progressive myelin deterioration and impaired regenerative capacities. Growing evidence indicates that maladaptive interactions between microglia and infiltrating T lymphocytes contribute to the progression of white matter changes. Recent single-cell and spatial transcriptomic studies have revealed aging-associated shifts in microglial and T cell states, offering new insights into how aging reshapes the immune-glial landscape. This review summarizes the cellular and molecular evidence across species, with emphasis on murine models, showing that aging alters microglial signaling profiles and promotes the recruitment of CD8+ T cells through cytokine signaling. We further examined how T cell-derived interferon-gamma induces transcriptional changes in microglia and oligodendrocyte lineage cells. The resulting interferon-responsive glial states destabilize myelin and limit remyelination, which are characteristic features of aging, multiple sclerosis, and neurodegeneration. By integrating molecular, genetic, and cellular insights, this review proposes a mechanistic framework using recent studies for how T cell-microglial interactions contribute to white matter alterations in aging and highlights the therapeutic opportunities to restore homeostasis and promote remyelination.
Insights
Aging alters immune cell interactions in the brain, specifically microglia and T cells, leading to white matter damage. This impacts brain aging and neurodegenerative diseases, suggesting new therapeutic targets for myelin repair.
Area of Science:
- Neuroimmunology
- Neurodegeneration
- White Matter Biology
Background:
- White matter changes, marked by myelin deterioration, are common in aging and neurodegenerative diseases.
- Microglia and T lymphocytes interact, contributing to white matter pathology.
- Aging shifts immune cell states, impacting the brain's immune-glial landscape.
Purpose of the Study:
- To review cellular and molecular evidence on how aging affects microglial and T cell interactions.
- To explore the mechanisms by which these interactions lead to white matter alterations.
- To identify therapeutic opportunities for restoring brain homeostasis and promoting remyelination.
Main Methods:
- Review of cross-species evidence, with a focus on murine models.
- Analysis of single-cell and spatial transcriptomic data.
- Integration of molecular, genetic, and cellular insights.
Main Results:
- Aging alters microglial signaling and promotes CD8+ T cell recruitment via cytokine signaling.
- T cell-derived interferon-gamma induces transcriptional changes in microglia and oligodendrocyte lineage cells.
- These interferon-responsive glial states destabilize myelin and impair remyelination.
Conclusions:
- T cell-microglial interactions are a key mechanism driving white matter alterations in aging.
- Dysfunctional immune responses in aging brains contribute to neurodegeneration and myelin loss.
- Targeting these interactions offers therapeutic potential for myelin repair and restoring brain health.
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