Microglial dysregulation and spatiotemporal dynamics of inflammation in multiple sclerosis white matter: an

Keqiang Ma1, Qing Zhang1, Hong Du1

  • 1Laboratory of Molecular and Statistical Genetics and Hunan Provincial Key Laboratory of Animal Intestinal Function and Regulation, College of Life Sciences, Hunan Normal University, Changsha, China.

Abstract

Insights

Single-cell and spatial transcriptomics reveal significant white matter heterogeneity in Multiple Sclerosis (MS). Microglia exhibit diverse phenotypes, with inflammation hotspots like the Lesion Rim (LR) showing altered IKZF1 activity, impacting disease progression.

Area of Science:

  • Neuroimmunology
  • Transcriptomics
  • Cellular Biology

Background:

  • Multiple Sclerosis (MS) involves white matter damage with poorly understood heterogeneity.
  • Cellular and molecular drivers of MS white matter pathology require further investigation.

Purpose of the Study:

  • To investigate cell-specific changes and spatial heterogeneity in MS white matter.
  • To integrate single-cell and spatial transcriptomics for potential clinical interventions.

Main Methods:

  • Single-nucleus RNA sequencing (snRNA-seq) for cell type identification and functional analysis.
  • Gene Regulatory Network (GRN) analysis to identify transcriptional regulators.
  • Spatial transcriptomics (ST) to map cell distribution and niche functions.

Main Results:

  • snRNA-seq identified dysregulated transcription factors in MS white matter, particularly in microglia (Module M3).
  • IKAROS Family Zinc Finger 1 (IKZF1) identified as a key regulator linked to inflammation.
  • Spatial transcriptomics revealed distinct white matter niches, with the Lesion Rim (LR) as an inflammatory hotspot enriched for Disease-associated Microglia (DAM) and altered IKZF1 activity.

Conclusions:

  • IKZF1 inactivation in microglia correlates with MS white matter lesions and inflammation.
  • Microglial heterogeneity, including DAM phenotypes, is complex and extends beyond simple polarization.
  • Spatial heterogeneity in MS white matter, particularly the LR, may impede remyelination due to sustained microglial activation.