Microglial tunneling nanotubes: an intercellular transfer facilitating mitochondrial dysfunction and

Yan Shen1, Yi Wang1, Chao Yang2

  • 1Department of Medical Microbiology and Parasitology, Air Force Medical University, 169# Changle West Road, Xi'an, 710032, Shaanxi, China.

Insights

Tunneling nanotubes (TNTs) facilitate neuroinflammation in cerebral malaria (CM) by transferring mitochondria and malarial pigment between microglia. Inhibiting TNTs restores microglial balance, offering a potential therapeutic target for CM neuropathology.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Cerebral malaria (CM) involves microglial activation, a key driver of neuroinflammation.
  • Tunneling nanotubes (TNTs) are actin-based structures involved in intercellular communication and material transfer, implicated in neuropathology.
  • The role of TNTs in CM pathogenesis and their connection to microglial activation are not well understood.

Purpose of the Study:

  • To investigate the involvement of TNTs in microglial activation and neuroinflammation during cerebral malaria.
  • To elucidate the mechanisms of intercellular communication mediated by TNTs in CM.
  • To evaluate the therapeutic potential of targeting TNTs in CM.

Main Methods:

  • Single-cell RNA-sequencing (scRNA-seq) analysis of microglia in a mouse model of experimental cerebral malaria (ECM).
  • In vitro studies using primary microglia stimulated with Plasmodium-infected red blood cells (pRBCs).
  • Assessment of mitochondrial and lysosomal content transfer via TNTs.
  • Measurement of microglial activation markers, neuroinflammation (TNFα, IL-6), and lipid peroxidation.
  • Pharmacological inhibition of TNT formation in the ECM model.

Main Results:

  • scRNA-seq revealed dysregulation of TNT-associated genes and actin cytoskeleton pathways in microglia from the ECM model.
  • Primary microglia stimulated with pRBCs formed F-actin-rich TNTs, enabling bidirectional transfer of mitochondria and intercellular trafficking of lysosomal contents and malarial pigment.
  • TNT-mediated communication amplified microglial activation, leading to lipid peroxidation, mitochondrial dysfunction, autophagosome accumulation, increased TNFα/IL-6 secretion, and expansion of CD45high microglia.
  • Pharmacological inhibition of TNTs restored microglial homeostasis in the ECM model.

Conclusions:

  • TNTs play a critical role in mediating neuroinflammation in experimental cerebral malaria by facilitating the transfer of mitochondria and malarial pigment between microglia.
  • While mitochondrial transfer may offer transient support, progressive malarial pigment accumulation drives lipid metabolism dysregulation and exacerbates neuroinflammation.
  • Targeting TNT formation and the associated intercellular communication presents a promising therapeutic strategy for mitigating CM-associated neuropathology.