Antigen presentation by CD40+MHC-II+ astrocytes promotes CNS autoimmunity
Joon-Hyuk Lee1,2, Zhaorong Li1,2, Joselyn S Soto3
1Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Nature
|August 5, 2026
Summary
Astrocytes expressing CD40 and MHC-II promote central nervous system (CNS) autoimmunity by enhancing T helper 17 cell responses. This interaction activates astrocytes, leading to antigen presentation and disease progression in multiple sclerosis.
Area of Science:
- Neuroimmunology
- Cellular immunology
- Molecular neuroscience
Background:
- Astrocytes play a role in neurological disorders like multiple sclerosis (MS).
- Functional interactions between astrocytes and CD4+ T cells in the CNS are not well understood.
- Understanding these interactions is crucial for developing MS therapies.
Purpose of the Study:
- To investigate the functional interactions between astrocytes and CD4+ T cells in CNS autoimmunity.
- To identify mechanisms by which astrocytes promote T cell-mediated autoimmune responses in the CNS.
- To explore the role of astrocyte-CD4+ T cell interactions in experimental autoimmune encephalomyelitis (EAE) and MS.
Main Methods:
- Rabies barcode interaction detection followed by sequencing (RaBIDS).
- Single-cell RNA sequencing (scRNA-seq).
- In vitro co-culture systems and in vivo CRISPR-Cas9 genetic perturbation.
- SorTagging intercellular contacts.
- In vivo subproteomic approaches and AlphaFold-Multimer predictions.
Main Results:
- Astrocytes expressing CD40 and MHC-II were found to promote CNS T cell autoimmunity.
- Direct astrocyte-CD4+ T cell interactions enhance pathogenic T helper 17 cell responses in EAE.
- CD40 activation by CD4+ T cells induces lipid droplet accumulation in astrocytes, promoting NF-κB activation and antigen presentation.
- CD40+MHC-II+LD+ astrocytes were detected in human MS samples.
Conclusions:
- Astrocytes expressing CD40 and MHC-II are key drivers of CNS autoimmunity.
- A novel mechanism involving astrocyte lipid droplets, NF-κB activation, and antigen presentation in promoting autoimmunity is defined.
- These findings highlight a previously unrecognized role for astrocytes in promoting CNS autoimmune diseases like MS.
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