Institut du Cerveau et de la Moelle Epinière-Groupe Hospitalier Pitié-Salpêtrière, INSERM, U1127, CNRS, UMR 7225, F-75013, Paris, France.
Sorbonne Universités, Université Pierre et Marie Curie Paris 06, UM-75, F-75005, Paris, France.
Mol Neurobiol. 2021 Feb;58(2):470-482. doi: 10.1007/s12035-020-02130-x. Epub 2020 Sep 24.
Multiple sclerosis (MS) is a neuroinflammatory disease whose pathogenesis remains unclear. Lysophosphatidic acid (LPA) is an endogenous phospholipid involved in multiple immune cell functions and dysregulated in MS. Its receptor LPA is expressed in macrophages and regulates their activation, which is of interest due to the role of macrophage activation in MS in both destruction and repair. In this study, we studied the genetic deletion and pharmaceutical inhibition of LPA in the mouse MS model, experimental autoimmune encephalomyelitis (EAE). LPA expression was analyzed in EAE mice and MS patient immune cells. The effect of LPA and LPA on macrophage activation was studied in human monocyte-derived macrophages. We show that lack of LPA activity induces milder clinical EAE course and that Lpar1 expression in peripheral blood mononuclear cells (PBMC) correlates with onset of relapses and severity in EAE. We see the same over-expression in PBMC from MS patients during relapse compared with progressive forms of the disease and in stimulated monocyte-derived macrophages. LPA induced a proinflammatory-like response in macrophages through LPA, providing a plausible way in which LPA and LPA dysregulation can lead to the inflammation in MS. These data show a new mechanism of LPA signaling in the MS pathogenesis, prompting further research into its use as a therapeutic target biomarker.
多发性硬化症(MS)是一种神经炎症性疾病,其发病机制尚不清楚。溶血磷脂酸(LPA)是一种参与多种免疫细胞功能的内源性磷脂,在 MS 中失调。其受体 LPA 在巨噬细胞中表达,并调节其激活,由于巨噬细胞激活在 MS 中的破坏和修复作用,这一点引起了人们的兴趣。在这项研究中,我们研究了在实验性自身免疫性脑脊髓炎(EAE)小鼠 MS 模型中 LPA 的基因缺失和药物抑制。分析了 EAE 小鼠和 MS 患者免疫细胞中的 LPA 表达。研究了 LPA 和 LPA 对人单核细胞衍生巨噬细胞激活的影响。我们发现缺乏 LPA 活性可诱导更轻微的临床 EAE 病程,外周血单核细胞(PBMC)中 Lpar1 的表达与 EAE 的发作和严重程度相关。与疾病进展形式相比,我们在 MS 患者的 PBMC 中也看到了同样的过度表达,并且在刺激的单核细胞衍生巨噬细胞中也看到了同样的过度表达。LPA 通过 LPA 诱导巨噬细胞产生促炎样反应,为 LPA 和 LPA 失调如何导致 MS 炎症提供了一种合理的方式。这些数据显示了 LPA 信号在 MS 发病机制中的新机制,促使进一步研究将其作为治疗靶点生物标志物的用途。