Dual Role of Lysophosphatidic Acid Receptor 2 (LPA) in Amyotrophic Lateral Sclerosis.

Lysophosphatidic acid (LPA) is a pleiotropic extracellular lipid mediator with many physiological functions that signal through six known G protein-coupled receptors (LPA). In the central nervous system (CNS), LPA mediates a wide range of effects including neural progenitor cell physiology, neuronal cell death, axonal retraction, and inflammation. Since inflammation is a hallmark of most neurological conditions, we hypothesized that LPA could be involved in the physiopathology of amyotrophic lateral sclerosis (ALS). We found that LPA RNA was upregulated in post-mortem spinal cord samples of ALS patients and in the sciatic nerve and skeletal muscle of SOD1 mouse, the most widely used ALS mouse model. To assess the contribution of LPA to ALS, we generated a SOD1 mouse that was deficient in . This animal revealed that LPA signaling accelerates disease onset and neurological decline but, unexpectedly, extended the lifespan. To gain insights into the early harmful actions of LPA in ALS, we studied the effects of this receptor in the spinal cord, peripheral nerve, and skeletal muscle of ALS mice. We found that LPA gene deletion increased microglial activation but did not contribute to motoneuron death, astrogliosis, degeneration, and demyelination of motor axons. However, we observed that deficiency protected against muscle atrophy. Moreover, we also found the deletion of reduced the invasion of macrophages into the skeletal muscle of SOD1 mice, linking LPA signaling with muscle inflammation and atrophy in ALS. Overall, these results suggest for the first time that LPA contributes to ALS, and its genetic deletion results in protective actions at the early stages of the disease but shortens survival thereafter.