Department of Neurology and Center for Immunology and Hematology, State Key Laboratory of Biotherapy, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Collaborative Innovation Center for Biotherapy, Chengdu, Sichuan, China.
Melbourne Dementia Research Centre, Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville, VIC, Australia.
Cell Mol Immunol. 2022 Aug;19(8):913-924. doi: 10.1038/s41423-022-00883-0. Epub 2022 Jun 8.
While many drugs are effective at reducing the relapse frequency of multiple sclerosis (MS), there is an unmet need for treatments that slow neurodegeneration resulting from secondary disease progression. The mechanism of neurodegeneration in MS has not yet been established. Here, we discovered a potential pathogenetic role of ferroptosis, an iron-dependent regulated cell death mechanism, in MS. We found that critical ferroptosis proteins (acyl-CoA synthetase long-chain family member 4, ACSL4) were altered in an existing genomic database of MS patients, and biochemical features of ferroptosis, including lipid reactive oxygen species (ROS) accumulation and mitochondrial shrinkage, were observed in the experimental autoimmune encephalitis (EAE) mouse model. Targeting ferroptosis with ferroptosis inhibitors or reducing ACSL4 expression improved the behavioral phenotypes of EAE mice, reduced neuroinflammation, and prevented neuronal death. We found that ferroptosis was an early event in EAE, which may promote T-cell activation through T-cell receptor (TCR) signaling in vitro and in vivo. These data indicate that ferroptosis may be a potential target for treating MS.
虽然许多药物在降低多发性硬化症(MS)的复发频率方面非常有效,但仍需要治疗方法来减缓继发疾病进展导致的神经退行性变。MS 中神经退行性变的机制尚未确定。在这里,我们发现铁死亡(一种铁依赖性调节细胞死亡机制)在 MS 中可能具有潜在的发病作用。我们发现,在现有的 MS 患者基因组数据库中,关键的铁死亡蛋白(酰基辅酶 A 合成酶长链家族成员 4,ACSL4)发生了改变,并且在实验性自身免疫性脑脊髓炎(EAE)小鼠模型中观察到了铁死亡的生化特征,包括脂质活性氧(ROS)积累和线粒体收缩。用铁死亡抑制剂靶向铁死亡或降低 ACSL4 表达可改善 EAE 小鼠的行为表型,减少神经炎症并防止神经元死亡。我们发现铁死亡是 EAE 的早期事件,它可能通过体外和体内的 T 细胞受体(TCR)信号促进 T 细胞激活。这些数据表明,铁死亡可能是治疗 MS 的潜在靶点。