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Single-cell spatial transcriptomic profiling defines a pathogenic inflammatory niche in chronic active multiple sclerosis lesions

Immunity, vol. 58, pp. 2989–3005.e10

Abstract

Compartmentalized inflammation is a key driver of multiple sclerosis (MS) progression, but the mechanisms sustaining its persistence remain unclear. A hallmark of this persistent and slowly evolving inflammatory process is chronic active MS lesions. We generated a high-resolution, single-cell molecular and spatial atlas of such lesions by combining single-nucleus RNA sequencing (snRNA-seq) with multiplexed error-robust fluorescence in situ hybridization (MERFISH). Within lesion rims, we identified CD8 + T cell niches associated with inflamed microglia displaying an interferon response and upregulated lipid metabolism. To investigate their function, we deleted ATP-binding cassette transporters A1 and G1 (ABCA1/G1) in the microglia of mice with experimental autoimmune encephalomyelitis (EAE), which increased the formation of lipid-storing phagocytes that amplified inflammation. Moreover, pharmacologically targeting sterol metabolism mitigated foam cell formation and inflammatory demyelination in EAE. Thus, our high-resolution map of immune niches in chronic active MS lesions identifies a role for lipid-storing, dysfunctional microglia in persistent neuroinflammation.

Authors 23

  1. German Center for Neurodegenerative Diseases · Technical University of Munich

    Affiliation as printed

    Institute of Neuronal Cell Biology, Technical University Munich, Munich, Germany; German Center for Neurodegenerative Diseases, Munich, Germany

  2. German Center for Neurodegenerative Diseases · Technical University of Munich

    Affiliation as printed

    Institute of Neuronal Cell Biology, Technical University Munich, Munich, Germany; German Center for Neurodegenerative Diseases, Munich, Germany

  3. German Center for Neurodegenerative Diseases · Technical University of Munich

    Affiliation as printed

    Institute of Neuronal Cell Biology, Technical University Munich, Munich, Germany; German Center for Neurodegenerative Diseases, Munich, Germany

  4. Stefan A. Berghoff corresponding

    German Center for Neurodegenerative Diseases · Technical University of Munich

    Affiliation as printed

    Institute of Neuronal Cell Biology, Technical University Munich, Munich, Germany; German Center for Neurodegenerative Diseases, Munich, Germany. Electronic address: stefan.berghoff@dzne.de

  5. Universitätsmedizin Göttingen

    Affiliation as printed

    Department of Neuropathology, University Medical Center Göttingen, Göttingen, Germany

  6. German Center for Neurodegenerative Diseases · Technical University of Munich

    Affiliation as printed

    Institute of Neuronal Cell Biology, Technical University Munich, Munich, Germany; German Center for Neurodegenerative Diseases, Munich, Germany

  7. Institut für Schlaganfall- und Demenzforschung · Ludwig-Maximilians-Universität München

    Affiliation as printed

    Institute for Stroke and Dementia Research, University Hospital of Munich, LMU Munich, Munich, Germany

  8. German Center for Neurodegenerative Diseases · Technical University of Munich

    Affiliation as printed

    Institute of Neuronal Cell Biology, Technical University Munich, Munich, Germany; German Center for Neurodegenerative Diseases, Munich, Germany

  9. Ludwig-Maximilians-Universität München

    Affiliation as printed

    Department of Pharmacy, Center for Drug Research, LMU Munich, Munich, Germany

  10. Ludwig-Maximilians-Universität München

    Affiliation as printed

    Department of Pharmacy, Center for Drug Research, LMU Munich, Munich, Germany

  11. Ludwig-Maximilians-Universität München

    Affiliation as printed

    Department of Pharmacy, Center for Drug Research, LMU Munich, Munich, Germany

  12. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Division of Endocrinology, Department of Medicine, Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, the Netherlands

  13. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Division of Endocrinology, Department of Medicine, Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, the Netherlands

  14. Amsterdam Neuroscience · Amsterdam University Medical Centers · Vrije Universiteit Amsterdam · Amsterdam UMC Location Vrije Universiteit Amsterdam

    Affiliation as printed

    Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Molecular Cell Biology and Immunology, Amsterdam Neuroscience, MS Center Amsterdam, Amsterdam, the Netherlands

  15. Universitätsmedizin Göttingen

    Affiliation as printed

    Institute for Neuroimmunology and Multiple Sclerosis Research, University Medical Center Göttingen, Göttingen, Germany

  16. Leiden University Medical Center · Amsterdam Neuroscience · Amsterdam University Medical Centers · Vrije Universiteit Amsterdam

    Affiliation as printed

    Center for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, the Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Molecular Cell Biology and Immunology, Amsterdam Neuroscience, MS Center Amsterdam, Amsterdam, the Netherlands

  17. LMU Klinikum · Munich Cluster for Systems Neurology · Institut für Schlaganfall- und Demenzforschung · Ludwig-Maximilians-Universität München

    Affiliation as printed

    German Center for Neurodegenerative Diseases, Munich, Germany; Munich Cluster of Systems Neurology, Munich, Germany; Institute for Stroke and Dementia Research, University Hospital of Munich, LMU Munich, Munich, Germany

  18. University Hospital Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    German Center for Neurodegenerative Diseases, Bonn, Germany; Department of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, Bonn, Germany

  19. Max Planck Institute for Multidisciplinary Sciences

    Affiliation as printed

    Department of Neurogenetics, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany

  20. Universitätsmedizin Göttingen

    Affiliation as printed

    Department of Neuropathology, University Medical Center Göttingen, Göttingen, Germany

  21. Leiden University Medical Center

    Affiliation as printed

    Center for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, the Netherlands

  22. Janos Groh corresponding

    German Center for Neurodegenerative Diseases · Munich Cluster for Systems Neurology · Technical University of Munich

    Affiliation as printed

    Institute of Neuronal Cell Biology, Technical University Munich, Munich, Germany; German Center for Neurodegenerative Diseases, Munich, Germany; Munich Cluster of Systems Neurology, Munich, Germany. Electronic address: janos.groh@tum.de

  23. Mikael Simons corresponding

    Munich Cluster for Systems Neurology · Institut für Schlaganfall- und Demenzforschung · Technical University of Munich · Ludwig-Maximilians-Universität München

    Affiliation as printed

    Institute of Neuronal Cell Biology, Technical University Munich, Munich, Germany; German Center for Neurodegenerative Diseases, Munich, Germany; Munich Cluster of Systems Neurology, Munich, Germany; Institute for Stroke and Dementia Research, University Hospital of Munich, LMU Munich, Munich, Germany. Electronic address: mikael.simons@dzne.de

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References 65