Frontiers in Immunology, 2022 · DOI: 10.3389/fimmu.2022.964138 · Published: August 24, 2022
Following a spinal cord injury (SCI), macrophages and microglia are key players in the resulting chronic neuroinflammation. These cells have similar functions, but their ability to remove debris and maintain balance differs. Using bioinformatics analysis, the study pinpointed apolipoprotein E (APOE) as a central gene in both macrophages and microglia during the subacute and chronic phases of SCI. The study then confirmed these findings in a mouse model of cervical spinal cord injury, observing myelin uptake, lipid droplets, and lysosome accumulation in these immune cells. Furthermore, the study found that when APOE was removed, the mice experienced worsened neurological function, increased neuroinflammation and greater loss of white matter. These findings suggest that targeting APOE and the related cholesterol pathways could be a potential therapeutic approach to reduce neuroinflammation and enhance recovery after SCI.
APOE and associated cholesterol efflux pathways represent a potential therapeutic target for reducing neuroinflammation following SCI.
The study enhances the understanding of the roles of macrophages and microglia, and their lipid metabolism, in the progression of SCI.
Further investigation is needed to explore stimulation of reverse cholesterol transport and detailed molecular mechanisms of APOE in SCI.