Prolonging the integrated stress response enhances CNS remyelination in an inflammatory environment

The inflammatory environment of demyelinated lesions in multiple sclerosis (MS) patients contributes to remyelination failure. Inflammation activates a cytoprotective pathway, the integrated stress response (ISR), but it remains unclear whether enhancing the ISR can improve remyelination in an infla...

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Main Authors: Yanan Chen, Rejani B Kunjamma, Molly Weiner, Jonah R Chan, Brian Popko
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2021-03-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/65469
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author Yanan Chen
Rejani B Kunjamma
Molly Weiner
Jonah R Chan
Brian Popko
author_facet Yanan Chen
Rejani B Kunjamma
Molly Weiner
Jonah R Chan
Brian Popko
author_sort Yanan Chen
collection DOAJ
description The inflammatory environment of demyelinated lesions in multiple sclerosis (MS) patients contributes to remyelination failure. Inflammation activates a cytoprotective pathway, the integrated stress response (ISR), but it remains unclear whether enhancing the ISR can improve remyelination in an inflammatory environment. To examine this possibility, the remyelination stage of experimental autoimmune encephalomyelitis (EAE), as well as a mouse model that incorporates cuprizone-induced demyelination along with CNS delivery of the proinflammatory cytokine IFN-γ were used here. We demonstrate that either genetic or pharmacological ISR enhancement significantly increased the number of remyelinating oligodendrocytes and remyelinated axons in the inflammatory lesions. Moreover, the combined treatment of the ISR modulator Sephin1 with the oligodendrocyte differentiation enhancing reagent bazedoxifene increased myelin thickness of remyelinated axons to pre-lesion levels. Taken together, our findings indicate that prolonging the ISR protects remyelinating oligodendrocytes and promotes remyelination in the presence of inflammation, suggesting that ISR enhancement may provide reparative benefit to MS patients.
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spelling doaj.art-7596443639964ebc8b31fcd2d72830542022-12-22T04:32:42ZengeLife Sciences Publications LtdeLife2050-084X2021-03-011010.7554/eLife.65469Prolonging the integrated stress response enhances CNS remyelination in an inflammatory environmentYanan Chen0https://orcid.org/0000-0001-5510-231XRejani B Kunjamma1Molly Weiner2Jonah R Chan3https://orcid.org/0000-0002-2176-1242Brian Popko4https://orcid.org/0000-0001-9948-2553Department of Neurology, Division of Multiple Sclerosis and Neuroimmunology, Northwestern University Feinberg School of Medicine, Chicago, United StatesDepartment of Neurology, Division of Multiple Sclerosis and Neuroimmunology, Northwestern University Feinberg School of Medicine, Chicago, United StatesDepartment of Neurology, Division of Multiple Sclerosis and Neuroimmunology, Northwestern University Feinberg School of Medicine, Chicago, United StatesWeill Institute for Neuroscience, Department of Neurology, University of California, San Francisco, San Francisco, United StatesDepartment of Neurology, Division of Multiple Sclerosis and Neuroimmunology, Northwestern University Feinberg School of Medicine, Chicago, United StatesThe inflammatory environment of demyelinated lesions in multiple sclerosis (MS) patients contributes to remyelination failure. Inflammation activates a cytoprotective pathway, the integrated stress response (ISR), but it remains unclear whether enhancing the ISR can improve remyelination in an inflammatory environment. To examine this possibility, the remyelination stage of experimental autoimmune encephalomyelitis (EAE), as well as a mouse model that incorporates cuprizone-induced demyelination along with CNS delivery of the proinflammatory cytokine IFN-γ were used here. We demonstrate that either genetic or pharmacological ISR enhancement significantly increased the number of remyelinating oligodendrocytes and remyelinated axons in the inflammatory lesions. Moreover, the combined treatment of the ISR modulator Sephin1 with the oligodendrocyte differentiation enhancing reagent bazedoxifene increased myelin thickness of remyelinated axons to pre-lesion levels. Taken together, our findings indicate that prolonging the ISR protects remyelinating oligodendrocytes and promotes remyelination in the presence of inflammation, suggesting that ISR enhancement may provide reparative benefit to MS patients.https://elifesciences.org/articles/65469integrated stress responseremyelinationinterferon gammaoligodendrocytecuprizonemultiple sclerosis
spellingShingle Yanan Chen
Rejani B Kunjamma
Molly Weiner
Jonah R Chan
Brian Popko
Prolonging the integrated stress response enhances CNS remyelination in an inflammatory environment
eLife
integrated stress response
remyelination
interferon gamma
oligodendrocyte
cuprizone
multiple sclerosis
title Prolonging the integrated stress response enhances CNS remyelination in an inflammatory environment
title_full Prolonging the integrated stress response enhances CNS remyelination in an inflammatory environment
title_fullStr Prolonging the integrated stress response enhances CNS remyelination in an inflammatory environment
title_full_unstemmed Prolonging the integrated stress response enhances CNS remyelination in an inflammatory environment
title_short Prolonging the integrated stress response enhances CNS remyelination in an inflammatory environment
title_sort prolonging the integrated stress response enhances cns remyelination in an inflammatory environment
topic integrated stress response
remyelination
interferon gamma
oligodendrocyte
cuprizone
multiple sclerosis
url https://elifesciences.org/articles/65469
work_keys_str_mv AT yananchen prolongingtheintegratedstressresponseenhancescnsremyelinationinaninflammatoryenvironment
AT rejanibkunjamma prolongingtheintegratedstressresponseenhancescnsremyelinationinaninflammatoryenvironment
AT mollyweiner prolongingtheintegratedstressresponseenhancescnsremyelinationinaninflammatoryenvironment
AT jonahrchan prolongingtheintegratedstressresponseenhancescnsremyelinationinaninflammatoryenvironment
AT brianpopko prolongingtheintegratedstressresponseenhancescnsremyelinationinaninflammatoryenvironment