1. Academic Validation
  2. The ApoA-I mimetic peptide 5A enhances remyelination by promoting clearance and degradation of myelin debris

The ApoA-I mimetic peptide 5A enhances remyelination by promoting clearance and degradation of myelin debris

  • Cell Rep. 2022 Nov 8;41(6):111591. doi: 10.1016/j.celrep.2022.111591.
Sam Vanherle 1 Winde Jorissen 1 Tess Dierckx 1 Melanie Loix 1 Elien Grajchen 1 Fleur Mingneau 1 Jeroen Guns 1 Pascal Gervois 2 Ivo Lambrichts 2 Jonas Dehairs 3 Johannes V Swinnen 3 Monique T Mulder 4 Alan T Remaley 5 Mansour Haidar 1 Jerome J A Hendriks 1 Jeroen J F Bogie 6
Affiliations

Affiliations

  • 1 Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, 3590 Diepenbeek, Belgium; University MS Center Hasselt, 3900 Pelt, Belgium.
  • 2 Department of Cardio and Organs Systems, Biomedical Research Institute, Hasselt University, 3590 Diepenbeek, Belgium.
  • 3 Department of Oncology, Laboratory of Lipid Metabolism and Cancer, Leuven Cancer Institute, University of Leuven, 3000 Leuven, Belgium.
  • 4 Department of Internal Medicine, Erasmus University Medical Center, 3015 Rotterdam, the Netherlands.
  • 5 Lipoprotein Metabolism Laboratory, Translational Vascular Medicine Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA.
  • 6 Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, 3590 Diepenbeek, Belgium; University MS Center Hasselt, 3900 Pelt, Belgium. Electronic address: [email protected].
Abstract

The progressive nature of demyelinating diseases lies in the inability of the central nervous system (CNS) to induce proper remyelination. Recently, we and Others demonstrated that a dysregulated innate immune response partially underlies failure of CNS remyelination. Extensive accumulation of myelin-derived lipids and an inability to process these lipids was found to induce a disease-promoting phagocyte phenotype. Hence, restoring the ability of these phagocytes to metabolize and efflux myelin-derived lipids represents a promising strategy to promote remyelination. Here, we show that ApoA-I mimetic peptide 5A, a molecule well known to promote activity of the lipid efflux transporter ABCA1, markedly enhances remyelination. Mechanistically, we find that the repair-inducing properties of 5A are attributable to increased clearance and metabolism of remyelination-inhibiting myelin debris via the fatty acid translocase protein CD36, which is transcriptionally controlled by the ABCA1-JAK2-STAT3 signaling pathway. Altogether, our findings indicate that 5A promotes remyelination by stimulating clearance and degradation of myelin debris.

Keywords

ApoA-I mimetic peptide 5A; CP: Neuroscience; lipid droplet degradation; myelin debris clearance; phagocyte; remyelination.

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