Inflammation alters myeloid cell and oligodendroglial iron-handling in multiple sclerosis

Abstract Changes in brain iron levels are a consistent feature of multiple sclerosis (MS) over its disease course. They encompass iron loss in oligodendrocytes in myelinated brain regions and iron accumulation in myeloid cells at so-called paramagnetic rims of chronic active lesions. Here, we explor...

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Main Authors: Christian J. Riedl, Daniel Bormann, Anja Steinmaurer, Anja Novak, Giulia Testa, Elena Poldlehner, Carmen Haider, Thomas Berger, Michael Mildner, Romana Höftberger, Ferdinand Schweser, Simon Hametner
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Acta Neuropathologica Communications
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Online Access:https://doi.org/10.1186/s40478-025-02020-0
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author Christian J. Riedl
Daniel Bormann
Anja Steinmaurer
Anja Novak
Giulia Testa
Elena Poldlehner
Carmen Haider
Thomas Berger
Michael Mildner
Romana Höftberger
Ferdinand Schweser
Simon Hametner
author_facet Christian J. Riedl
Daniel Bormann
Anja Steinmaurer
Anja Novak
Giulia Testa
Elena Poldlehner
Carmen Haider
Thomas Berger
Michael Mildner
Romana Höftberger
Ferdinand Schweser
Simon Hametner
author_sort Christian J. Riedl
collection DOAJ
description Abstract Changes in brain iron levels are a consistent feature of multiple sclerosis (MS) over its disease course. They encompass iron loss in oligodendrocytes in myelinated brain regions and iron accumulation in myeloid cells at so-called paramagnetic rims of chronic active lesions. Here, we explore the mechanisms behind this overall shift of iron from oligodendrocytes (OLs) to myeloid cells (MCs) and the loss of total brain-iron in MS. We investigated the expression of various iron importers and exporters, applying immunohistochemistry to a sample of control and MS autopsy cases. Additionally, we studied the transcriptional response of iron-related genes in primary rodent OL progenitor cells (OPCs) and microglia (MG) to various combinations of known MS-relevant pro-inflammatory stimuli together with iron loading. Histologically, we identified a correlation of OL-iron accumulation and the expression of the ferritin receptor TIM1 in myelinated white matter and observed an increase in the expression of iron-related proteins in myeloid cells at the lesion rims of MS plaques. qPCR revealed a marked increase of the heme scavenging and degradation machinery of MG under IFN-γ exposure, while OPCs changed to a more iron-inert phenotype with apparent decreased iron handling capabilities under MS-like inflammatory stimulation. Collectively, our data suggest that OL iron loss in MS is mainly due to a decrease in ferritin iron import. Iron accumulation in MCs at rims of chronic active lesions is in part driven by up-regulation of heme import and metabolism, while these cells also actively export ferritin.
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spelling doaj-art-aa6d8fa90c0e4275b810be52d4ebf0752025-08-20T02:05:16ZengBMCActa Neuropathologica Communications2051-59602025-06-0113111710.1186/s40478-025-02020-0Inflammation alters myeloid cell and oligodendroglial iron-handling in multiple sclerosisChristian J. Riedl0Daniel Bormann1Anja Steinmaurer2Anja Novak3Giulia Testa4Elena Poldlehner5Carmen Haider6Thomas Berger7Michael Mildner8Romana Höftberger9Ferdinand Schweser10Simon Hametner11Division of Neuropathology and Neurochemistry, Department of Neurology, Medical University of ViennaDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of ViennaComprehensive Center for Clinical Neurosciences and Mental Health, Medical University of ViennaDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of ViennaDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of ViennaDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of ViennaDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of ViennaComprehensive Center for Clinical Neurosciences and Mental Health, Medical University of ViennaDepartment of Dermatology, Medical University of ViennaDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of ViennaBuffalo Neuroimaging Analysis Center, Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New YorkDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of ViennaAbstract Changes in brain iron levels are a consistent feature of multiple sclerosis (MS) over its disease course. They encompass iron loss in oligodendrocytes in myelinated brain regions and iron accumulation in myeloid cells at so-called paramagnetic rims of chronic active lesions. Here, we explore the mechanisms behind this overall shift of iron from oligodendrocytes (OLs) to myeloid cells (MCs) and the loss of total brain-iron in MS. We investigated the expression of various iron importers and exporters, applying immunohistochemistry to a sample of control and MS autopsy cases. Additionally, we studied the transcriptional response of iron-related genes in primary rodent OL progenitor cells (OPCs) and microglia (MG) to various combinations of known MS-relevant pro-inflammatory stimuli together with iron loading. Histologically, we identified a correlation of OL-iron accumulation and the expression of the ferritin receptor TIM1 in myelinated white matter and observed an increase in the expression of iron-related proteins in myeloid cells at the lesion rims of MS plaques. qPCR revealed a marked increase of the heme scavenging and degradation machinery of MG under IFN-γ exposure, while OPCs changed to a more iron-inert phenotype with apparent decreased iron handling capabilities under MS-like inflammatory stimulation. Collectively, our data suggest that OL iron loss in MS is mainly due to a decrease in ferritin iron import. Iron accumulation in MCs at rims of chronic active lesions is in part driven by up-regulation of heme import and metabolism, while these cells also actively export ferritin.https://doi.org/10.1186/s40478-025-02020-0Iron lossIron rim lesionsMultiple sclerosisOligodendrocytesMicroglia
spellingShingle Christian J. Riedl
Daniel Bormann
Anja Steinmaurer
Anja Novak
Giulia Testa
Elena Poldlehner
Carmen Haider
Thomas Berger
Michael Mildner
Romana Höftberger
Ferdinand Schweser
Simon Hametner
Inflammation alters myeloid cell and oligodendroglial iron-handling in multiple sclerosis
Acta Neuropathologica Communications
Iron loss
Iron rim lesions
Multiple sclerosis
Oligodendrocytes
Microglia
title Inflammation alters myeloid cell and oligodendroglial iron-handling in multiple sclerosis
title_full Inflammation alters myeloid cell and oligodendroglial iron-handling in multiple sclerosis
title_fullStr Inflammation alters myeloid cell and oligodendroglial iron-handling in multiple sclerosis
title_full_unstemmed Inflammation alters myeloid cell and oligodendroglial iron-handling in multiple sclerosis
title_short Inflammation alters myeloid cell and oligodendroglial iron-handling in multiple sclerosis
title_sort inflammation alters myeloid cell and oligodendroglial iron handling in multiple sclerosis
topic Iron loss
Iron rim lesions
Multiple sclerosis
Oligodendrocytes
Microglia
url https://doi.org/10.1186/s40478-025-02020-0
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