New preclinical data presented at the 2024 Americas Committee for Treatment and Research in Multiple Sclerosis (ACTRIMS) Forum, February 29 to March 2, in West Palm Beach, Florida, showed that NLRX1, a mitochondrial innate immune sensor that negatively regulates several inflammatory pathways, prevented inflammatory neurodegeneration in experimental models of multiple sclerosis (MS). These findings suggest NLRX1 plays a neuroprotective role in inflammatory neurodegeneration which may occur through downregulation of inflammatory-reactive microglia and astrocytes.1
Findings demonstrated significantly worse retinal ganglion cell loss and reduced neurofilament light chain expression in the optic nerves of NLRX1 -/- mice compared with wild-type mice among both active and spontaneous experimental autoimmune encephalomyelitis (EAE) models. Notably, investigators observed no significant differences in the EAE clinical scores and no changes in the infiltration of peripheral immune cells between wild-type and NLRX1 -/- EAE mice.
Top Clinical Takeaways
- NLRX1 demonstrated a neuroprotective role in preventing inflammatory neurodegeneration in experimental models of multiple sclerosis.
- There were no significant differences in clinical scores or infiltration of peripheral immune cells compared to wild-type mice in EAE models.
- The study underscores the potential of NLRX1 as a therapeutic target for limiting inflammatory neurodegeneration.
“Chronic innate immune activation in the CNS is believed to be a significant contributor to neurodegeneration in progressive MS. Understanding the mechanisms that control reactive and inflammatory glial responses is of paramount importance for developing innovative neuroprotective strategies for progressive MS,” senior author Marjan Gharagozloo, PhD, assistant professor of neurology at Johns Hopkins Medicine, and colleagues wrote.1
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Investigators used active, spontaneous, and adoptive transfer EAE models to assess the impact of NLRX1 on inflammatory neurodegeneration in the anterior visual pathway. Authors also utilized immunohistochemistry to assess parameters including retinal ganglion cell count and optic nerve axonal degeneration, gliosis, and T-cell infiltration. The researchers performed adoptive transfer experiments using Rag/- mice lacking lymphocytes to expose the regulatory function of NLRX1 in the innate immune compartments. They then had wild-type and NLRX1 -/- primary mouse astrocytes with or without inflammatory stimulation undergo RNA sequencing.
In the adoptive transfer EAE experiments, findings revealed that NLRX1 -/-Rag-/- mice had increased Iba1 and glial fibrillary acidic protein expression in the optic nerves compared with Rag-/- mice. Additionally, investigators observed that transcriptome analysis of wild-type and NLRX1 -/- primary reactive astrocytes in vitro showed regulatory effects of NLRX1 on the TLR4/NFκB/MAPK pathway.