BTK inhibition prevents microglia-mediated demyelination induced by multiple sclerosis patient antibodies
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ABSTRACT: Microglia are the most numerous immune cells in multiple sclerosis (MS) demyelinating lesions, but their role in demyelination is unknown. Here, we developed an in vivo model of MS using patient-derived, myelin-targeting recombinant antibodies to induce rapid focal demyelination in the mouse cortex that depended on epitope specificity and Fc gamma receptor and complement activity. Longitudinal monitoring of microglia-myelin interactions using in vivo two-photon microscopy revealed rapid microglial envelopment of intact myelin sheaths driving myelin loss, while single-cell RNA sequencing identified a demyelination-associated microglial signature. Parallel changes were observed in MS lesions, where microglia closely interacted with intact myelin sheaths and similar genes were upregulated. Prophylactic administration of a brain-penetrant inhibitor of Bruton’s tyrosine kinase (BTK) limited microglial transcriptional changes and prevented myelin loss following microglial envelopment. These findings directly implicate microglia in demyelination and support BTK inhibition as a therapeutic strategy to modulate microglial behavior to prevent demyelination.
ORGANISM(S): Mus musculus
PROVIDER: GSE330704 | GEO | 2026/08/31
REPOSITORIES: GEO
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