“Disease-associated astrocyte epigenetic memory promotes CNS pathology.”

Hong-Gyun Lee, et al. – Harvard Medical School.

Knocking out Ep300 or Acly, two genes related to chromatin opening, in an EAE model resembling SPMS leads to improved symptoms compared to control (sgScrmbl).

Background: Exposure to inflammatory signals leaves circulating immune cells primed to mount a larger response to subsequent inflammatory signals. It is unclear whether astrocytes, which also respond to inflammatory signaling, possess a similar epigenetic memory.

This Study:

  • Lee and colleagues found that astrocytes in mice given the inflammatory cytokines IL-1β and TNF mounted a stronger response when these cytokines were administered 7 days later.
  • Analogous in vitro tests found that the chromatin for pro-inflammatory genes was more accessible, priming astrocytes to exhibit a larger response.
  • Inactivating Ep300 and Acly, which promote epigenetic chromatin opening, prior to induction of an experimental autoimmune encephalitis (EAE) model of MS reduced symptom intensity and chromatin accessibility of pro-inflammatory genes. .
  • Staining tissue samples from patients with MS found that primed astrocytes are almost exclusively found in chronic lesions, especially chronic active lesions, suggesting a role in the smoldering inflammation that drives disease progression.
  • Inactivating Ep300 or Acly in the NOD EAE model, which more closely resembles SPMS, 40 days after EAE induction significantly improved symptoms.

Bottom Line: In both mouse models and patients, astrocytes can become primed to deliver more intense inflammatory responses, suggesting a role for these primed astrocytes in disease progression and a potential therapeutic target.

Open Question: Could pharmacological inhibitors of ACLY be future candidates for MS treatments? These inhibitors are currently being evaluated for treating cancer; testing them in the context of MS may yield new options for patients.