Journal of Cellular Physiology, 2022 · DOI: 10.1002/jcp.30619 · Published: March 1, 2022
Spinal cord injuries (SCI) lead to cell death and myelin breakdown, which inhibits axon regeneration. Macrophages help remove myelin debris, but inflammation can impair this process. This study investigates how the inflammatory state of macrophages impacts their myelin phagocytosis ability. The research explores whether specific bile acids can improve myelin clearance in macrophages under inflammatory stress. They tested taurolithocholic acid (TLCA), tauroursodeoxycholic acid (TUDCA) and hyodeoxycholic acid (HDCA) to see if they could counteract the effects of inflammation on myelin uptake. The study found that only TLCA rescued myelin phagocytosis in bone marrow-derived macrophages (BMDM) when it was suppressed by inflammatory stimuli. This effect was linked to TGR5-PKA signaling, suggesting that activating bile acid receptors could enhance myelin clearance in neuropathologies.
Activation of bile acid receptors, particularly TGR5, may be a therapeutic target for improving myelin clearance in spinal cord injury and other neuropathologies.
Developing therapies that specifically enhance TGR5-PKA signaling in macrophages could improve myelin clearance and reduce inflammation.
Future research should focus on identifying TLCA analogues or other compounds that can effectively activate TGR5 signaling without causing adverse effects such as liver cholestasis.