PMID- 32718316 OWN - NLM STAT- MEDLINE DCOM- 20210604 LR - 20210604 IS - 1742-2094 (Electronic) IS - 1742-2094 (Linking) VI - 17 IP - 1 DP - 2020 Jul 27 TI - CD36-mediated uptake of myelin debris by macrophages and microglia reduces neuroinflammation. PG - 224 LID - 10.1186/s12974-020-01899-x [doi] LID - 224 AB - BACKGROUND: The presence of foamy macrophages and microglia containing intracellular myelin remnants is a pathological hallmark of neurodegenerative disorders such as multiple sclerosis (MS). Despite the importance of myelin internalization in affecting both central nervous system repair and neuroinflammation, the receptors involved in myelin clearance and their impact on the phagocyte phenotype and lesion progression remain to be clarified. METHODS: Flow cytometry, quantitative PCR, and immunohistochemistry were used to define the mRNA and protein abundance of CD36 in myelin-containing phagocytes. The impact of CD36 and nuclear factor erythroid 2-related factor 2 (NRF2) on the phagocytic and inflammatory features of macrophages and microglia was assessed using a pharmacological CD36 inhibitor (sulfo-N-succinimidyl oleate) and Nrf2(-/-) bone marrow-derived macrophages. Finally, the experimental autoimmune encephalomyelitis (EAE) model was used to establish the impact of CD36 inhibition on neuroinflammation and myelin phagocytosis in vivo. RESULTS: Here, we show that the fatty acid translocase CD36 is required for the uptake of myelin debris by macrophages and microglia, and that myelin internalization increased CD36 expression through NRF2. Pharmacological inhibition of CD36 promoted the inflammatory properties of myelin-containing macrophages and microglia in vitro, which was paralleled by a reduced activity of the anti-inflammatory lipid-sensing liver X receptors and peroxisome proliferator-activated receptors. By using the EAE model, we provide evidence that CD36 is essential for myelin debris clearance in vivo. Importantly, CD36 inhibition markedly increased the neuroinflammatory burden and disease severity in the EAE model. CONCLUSION: Altogether, we show for the first time that CD36 is crucial for clearing myelin debris and suppressing neuroinflammation in demyelinating disorders such as MS. FAU - Grajchen, Elien AU - Grajchen E AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. FAU - Wouters, Elien AU - Wouters E AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. FAU - van de Haterd, Britt AU - van de Haterd B AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. FAU - Haidar, Mansour AU - Haidar M AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. FAU - Hardonniere, Kevin AU - Hardonniere K AD - Inflammation, Microbiome and Immunosurveillance, INSERM UMR99, Universite Paris-Saclay, Chatenay-Malabry, France. FAU - Dierckx, Tess AU - Dierckx T AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. FAU - Van Broeckhoven, Jana AU - Van Broeckhoven J AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. FAU - Erens, Celine AU - Erens C AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. FAU - Hendrix, Sven AU - Hendrix S AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. FAU - Kerdine-Romer, Saadia AU - Kerdine-Romer S AD - Inflammation, Microbiome and Immunosurveillance, INSERM UMR99, Universite Paris-Saclay, Chatenay-Malabry, France. FAU - Hendriks, Jerome J A AU - Hendriks JJA AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. FAU - Bogie, Jeroen F J AU - Bogie JFJ AUID- ORCID: 0000-0002-0016-1926 AD - Department of Immunology and Infection, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium. Jeroen.bogie@uhasselt.be. LA - eng GR - 12J9116N, 12JG119N, 12U7718N, and G099618N/Fonds Wetenschappelijk Onderzoek/ GR - FCS-2016-EG7, R-8676, and R-6832/Belgian Charcot Foundation/ PT - Journal Article DEP - 20200727 PL - England TA - J Neuroinflammation JT - Journal of neuroinflammation JID - 101222974 RN - 0 (CD36 Antigens) SB - IM MH - Animals MH - CD36 Antigens/*metabolism MH - Encephalomyelitis, Autoimmune, Experimental/metabolism/pathology MH - Female MH - Inflammation/metabolism/pathology MH - Macrophages/*metabolism MH - Mice MH - Mice, Inbred C57BL MH - Microglia/*metabolism MH - Myelin Sheath/*metabolism MH - Phagocytosis/*physiology PMC - PMC7384221 OTO - NOTNLM OT - CD36 OT - Fatty acid OT - Macrophages OT - Microglia OT - Multiple sclerosis OT - Myelin OT - Neuroinflammation COIS- The authors declare that they have no competing interests. EDAT- 2020/07/29 06:00 MHDA- 2021/06/05 06:00 PMCR- 2020/07/27 CRDT- 2020/07/29 06:00 PHST- 2020/03/12 00:00 [received] PHST- 2020/07/15 00:00 [accepted] PHST- 2020/07/29 06:00 [entrez] PHST- 2020/07/29 06:00 [pubmed] PHST- 2021/06/05 06:00 [medline] PHST- 2020/07/27 00:00 [pmc-release] AID - 10.1186/s12974-020-01899-x [pii] AID - 1899 [pii] AID - 10.1186/s12974-020-01899-x [doi] PST - epublish SO - J Neuroinflammation. 2020 Jul 27;17(1):224. doi: 10.1186/s12974-020-01899-x.