Title
Decoding the Phagocyte Lipidome in Multiple Sclerosis: Targeting ApoE-Associated Changes in the
Macrophage and Microglial Lipid metabolism to Promote Remyelination. (Research)
Abstract
Multiple sclerosis (MS) is a chronic inflammatory demyelinating autoimmune disease affecting the
central nervous system (CNS). Existing therapies can alleviate early-stage symptoms but fail to
prevent neurodegeneration in the chronic phase, highlighting the urgent need for novel treatments.
In MS pathology, macrophages and microglia play a dual role. They can either contribute to disease
progression by adopting a pro-inflammatory phenotype and internalizing myelin debris, or promote
repair by efficiently clearing damaged myelin. Lipid metabolism, a key factor in shaping the
phagocyte phenotype, is influenced by the lipid transporter Apolipoprotein E (ApoE) which modulates
CNS lipid homeostasis. Beyond its established association with Alzheimer's Disease, it is increasingly
evident that ApoE also plays a crucial role in MS, as the ApoE4 isoform is linked to accelerated
disease progression and impaired remyelination. This project aims to unravel the intricate
relationship between ApoE isoforms and the phagocyte lipidome, and how this impacts de- and
remyelination in MS. The innovative lipidomic and transcriptomic technologies used in this project will
uncover new pathways underlying the disease-promoting phenotype of phagocytes and substantially
increase our knowledge of the involvement of the phagocyte lipidome and ApoE isoforms in MS
pathology. This project will pave the way to novel ApoE genotype-specific therapies targeting lipid
metabolism pathways in MS.
Period of project
01 January 2025 - 31 December 2028