Trehalose enhances macrophage autophagy to promote myelin debris clearance after spinal cord injury

Abstract Background Myelin-laden foamy macrophages accumulate extensively in the lesion epicenter, exhibiting characteristics of autophagolysosomal dysfunction, which leads to prolonged inflammatory responses after spinal cord injury (SCI). Trehalose, known for its neuroprotective properties as an a...

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Main Authors: Zhida Ma, Congpeng Meng, Xiang Wang, Yuanzhe Zhao, Jingwen Wang, Yihao Chen, Yiteng Li, Yan Jiang, Fangru Ouyang, Jianjian Li, Meige Zheng, Li Cheng, Juehua Jing
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Cell & Bioscience
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Online Access:https://doi.org/10.1186/s13578-025-01357-2
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author Zhida Ma
Congpeng Meng
Xiang Wang
Yuanzhe Zhao
Jingwen Wang
Yihao Chen
Yiteng Li
Yan Jiang
Fangru Ouyang
Jianjian Li
Meige Zheng
Li Cheng
Juehua Jing
author_facet Zhida Ma
Congpeng Meng
Xiang Wang
Yuanzhe Zhao
Jingwen Wang
Yihao Chen
Yiteng Li
Yan Jiang
Fangru Ouyang
Jianjian Li
Meige Zheng
Li Cheng
Juehua Jing
author_sort Zhida Ma
collection DOAJ
description Abstract Background Myelin-laden foamy macrophages accumulate extensively in the lesion epicenter, exhibiting characteristics of autophagolysosomal dysfunction, which leads to prolonged inflammatory responses after spinal cord injury (SCI). Trehalose, known for its neuroprotective properties as an autophagy inducer, has yet to be fully explored for its potential to mitigate foamy macrophage formation and exert therapeutic effects in the context of SCI. Results We observed that trehalose significantly enhances macrophage phagocytosis and clearance of myelin in a dose-dependent manner in vitro. In vivo, trehalose administration markedly reduced myelin debris accumulation, inhibited foamy macrophage formation, suppressed inflammatory responses, decreased fibrotic scarring, and promoted axonal growth and motor function recovery after SCI. These beneficial effects of trehalose may be related to the overexpression of transcription factor EB (TFEB), a key regulator of the autophagy-lysosomal system, which can rescue autophagic dysfunction in foamy macrophages and inhibit inflammatory responses. Additionally, the effects of trehalose on macrophages were abolished by chloroquine, an autophagy inhibitor, suggesting trehalose’s potential as a therapeutic candidate for enhancing myelin debris clearance post-SCI. Conclusions Our findings underscore the pivotal role of trehalose in modulating myelin debris clearance within macrophages, providing new perspectives for the treatment of spinal cord injury. Graphical abstract
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spelling doaj-art-2b0b0c8308e348a5a31a116d22a329ae2025-02-02T12:44:26ZengBMCCell & Bioscience2045-37012025-01-0115111610.1186/s13578-025-01357-2Trehalose enhances macrophage autophagy to promote myelin debris clearance after spinal cord injuryZhida Ma0Congpeng Meng1Xiang Wang2Yuanzhe Zhao3Jingwen Wang4Yihao Chen5Yiteng Li6Yan Jiang7Fangru Ouyang8Jianjian Li9Meige Zheng10Li Cheng11Juehua Jing12Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Rehabilitation Medicine, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityDepartment of Orthopaedics, The Second Affiliated Hospital of Anhui Medical UniversityAbstract Background Myelin-laden foamy macrophages accumulate extensively in the lesion epicenter, exhibiting characteristics of autophagolysosomal dysfunction, which leads to prolonged inflammatory responses after spinal cord injury (SCI). Trehalose, known for its neuroprotective properties as an autophagy inducer, has yet to be fully explored for its potential to mitigate foamy macrophage formation and exert therapeutic effects in the context of SCI. Results We observed that trehalose significantly enhances macrophage phagocytosis and clearance of myelin in a dose-dependent manner in vitro. In vivo, trehalose administration markedly reduced myelin debris accumulation, inhibited foamy macrophage formation, suppressed inflammatory responses, decreased fibrotic scarring, and promoted axonal growth and motor function recovery after SCI. These beneficial effects of trehalose may be related to the overexpression of transcription factor EB (TFEB), a key regulator of the autophagy-lysosomal system, which can rescue autophagic dysfunction in foamy macrophages and inhibit inflammatory responses. Additionally, the effects of trehalose on macrophages were abolished by chloroquine, an autophagy inhibitor, suggesting trehalose’s potential as a therapeutic candidate for enhancing myelin debris clearance post-SCI. Conclusions Our findings underscore the pivotal role of trehalose in modulating myelin debris clearance within macrophages, providing new perspectives for the treatment of spinal cord injury. Graphical abstracthttps://doi.org/10.1186/s13578-025-01357-2TrehaloseSpinal cord injuryFoamy macrophagesAutophagyMyelin debris
spellingShingle Zhida Ma
Congpeng Meng
Xiang Wang
Yuanzhe Zhao
Jingwen Wang
Yihao Chen
Yiteng Li
Yan Jiang
Fangru Ouyang
Jianjian Li
Meige Zheng
Li Cheng
Juehua Jing
Trehalose enhances macrophage autophagy to promote myelin debris clearance after spinal cord injury
Cell & Bioscience
Trehalose
Spinal cord injury
Foamy macrophages
Autophagy
Myelin debris
title Trehalose enhances macrophage autophagy to promote myelin debris clearance after spinal cord injury
title_full Trehalose enhances macrophage autophagy to promote myelin debris clearance after spinal cord injury
title_fullStr Trehalose enhances macrophage autophagy to promote myelin debris clearance after spinal cord injury
title_full_unstemmed Trehalose enhances macrophage autophagy to promote myelin debris clearance after spinal cord injury
title_short Trehalose enhances macrophage autophagy to promote myelin debris clearance after spinal cord injury
title_sort trehalose enhances macrophage autophagy to promote myelin debris clearance after spinal cord injury
topic Trehalose
Spinal cord injury
Foamy macrophages
Autophagy
Myelin debris
url https://doi.org/10.1186/s13578-025-01357-2
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