Very-long-chain fatty acids induce glial-derived sphingosine-1-phosphate synthesis, secretion, and neuroinflammation
Open accessAbstract
VLCFAs (very-long-chain fatty acids) are the most abundant fatty acids in myelin. Hence, during demyelination or aging, glia are exposed to higher levels of VLCFA than normal. We report that glia convert these VLCFA into sphingosine-1-phosphate (S1P) via a glial-specific S1P pathway. Excess S1P causes neuroinflammation, NF-κB activation, and macrophage infiltration into the CNS. Suppressing the function of S1P in fly glia or neurons, or administration of Fingolimod, an S1P receptor antagonist, strongly attenuates the phenotypes caused by excess VLCFAs. In contrast, elevating the VLCFA levels in glia and immune cells exacerbates these phenotypes. Elevated VLCFA and S1P are also toxic in vertebrates based on a mouse model of multiple sclerosis (MS), experimental autoimmune encephalomyelitis (EAE). Indeed, reducing VLCFA with bezafibrate ameliorates the phenotypes. Moreover, simultaneous use of bezafibrate and fingolimod synergizes to improve EAE, suggesting that lowering VLCFA and S1P is a treatment avenue for MS.
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VLCFA accumulation in OLs is noxious to the CNS, as OLs can transport S1P to axons.
“In the fly brain, increased S1P—not VLCFA accumulation per se—triggers direct axonal loss, stimulation of immune cells, and neuroinflammation [273], meaning that VLCFA accumulation in OLs is noxious to the CNS, as they can transport S1P to axons [273].”
From Revisiting the Pathogenesis of X-Linked Adrenoleukodystrophy (2025) · cites this paper as [273]
The Results section, “S1P is transported from glia to neuron” (page not provided), reports that S1P produced in fly glia reaches neurons. The Discussion, “VLCFA toxicity in glia” (page not provided), notes that oligodendrocytes express genes in the S1P pathway. The paper does not establish that oligodendrocytes specifically transport S1P to axons, so that part of the citing sentence is an extrapolation. (LLM, conf=0.87)
Experimental — accuracy not yet measuredElevated S1P is also toxic in vertebrates.
“Elevated S1P is also toxic in vertebrates [273].”
From Revisiting the Pathogenesis of X-Linked Adrenoleukodystrophy (2025) · cites this paper as [273]
The Results section, “S1P induces the demise of neurons” (page unavailable), reports that humans with SGPL1 loss have elevated S1P and neurologic phenotypes. The paper’s experimental evidence that elevated S1P causes toxicity comes from flies, however; the human association does not establish that elevated S1P itself is toxic in vertebrates. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIn Drosophila, increased S1P-not VLCFA accumulation per se-triggers direct axonal loss, stimulation of immune cells, and neuroinflammation.
“In the fly brain, increased S1P—not VLCFA accumulation per se—triggers direct axonal loss, stimulation of immune cells, and neuroinflammation [273], meaning that VLCFA accumulation in OLs is noxious to the CNS, as they can transport S1P to axons [273].”
From Revisiting the Pathogenesis of X-Linked Adrenoleukodystrophy (2025) · cites this paper as [273]
The Introduction and the Discussion’s “Immune activation and neuroinflammation” section report that elevated glial S1P is toxic to neurons and drives immune activation, macrophage recruitment, and neuroinflammation in flies, rather than VLCFA accumulation alone. The copy does not establish direct axonal loss in flies: its reference to axonal damage concerns inflammatory responses during MS. It shows S1P transfer from fly glia to neurons, not specifically from oligodendrocytes to axons. (LLM, conf=0.86)
Experimental — accuracy not yet measured
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Cited by
Sorted by citations
Revisiting the Pathogenesis of X-Linked Adrenoleukodystrophy
Bougnères, P., & Le Stunff, C. (2025) · Genes · doi:10.3390/genes16050590 · Cited by 11 · see citing works
- Authors
- Chung, H.-L., Ye, Q., Park, Y.-J., Zuo, Z., Mok, J.-W., Kanca, O., Tattikota, S. G., Lu, S., Perrimon, N., Lee, H. K., & Bellen, H. J.
- Affiliations
- Howard Hughes Medical Institute (US)
- Baylor College of Medicine (US)
- Harvard University (US)
- Corresponding author
- Chung, Hyung-lok
- Lee, Hyun Kyoung
- Bellen, Hugo J.
- ORCID
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2023-05
- Volume
- 35
- Issue
- 5
- Pages
- 855-874.e5
- ISSN
- 1550-4131 (ISSN-L)
- PMC
- PMC10160010
- OpenAlex
- W4366520867
- Cited by
- 70
- References
- 8
- Citations by year
- 2026: 17 · 2025: 23 · 2024: 20 · 2023: 10
- FWCI
- 6.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell Metabolism (publishedVersion)
- SSRN Electronic Journal (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons-TMC (Texas Medical Center) (submittedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R01NS110859)
- Office of Research Infrastructure Programs, National Institutes of Health
- National Institutes of Health (U54NS093793, P40OD018537)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54HD083092)
- Warren Alpert Foundation (NRF-2021R1A6A3A14044510)
- National Multiple Sclerosis Society (RG-1907-34551)
- Howard Hughes Medical Institute
- National Research Foundation of Korea (- 2021R1A6A3A14044510)
- Indiana University
- Harvard Medical School
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sphingolipid Metabolism and Signaling
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Keywords
- very long chain fatty acids, sphingosine-1-phosphate, glial metabolism, neuroinflammation, NF-κB activation, macrophage infiltration, fingolimod, bezafibrate, experimental autoimmune encephalitis, multiple sclerosis, myelin, demyelination, fatty acid toxicity, synergistic therapy
- MeSH terms
- Fingolimod Hydrochloride, Neuroinflammatory Diseases, Animals, Bezafibrate, Encephalomyelitis, Autoimmune, Experimental, Fatty Acids, Immunosuppressive Agents, Lysophospholipids, Multiple Sclerosis, Neuroglia, Propylene Glycols, Sphingosine, Mice
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