Pantazou, V. | Search bioRxiv

bioRxiv2026

High neuron-microglia interaction at the node of Ranvier predicts recovery in an inflammatory model of Multiple Sclerosis

Microglia, the resident immune cells of the central nervous system, dynamically respond to their environment in health, injury and disease. They contact axons at the nodes of Ranvier in an activity-dependent manner, a process which contributes to repair, but how adaptive immunity in Multiple Sclerosis (MS) impacts this neuron-microglia crosstalk remains unknown. Using an inflammatory MS model, we identify strengthened microglia-node interactions at remission onset, with marked interindividual variability. Increased engagement correlates with a Th2-related cytokine signature, and IL13/IL4 are sufficient to enhance microglia-node contacts. High interaction levels associate with more pro-regenerative microglia, improved tissue repair and better functional recovery. Low-intensity physical exercise at remission onset further promotes microglia-node interaction, pro-regenerative microglia and improves recovery. Consistently, high microglia-node contact in MS tissue is associated with more extensive remyelination, underscoring this interaction as a key process in repair.

neuroscience↗

bioRxiv2025

Neuronal activity promotes repair by microglial reprogramming following demyelination

Microglia, the resident immune cells of the central nervous system (CNS), play a multifaceted role in neurological disorders. In multiple sclerosis (MS), a chronic demyelinating and neurodegenerative disease, microglia contribute to inflammation and tissue damage, but can also support repair by clearing myelin debris, limiting inflammation and promoting remyelination and neuroprotection. The timely transition from their pro-inflammatory to pro-regenerative states is essential for effective repair and, in chronic MS, persistent, defective microglial activation contributes to disease progression. Yet, the mechanisms underlying the microglial switch remain largely unknown. In this study, we demonstrate that neuronal activity can modulate microglial signature at the onset of remyelination in MS models, in a pattern-dependent manner. Transcriptomic analyses reveal a downregulation of pro-inflammatory, disease-associated microglial signatures alongside an upregulation of genes associated with oxidative phosphorylation and lipid metabolism, indicative of a shift toward pro-regenerative states following physiological activity enhancement. This activity-dependent reprogramming also extends to infiltrating monocytes and macrophages, collectively fostering a microenvironment favoring repair.

neuroscience↗