Cells that normally nourish healthy brain cells called neurons release toxic fatty acids after neurons are damaged, a new study in rodents shows. This phenomenon is likely the driving factor behind most, if not all, diseases that affect brain function, as well as the natural breakdown of brain cells seen in aging, researchers say.

Previous research has pointed to astrocytes—a star-shaped glial cell of the central nervous system—as the culprits behind cell death seen in Parkinson’s disease, Alzheimer’s disease, and dementia, among other neurodegenerative diseases. While many experts believed that these cells released a neuron-killing molecule to “clear away” damaged brain cells, the identity of this toxin has until now remained a mystery.

Led by researchers at NYU Grossman School of Medicine, the new investigation provides what they say is the first evidence that tissue damage prompts astrocytes to produce two kinds of fats, long-chain saturated free fatty acids and phosphatidylcholines. These fats then trigger cell death in damaged neurons, the electrically active cells that send messages throughout nerve tissue.

Published October 6 in the journal Nature, the study also showed that when researchers blocked fatty acid formation in mice, 75 percent of neurons survived compared with 10 percent when the fatty acids were allowed to form. The researchers’ earlier work showed that brain cells continued to function when shielded from astrocyte attacks.

“Our findings show that the toxic fatty acids produced by astrocytes play a critical role in brain cell death and provide a promising new target for treating, and perhaps even preventing, many neurodegenerative diseases,” says study co-senior author Shane A. Liddelow, PhD.

Dr. Liddelow, an assistant professor in the Department of Neuroscience and Physiology and co-director of the Parekh Center for Interdisciplinary Neurology at NYU Langone Health, adds that targeting these fats instead of the cells that produce them may be a safer approach to treating neurodegenerative diseases because astrocytes feed nerve cells and clear away their waste. Stopping them from working altogether could interfere with healthy brain function.

Although it remains unclear why astrocytes produce these toxins, it is possible they evolved to destroy damaged cells before they can harm their neighbors, says Dr. Liddelow. He notes that while healthy cells are not harmed by the toxins, neurons become susceptible to the damaging effects when they are injured, mutated, or infected by prions, the contagious, misfolded proteins that play a major role in mad cow disease and similar illnesses. Perhaps in chronic diseases like dementia, this otherwise helpful process goes off track and becomes a problem, the study authors say.

For the investigation, researchers analyzed the molecules released by astrocytes collected from rodents. They also genetically engineered some groups of mice to prevent the normal production of the toxic fats and looked to see whether neuron death occurred after an acute injury.

“Our results provide what is likely the most detailed molecular map to date of how tissue damage leads to brain cell death, enabling researchers to better understand why neurons die in all kinds of diseases,” says Dr. Liddelow, also an assistant professor in the Department of Ophthalmology at NYU Langone.

Dr. Liddelow cautions that while the findings are promising, the genetic techniques used to block the enzyme that produces toxic fatty acids in mice are not ready for use in humans. As a result, the researchers next plan is to explore safe and effective ways to interfere with the release of the toxins in human patients. Dr. Liddelow and his colleagues had previously shown these neurotoxic astrocytes in the brains of patients with Parkinson’s disease, Huntington’s disease, and multiple sclerosis, among other diseases.

Funding for the study was provided by National Institutes of Health grants P30 CA124435, S10 RR027425, UL1 TR002529, and P30 CA023168. Further funding support was provided by the Cure Alzheimer’s Fund, The Blas Frangione Foundation, the U.S. Department of Defense, the Purdue Integrative Data Science Institute award, the Stark Neurosciences Research Institute, the Indiana Alzheimer Disease Center, and Eli Lilly. Dr. Liddelow maintains a financial interest in AstronauTx Ltd, a company targeting astrocytes as a possible treatment target for Alzheimer’s disease. The terms and conditions are being managed in accordance with the policies of NYU Langone.

In addition to Dr. Liddelow, other NYU Langone investigators involved in the study were Philip Hasel, PhD, and Uriel Rufen-Blanchette. Other study authors were first author Kevin Guttenplan, PhD; Maya Weigel, BA; Aaron Gilter, PhD; and co-senior author Ben Barres, MD, PhD, at Stanford University in Palo Alto, California; Priya Prakash, PhD; Prageeth Wijewardhane; Jonathan Fine, PhD; and Guarav Chopra, PhD, at Purdue University in West Lafayette, Indiana; and Mikaela Neal, BS, and Kimberley Bruce, PhD, at the University of Colorado in Aurora.

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