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作者:张月蔓
单位:Renji Hospital, Shanghai Jiao Tong University School of Medicine

摘要

Stroke recovery is limited by chronic inflammation, but how metabolic stress disrupts reparative immunity remains unclear. Here we show that microglial cholesterol 25-hydroxylase (CH25H) promotes white-matter repair by restraining CD8⁺ T-cell activation after ischaemic stroke. Ch25h was suppressed in dietary and genetic models of hypercholesterolaemia and dynamically induced in microglia after stroke. Inducible deletion of Ch25h in CX3CR1-lineage cells impaired survival, neurological and cognitive recovery, enlarged chronic lesions and aggravated myelin loss. Integrated single-cell transcriptomic and cytometric profiling showed that Ch25h-deficient microglia adopted antigen-presenting and T-cell-interacting states, accompanied by expansion and local clustering of activated CD8⁺ T cells. Mechanistically, CH25H loss caused free-cholesterol accumulation and enlarged membrane lipid rafts, increasing MHC-I clustering and antigen presentation. Depletion of CD8⁺ T cells during the repair phase reduced lesion burden, preserved white-matter integrity and rescued survival and cognitive recovery in Ch25h-deficient mice, establishing CD8⁺ T cells as necessary mediators of the phenotype. These findings define a CH25H–cholesterol–lipid raft–MHC-I–CD8 axis that links metabolic dysfunction to failed brain repair and identify microglial cholesterol handling as a therapeutic target for post-stroke recovery.

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