TRPM2 overactivation drives hyperlipidemia-induced dysfunction of myeloid cells and neurovascular units

Cell Rep Med. 2025 Mar 18;6(3):101998. doi: 10.1016/j.xcrm.2025.101998. Epub 2025 Mar 7.

Abstract

Hyperlipidemia induces cellular dysfunction and is strongly linked to various diseases. The transient receptor potential channel melastatin 2 (TRPM2) plays a critical role in endothelial injury, immune cell activation, and neuronal death. We reveal that TRPM2 expression in human peripheral leukocytes strongly correlates with plasma lipid levels. In middle-aged Apoe-/- mice, global, myeloid, and endothelial TRPM2 knockout or TRPM2 inhibition abolishes the hyperlipidemia-induced exacerbation of ischemic brain injury suggesting that TRPM2 overactivity caused by hyperlipidemia predisposes these cells to dysfunction during ischemia. Using a clinically relevant ischemic brain injury mouse model, we demonstrate TRPM2's pivotal role in mediating hyperlipidemia's detrimental effects on myeloid cells and neurovascular units. Our findings suggest that TRPM2 is a promising therapeutic target for alleviating neurodegenerative diseases exacerbated by hyperlipidemia, such as ischemic stroke. These results also highlight TRPM2 expression in peripheral blood as a potential biomarker for predicting stroke outcomes in hyperlipidemic patients.

Keywords: BBB; TRPM2; blood-brain-barrier damage; endothelial dysfunction; hyperlipidemia; myeloid cell activation; oxLDL; stroke.

MeSH terms

  • Animals
  • Apolipoproteins E / deficiency
  • Disease Models, Animal
  • Female
  • Humans
  • Hyperlipidemias* / complications
  • Hyperlipidemias* / metabolism
  • Hyperlipidemias* / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Middle Aged
  • Myeloid Cells* / metabolism
  • Myeloid Cells* / pathology
  • TRPM Cation Channels* / genetics
  • TRPM Cation Channels* / metabolism

Substances

  • TRPM Cation Channels
  • TRPM2 protein, mouse
  • TRPM2 protein, human
  • Apolipoproteins E