Very long chain sphingolipids govern brain myelination by regulating oligodendrocyte differentiation and membrane microdomain integrity
Myelin abnormalities, which have no effective treatment to-date, underlie numerous debilitating neurological disorders like Multiple Sclerosis (MS). While lipids constitute ~70% of myelin, the specific lipids critical for establishment of myelin sheath, and the mechanisms linking lipid metabolism to myelin assembly, have remained poorly defined, hindering therapeutic development. We generated central nervous system-specific (cKO-nestin) and oligodendrocyte-specific (cKO-OL) conditional knockout mice for Ceramide Synthase 2 (CerS2), which synthesizes very long-chain (VLC; C22–C24) ceramides. A multi-omics approach combining lipidomics, proteomics, and high-resolution mass spectrometry imaging (MSI) was employed to delineate the lipid and protein aberrations upon CerS2 knockout. Functional consequences were assessed using behavioral tests, electron microscopy, and in vitro myelination assays of dorsal root ganglion (DRG) neuron-oligodendrocyte precursor cells (OPCs) co-cultures. CerS2 knockout mice exhibited severe neurological phenotypes, including convulsions, premature lethality, and profound hypomyelination. Lipidomics revealed pathological lipid remodeling marked by drastic depletion of VLC sphingolipids and compensatory increases in shorter-chain (C16–C18) ceramides—a lipid profile clinically relevant to MS. MSI confirmed VLC sphingolipid loss was localized to disrupted white matter tracts. Crucially, wild-type brain lipid extracts, but not those from CerS2-knockout mice, rescued oligodendrocyte differentiation and myelination in vitro. Mechanistically, VLC sphingolipid loss ablated membrane microdomains, displacing myelin basic protein (MBP) from lipid rafts that jeopardizes normal myelination. Pharmacological disruption of microdomains recapitulated the myelination failure. Our findings define a novel pathogenic cascade where cell-autonomous loss of CerS2 impedes oligodendrocyte differentiation and depletes VLC sphingolipids, destabilizing membrane microdomains and impairing MBP localization, culminating in myelination failure. This work positions the CerS2-VLC sphingolipid axis as a potential therapeutic target for demyelinating diseases.
Authors
- Sin Man Lam (ORCID: https://orcid.org/0000-0001-9037-904X)
- Lesong Mo
- Han Sun (ORCID: https://orcid.org/0000-0002-7850-9574)
- Mingjun Cao
- Yanlin Tian
- Xiahe Huang
- Zhen Ni
- Yingchun Wang
- Shaohua Zhang
- Guanghou Shui
- Luyue Mo
Institutions
- Chinese Academy of Sciences (CN)
- Guangzhou Experimental Station (CN)
- LipidALL Technologies (China) (CN)
- Institute of Genetics and Developmental Biology (CN)
- Guangzhou Medical University Cancer Hospital (CN)
- University of Chinese Academy of Sciences (CN)
- Guangzhou Medical University (CN)
Publication Details
- Journal
- Journal of Translational Medicine
- Published
- 2026-02-19
- DOI
- https://doi.org/10.1186/s12967-026-07881-0
- Primary Topic
- Neurogenesis and neuroplasticity mechanisms
- Type
- article
- Field-Weighted Citation Impact
- 0.00