DNA damage burden causes selective CUX2 neuron loss in neuroinflammation.
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| Abstract | Neurodegeneration shows regional and cell-type-specific patterns in ageing and disease, but the underlying mechanisms for cell-type-specific neuronal losses remain poorly understood. Previous studies have shown that upper cortical layer thinning occurs in progressive human multiple sclerosis (MS) and that cortical layer 2 and layer 3 (L2/3) excitatory neurons (L2/3ENs) that express CUT-like homeobox 2 (CUX2) are selectively vulnerable to degeneration. Here we report that L2/3ENs within MS cortical lesions have an elevated DNA damage burden. DNA damage and selective loss of L2/3ENs were recapitulated in diverse mouse models of demyelination and pan-cortical inflammation, confirming their intrinsic vulnerability. Functions of Cux2 and activating transcription factor 4 (Atf4) were essential for resilience of L2/3ENs during postnatal neuroinflammation, acting in neurons to enhance DNA double-strand break repair. Interferon-γ, a cytokine implicated in MS pathogenesis, was sufficient to elevate levels of reactive oxygen species, leading to DNA damage-mediated neuronal death in vitro, and caused selective depletion of L2/3 neurons in mice. These findings indicate that DNA damage burden and inadequate repair in CUX2 L2/3ENs contributes to selective vulnerability in neuroinflammatory injury. |
| Year of Publication | 2026
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| Journal | Nature
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| Date Published | 04/2026
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| ISSN | 1476-4687
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| DOI | 10.1038/s41586-026-10310-3
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| PubMed ID | 41922773
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