Neuroimmunology Research Group, Department of Physiology, School of Medicine & Trinity College Institute of Neuroscience, Trinity College, Dublin 2, Ireland.
J Neuroimmunol. 2010 Mar 30;220(1-2):34-42. doi: 10.1016/j.jneuroim.2009.12.007. Epub 2010 Jan 12.
Evidence suggests that noradrenaline has a tonic anti-inflammatory action in the central nervous system (CNS) via its ability to inhibit expression of inflammatory mediators from glial cells. Consequently it is suggested that noradrenaline may play an endogenous neuroprotective role in CNS disorders where inflammatory events contribute to pathology. Infiltration of peripheral immune cells into the brain is driven by increased chemokine and cell adhesion molecule (CAM) expression, and is known to exacerbate neuroinflammation and thereby contribute to the disease process in a number of neurodegenerative disease states. Here we demonstrate that treatment of rats with the noradrenaline reuptake inhibitors (NRIs) desipramine and atomoxetine, agents that increase extracellular noradrenaline in the CNS, suppressed chemokine and cell adhesion molecule (CAM) expression in rat brain following a systemic challenge with bacterial lipopolysaccharide (LPS). Specifically, these agents reduced expression of the chemokines, interferon-inducible protein-10 (IP-10, CXCL-10) and regulated upon activation normal T-cell expressed and secreted (RANTES, CCL-5), and the CAMs, vascular cell adhesion molecule-1 (VCAM-1) and intercellular adhesion molecule (ICAM-1) in cortex and hippocampus. The inhibitory action of NRIs on chemokines and CAM expression was mimicked by in vitro exposure of cultured glial cells to noradrenaline, but not to the NRIs themselves. These data indicate that the suppressive action of NRIs on chemokine and CAM expression that occurs in vivo is due to increased noradrenaline availability at glial cells, as opposed to a direct action of the drugs on glial cells per se. These results support the theory that noradrenaline has anti-inflammatory properties, and agents that increase noradrenaline availability in vivo can play a role in combating brain inflammation by reducing expression of chemokines and CAMs; molecules that facilitate leucocyte influx into the CNS.
有证据表明,去甲肾上腺素通过抑制神经胶质细胞中炎症介质的表达,对中枢神经系统(CNS)具有紧张性抗炎作用。因此,人们认为去甲肾上腺素可能在炎症事件导致病理的 CNS 疾病中发挥内源性神经保护作用。外周免疫细胞浸润大脑是由趋化因子和细胞黏附分子(CAM)表达增加驱动的,并且已知会加剧神经炎症,从而在许多神经退行性疾病状态下促进疾病进程。在这里,我们证明用去甲肾上腺素再摄取抑制剂(NRIs)去甲丙咪嗪和托莫西汀治疗大鼠,这些药物增加中枢神经系统中的细胞外去甲肾上腺素,可抑制大鼠大脑在全身接受细菌脂多糖(LPS)挑战后的趋化因子和细胞黏附分子(CAM)表达。具体而言,这些药物降低了趋化因子干扰素诱导蛋白-10(IP-10,CXCL-10)和激活正常 T 细胞表达和分泌的调节因子(RANTES,CCL-5)以及细胞黏附分子血管细胞黏附分子-1(VCAM-1)和细胞间黏附分子(ICAM-1)在皮质和海马中的表达。体外培养的神经胶质细胞暴露于去甲肾上腺素可模拟 NRIs 对趋化因子和 CAM 表达的抑制作用,但对 NRIs 本身则没有抑制作用。这些数据表明,NRIs 在体内对趋化因子和 CAM 表达的抑制作用是由于神经胶质细胞中去甲肾上腺素可用性增加所致,而不是药物本身对神经胶质细胞的直接作用。这些结果支持了去甲肾上腺素具有抗炎特性的理论,并且增加体内去甲肾上腺素可用性的药物可以通过减少趋化因子和 CAM 的表达来发挥作用,从而减少白细胞流入中枢神经系统;分子促进白细胞流入中枢神经系统。