Department of Education and Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Glia. 2012 Mar;60(3):487-501. doi: 10.1002/glia.22282. Epub 2011 Dec 5.
The substantial activation of microglia in Japanese encephalitis virus (JEV)-induced Japanese encephalitis found in numerous studies demonstrates that the disease pathogenesis involves bystander damage caused by microglia-released mediators. Previously, we reported that microglia synthesized and secreted bioactive mediators with neurotoxic potential into the cultured supernatants in response to JEV infection. In this study, we found that the supernatants of JEV-infected microglia caused MK801-inhibitable neuronal damage in cultured neurons, indicating a potential excitotoxic mechanism. Infection with JEV was found to elicit the extracellular glutamate accumulation from microglia but not from neuron and astrocyte cultures. The glutaminase inhibitor 6-diazo-5-oxo-L-norleucine, cystine/glutamate antiporter inhibitor α-aminoadipic acid, and the gap junction inhibitor carbenoxolone reduced JEV infection-induced microglial glutamate release and neurotoxicity. We further demonstrated that tumor necrosis factor-alpha (TNF-α) was a key cytokine which stimulated extensive microglial glutamate release by up-regulating glutaminase expression via signals involving protein kinase C, cAMP responsive element-binding protein, and CAAT-enhancer-binding protein-beta. Although the elevated expression of excitatory amino acid transporter 1 and 2 was observed in JEV-infected cells, the glutamate uptake activity was significantly inhibited by TNF-α. The JEV infection-induced alterations, such as the extracellular glutamate release and glutamate-mediated excitoneurotoxicity, also occurred in neuron/glia cultures. Our findings support a potential link between neuroinflammation and the development of excitotoxic neuronal injury in Japanese encephalitis. The link between neuroinflammation and excitotoxic death may involve a mechanism in which TNF-α released by microglia plays a facilitory role in glutamate excitoneurotoxicity via up-regulation of glutamate synthesis and down-regulation of glutamate uptake.
在许多研究中发现,日本脑炎病毒(JEV)诱导的日本脑炎中,小胶质细胞的大量激活表明,疾病的发病机制涉及小胶质细胞释放的介质引起的旁观者损伤。此前,我们报道小胶质细胞在 JEV 感染后合成并分泌具有神经毒性潜力的生物活性介质到培养上清液中。在这项研究中,我们发现 JEV 感染的小胶质细胞的上清液在培养的神经元中引起 MK801 可抑制的神经元损伤,表明存在潜在的兴奋性毒性机制。研究发现,JEV 感染会引起小胶质细胞而非神经元和星形胶质细胞培养物中外源性谷氨酸的积累。谷氨酰胺酶抑制剂 6-二氮-5-氧代-L-正亮氨酸、胱氨酸/谷氨酸反向转运体抑制剂 α-氨基戊二酸和缝隙连接抑制剂 carbenoxolone 降低了 JEV 感染诱导的小胶质细胞谷氨酸释放和神经毒性。我们进一步证明,肿瘤坏死因子-α(TNF-α)是一种关键细胞因子,通过涉及蛋白激酶 C、cAMP 反应元件结合蛋白和 CAAT 增强子结合蛋白-β的信号上调谷氨酰胺酶表达,刺激广泛的小胶质细胞谷氨酸释放。尽管在 JEV 感染的细胞中观察到兴奋性氨基酸转运体 1 和 2 的表达上调,但 TNF-α 显著抑制了谷氨酸摄取活性。JEV 感染诱导的改变,如细胞外谷氨酸释放和谷氨酸介导的兴奋毒性,也发生在神经元/神经胶质细胞培养物中。我们的研究结果支持神经炎症与日本脑炎中兴奋性神经元损伤发展之间存在潜在联系。神经炎症与兴奋毒性死亡之间的联系可能涉及一种机制,即小胶质细胞释放的 TNF-α 通过上调谷氨酸合成和下调谷氨酸摄取,在谷氨酸兴奋毒性中发挥促进作用。