Zhang Yi, Liu Lei, Liu Yun-Zi, Shen Xiao-Liang, Wu Teng-Yun, Zhang Ting, Wang Wei, Wang Yun-Xia, Jiang Chun-Lei
Laboratory of Stress Medicine, Faculty of Psychology and Mental Health (Drs Y. Zhang, L. Liu, Y.-Z. Liu, X.-L. Shen, T.-Y. Wu, W. Wang, Y.-X. Wang, and C.-L. Jiang) and Department of Naval Aviation Medicine (Dr T. Zhang), Second Military Medical University, Shanghai, China.
Int J Neuropsychopharmacol. 2015 Jan 20;18(8):pyv006. doi: 10.1093/ijnp/pyv006.
Evidence from both clinical and experimental research indicates that the immune-brain interaction plays a pivotal role in the pathophysiology of depression. A multi-protein complex of the innate immune system, the NLRP3 inflammasome regulates cleavage and secretion of proinflammatory cytokine interleukin-1β. The inflammasome detects various pathogen-associated molecule patterns and damage-associated molecule patterns, which then leads to a series of immune-inflammatory reactions.
To explore the role of inflammasome activation in the underlying biological mechanisms of depression, we established a mouse model of depression with unpredictable chronic mild stress.
Mice subjected to chronic mild stress for 4 weeks had significantly higher serum corticosterone levels, serum interleukin-1β levels, and hippocampal active interleukin-1β protein levels. They also displayed depressive-like symptoms, including decreased sucrose preference and increased immobility time. Moreover, the hippocampi of chronic mild stress-exposed mice had significantly higher activity of caspase-1, which accompanied by higher protein levels of NLRP3 and the apoptotic speck-containing protein with a card. Pretreatment with the NLRP3 inflammasome inhibitor VX-765 decreased serum and hippocampal levels of interleukin-1β protein and significantly moderated the depressive-like behaviors induced by chronic mild stress.
These data suggest the NLRP3 inflammasome mediates stress-induced depression via immune activation. Future procedures targeting the NLRP3 inflammasome may have promising effects in the prevention and treatment of depression.
临床和实验研究证据均表明,免疫与大脑的相互作用在抑郁症的病理生理学中起关键作用。天然免疫系统的一种多蛋白复合物,即NLRP3炎性小体,可调节促炎细胞因子白细胞介素-1β的切割和分泌。炎性小体可检测各种病原体相关分子模式和损伤相关分子模式,进而引发一系列免疫炎症反应。
为探究炎性小体激活在抑郁症潜在生物学机制中的作用,我们建立了不可预测的慢性轻度应激抑郁症小鼠模型。
遭受4周慢性轻度应激的小鼠血清皮质酮水平、血清白细胞介素-1β水平及海马中活性白细胞介素-1β蛋白水平显著升高。它们还表现出抑郁样症状,包括蔗糖偏好降低和不动时间增加。此外,暴露于慢性轻度应激的小鼠海马中半胱天冬酶-1的活性显著更高,同时伴有NLRP3及含半胱天冬酶激活和招募结构域的凋亡斑点蛋白的蛋白水平升高。用NLRP3炎性小体抑制剂VX-765预处理可降低血清和海马中白细胞介素-1β蛋白水平,并显著减轻慢性轻度应激诱导的抑郁样行为。
这些数据表明NLRP3炎性小体通过免疫激活介导应激诱导的抑郁症。未来针对NLRP3炎性小体的措施可能在抑郁症的预防和治疗中具有良好效果。