Zhang Bao, Yu Jing-Yi, Liu Li-Qun, Peng Liang, Chi Feng, Wu Chun-Hua, Jong Ambrose, Wang Shi-Fu, Cao Hong, Huang Sheng-He
Department of Microbiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, 510515, China.
Saban Research Institute of Childrens Hospital Los Angeles, Department of Pediatrics, University of Southern California, 4650 Sunset Blvd., Mailstop #51, Los Angeles, CA, 90027, USA.
BMC Infect Dis. 2015 Aug 19;15:352. doi: 10.1186/s12879-015-1075-9.
Cryptococcal meningitis is the most common fungal infection of the central nervous system (CNS) in HIV/AIDS. HIV-1 virotoxins (e.g., gp41) are able to induce disorders of the blood-brain barrier (BBB), which mainly consists of BMEC. Our recent study suggests that α7 nAChR is an essential regulator of inflammation, which contributes to regulation of NF-κB signaling, neuroinflammation and BBB disorders caused by microbial (e.g., HIV-1 gp120) and non-microbial [e.g., methamphetamine (METH)] factors. However, the underlying mechanisms for multiple comorbidities are unclear.
In this report, an aggravating role of α7 nAChR in host defense against CNS disorders caused by these comorbidities was demonstrated by chemical [inhibitor: methyllycaconitine (MLA)] and genetic (α7(-/-) mice) blockages of α7 nAChR.
As shown in our in vivo studies, BBB injury was significantly reduced in α7(-/-) mice infected with C. neoformans. Stimulation by the gp41 ectodomain peptide (gp41-I90) and METH was abolished in the α7(-/-) animals. C. neoformans and gp41-I90 could activate NF-κB. Gp41-I90- and METH-induced monocyte transmigration and senescence were significantly inhibited by MLA and CAPE (caffeic acid phenethyl ester, an NF-κB inhibitor).
Collectively, our data suggest that α7 nAChR plays a detrimental role in the host defense against C. neoformans- and HIV-1 associated comorbidity factors-induced BBB injury and CNS disorders.
隐球菌性脑膜炎是人类免疫缺陷病毒/获得性免疫综合征(HIV/AIDS)患者中枢神经系统(CNS)最常见的真菌感染。HIV-1病毒毒素(如gp41)能够诱发血脑屏障(BBB)功能紊乱,血脑屏障主要由脑微血管内皮细胞(BMEC)组成。我们最近的研究表明,α7烟碱型乙酰胆碱受体(α7 nAChR)是炎症的关键调节因子,有助于调节核因子κB(NF-κB)信号通路、神经炎症以及由微生物(如HIV-1 gp120)和非微生物[如甲基苯丙胺(METH)]因素引起的血脑屏障功能紊乱。然而,多种合并症的潜在机制尚不清楚。
在本报告中,通过化学方法[抑制剂:甲基lycaconitine(MLA)]和基因方法(α7基因敲除小鼠)阻断α7 nAChR,证明了α7 nAChR在宿主抵御这些合并症引起的中枢神经系统疾病中起加重作用。
如我们的体内研究所示,感染新型隐球菌的α7基因敲除小鼠血脑屏障损伤明显减轻。α7基因敲除动物对gp41胞外域肽(gp41-I90)和METH的刺激反应消失。新型隐球菌和gp41-I90可激活NF-κB。MLA和咖啡酸苯乙酯(CAPE,一种NF-κB抑制剂)可显著抑制gp41-I90和METH诱导的单核细胞迁移和衰老。
总体而言,我们的数据表明,αN7 nAChR在宿主抵御新型隐球菌和HIV-1相关合并症因素诱导的血脑屏障损伤和中枢神经系统疾病中起有害作用。