Institute for Biomedical Imaging and Life Sciences (IBILI), Faculty of Medicine, University of Coimbra, Coimbra, Portugal; Institute of Pharmacology and Experimental Therapeutics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal; CNC.IBILI, University of Coimbra, Coimbra, Portugal.
Institute for Biomedical Imaging and Life Sciences (IBILI), Faculty of Medicine, University of Coimbra, Coimbra, Portugal; Institute of Pharmacology and Experimental Therapeutics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal; CNC.IBILI, University of Coimbra, Coimbra, Portugal.
Brain Behav Immun. 2017 May;62:306-317. doi: 10.1016/j.bbi.2017.02.017. Epub 2017 Feb 24.
Methamphetamine (METH) is a highly addictive psychostimulant drug that can lead to neurological and psychiatric abnormalities. Several studies have explored the central impact of METH use, but the mechanism(s) underlying blood-brain barrier (BBB) dysfunction and associated neuroinflammatory processes after chronic METH consumption are still unclear. Important findings in the field are mainly based on in vitro approaches and animal studies using an acute METH paradigm, and not much is known about the neurovascular alterations under a chronic drug use. Thus, the present study aimed to fill this crucial gap by exploring the effect of METH-self administration on BBB function and neuroinflammatory responses. Herein, we observed an increase of BBB permeability characterized by Evans blue and albumin extravasation in the rat hippocampus and striatum triggered by extended-access METH self-administration followed by forced abstinence. Also, there was a clear structural alteration of blood vessels showed by the down-regulation of collagen IV staining, which is an important protein of the endothelial basement membrane, together with a decrease of intercellular junction protein levels, namely claudin-5, occludin and vascular endothelial-cadherin. Additionally, we observed an up-regulation of vascular cell and intercellular adhesion molecule, concomitant with the presence of T cell antigen CD4 and tissue macrophage marker CD169 in the brain parenchyma. Rats trained to self-administer METH also presented a neuroinflammatory profile characterized by microglial activation, astrogliosis and increased pro-inflammatory mediators, namely tumor necrosis factor-alpha, interleukine-1 beta, and matrix metalloproteinase-9. Overall, our data provide new insights into METH abuse consequences, with a special focus on neurovascular dysfunction and neuroinflammatory response, which may help to find novel approaches to prevent or diminish brain dysfunction triggered by this overwhelming illicit drug.
甲基苯丙胺(METH)是一种高度成瘾的精神兴奋剂药物,可导致神经和精神异常。多项研究探索了 METH 使用对中枢神经系统的影响,但慢性 METH 消耗后血脑屏障(BBB)功能障碍和相关神经炎症过程的机制仍不清楚。该领域的重要发现主要基于体外方法和使用急性 METH 范式的动物研究,对于慢性药物使用下的神经血管变化知之甚少。因此,本研究旨在通过探索 METH 自我给药对 BBB 功能和神经炎症反应的影响来填补这一关键空白。在此,我们观察到,在延长的 METH 自我给药后,伴随着强制戒断,大鼠海马和纹状体中 BBB 通透性增加,表现为 Evans 蓝和白蛋白外渗,这表明 BBB 通透性增加。此外,还观察到血管结构发生明显改变,表现为胶原 IV 染色下调,这是内皮基底膜的重要蛋白,同时细胞间连接蛋白水平下降,即 Claudin-5、Occludin 和血管内皮钙黏蛋白。此外,我们观察到血管细胞和细胞间黏附分子上调,同时在脑组织中存在 T 细胞抗原 CD4 和组织巨噬细胞标记物 CD169。经过 METH 自我给药训练的大鼠也表现出神经炎症特征,包括小胶质细胞激活、星形胶质细胞增生和促炎介质增加,即肿瘤坏死因子-α、白细胞介素-1β和基质金属蛋白酶-9。总的来说,我们的数据提供了对 METH 滥用后果的新见解,特别关注神经血管功能障碍和神经炎症反应,这可能有助于寻找预防或减轻这种压倒性非法药物引发的脑功能障碍的新方法。