Department of Psychology & Neuroscience, University of North Carolina, Chapel Hill, NC, USA.
Department of Chemistry & Biochemistry, North Carolina Central University, Durham, NC, USA.
Mol Cell Neurosci. 2017 Sep;83:92-102. doi: 10.1016/j.mcn.2017.07.003. Epub 2017 Jul 19.
In the era of combined antiretroviral therapy (cART), human immunodeficiency virus type 1 (HIV-1) is considered a chronic disease that specifically targets the brain and causes HIV-1-associated neurocognitive disorders (HAND). Endocannabinoids (eCBs) elicit neuroprotective and anti-inflammatory actions in several central nervous system (CNS) disease models, but their effects in HAND remain unknown. HIV-1 does not infect neurons, but produces viral toxins, such as transactivator of transcription (Tat), that disrupt neuronal calcium equilibrium and give rise to synaptodendritic injuries and cell death, the former being highly correlated with HAND. Consequently, we tested whether the eCBs N-arachidonoylethanolamine (anandamide/AEA) and 2-arachidonoyl-glycerol (2-AG) offer neuroprotective actions in a neuronal culture model. Specifically, we examined the neuroprotective actions of these eCBs on Tat excitotoxicity in primary cultures of prefrontal cortex neurons (PFC), and whether cannabinoid receptors mediate this neuroprotection. Tat-induced excitotoxicity was reflected by increased intracellular calcium levels, synaptodendritic damage, neuronal excitability, and neuronal death. Further, upregulation of cannabinoid 1 receptor (CBR) protein levels was noted in the presence of HIV-1 Tat. The direct application of AEA and 2-AG reduced excitotoxic levels of intracellular calcium and promoted neuronal survival following Tat exposure, which was prevented by the CBR antagonist rimonabant, but not by the CBR antagonist AM630. Overall, our findings indicate that eCBs protect PFC neurons from Tat excitotoxicity in vitro via a CBR-related mechanism. Thus, the eCB system possesses promising targets for treatment of neurodegenerative disorders associated with HIV-1 infection.
在联合抗逆转录病毒疗法 (cART) 时代,人类免疫缺陷病毒 1 型 (HIV-1) 被认为是一种专门针对大脑的慢性疾病,可导致 HIV-1 相关神经认知障碍 (HAND)。内源性大麻素 (eCBs) 在几种中枢神经系统 (CNS) 疾病模型中具有神经保护和抗炎作用,但它们在 HAND 中的作用尚不清楚。HIV-1 并不感染神经元,而是产生病毒毒素,如转录激活因子 (Tat),破坏神经元钙平衡,并导致突触树突损伤和细胞死亡,前者与 HAND 高度相关。因此,我们测试了内源性大麻素 N-花生四烯酰乙醇胺 (anandamide/AEA) 和 2-花生四烯酰甘油 (2-AG) 是否在神经元培养模型中具有神经保护作用。具体而言,我们研究了这些内源性大麻素对原代前额叶皮质神经元 (PFC) 中 Tat 兴奋性毒性的神经保护作用,以及大麻素受体是否介导这种神经保护作用。Tat 诱导的兴奋性毒性表现为细胞内钙水平升高、突触树突损伤、神经元兴奋性和神经元死亡。此外,在存在 HIV-1 Tat 的情况下,大麻素 1 型受体 (CBR) 蛋白水平上调。AEA 和 2-AG 的直接应用可降低 Tat 暴露后细胞内钙的兴奋性毒性,并促进神经元存活,该作用可被 CBR 拮抗剂 rimonabant 阻断,但不能被 CBR 拮抗剂 AM630 阻断。总之,我们的研究结果表明,内源性大麻素通过 CBR 相关机制保护 PFC 神经元免受 Tat 兴奋性毒性的体外损伤。因此,内源性大麻素系统为治疗与 HIV-1 感染相关的神经退行性疾病提供了有希望的靶点。
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