Department of Neurology, Fukushima Medical University, Fukushima, Japan.
IMS Shin Katsushika Royal Clinic, Tokyo, Japan.
Neuropathol Appl Neurobiol. 2018 Oct;44(6):628-638. doi: 10.1111/nan.12475. Epub 2018 Mar 4.
Glutamate neurotoxicity plays an important role in the pathogenesis of various neurodegenerative disorders. Many studies have demonstrated that glutamate transporter-1 (GLT-1), the dominant astrocytic glutamate transporter, is significantly reduced in the cerebral cortex of patients with Alzheimer's disease (AD), suggesting that glutamate-mediated excitotoxicity might contribute to the pathogenesis of AD. In a previous study, we have demonstrated marked alterations in the expression of the astrocytic water channel protein aquaporin-4 (AQP4) in relation to amyloid β deposition in human AD brains. As a functional complex, GLT-1 and AQP4 in astrocytes may play a neuroprotective role in the progression of AD pathology. However, few studies have examined the correlation between the expression of GLT-1 and that of AQP4 in human AD brain.
Here, using immunohistochemistry with antibodies against GLT-1 and AQP4, we studied the expression levels and distribution patterns of GLT-1 in areas showing various patterns of AQP4 expression in autopsied temporal lobes from eight patients with AD and five controls without neurological disorders.
GLT-1 staining in the control group was present throughout the neocortex as uniform neuropil staining with co-localized AQP4. The AD group showed a significant reduction in GLT-1 expression, whereas cortical AQP4 immunoreactivity was more intense in the AD group than in the control group. There were two different patterns of GLT-1 and AQP4 expression in the AD group: (i) uneven GLT-1 expression in the neuropil where diffuse but intense AQP4 expression was evident, and (ii) senile plaque-like co-expression of GLT-1 and AQP4.
These findings suggest disruption of glutamate/water homoeostasis in the AD brain.
谷氨酸神经毒性在各种神经退行性疾病的发病机制中起着重要作用。许多研究表明,谷氨酸转运体-1(GLT-1),即主要的星形胶质细胞谷氨酸转运体,在阿尔茨海默病(AD)患者的大脑皮质中显著减少,这表明谷氨酸介导的兴奋毒性可能导致 AD 的发病机制。在之前的一项研究中,我们已经证明了星形胶质细胞水通道蛋白 aquaporin-4(AQP4)的表达与人类 AD 大脑中的淀粉样 β 沉积有明显的改变。作为一个功能复合物,星形胶质细胞中的 GLT-1 和 AQP4 可能在 AD 病理进展中发挥神经保护作用。然而,很少有研究检查过人类 AD 大脑中 GLT-1 和 AQP4 的表达之间的相关性。
在这里,我们使用针对 GLT-1 和 AQP4 的免疫组织化学方法,研究了在 8 名 AD 患者和 5 名无神经障碍对照者的尸检颞叶中表现出不同 AQP4 表达模式的区域中 GLT-1 的表达水平和分布模式。
对照组的 GLT-1 染色在整个新皮质中呈均匀的神经突染色,并与共定位的 AQP4 一起存在。AD 组的 GLT-1 表达显著减少,而 AD 组的皮质 AQP4 免疫反应性比对照组更强。AD 组有两种不同的 GLT-1 和 AQP4 表达模式:(i)神经突中不均匀的 GLT-1 表达,其中弥漫但强烈的 AQP4 表达明显,以及(ii)GLT-1 和 AQP4 的老年斑样共表达。
这些发现表明 AD 大脑中的谷氨酸/水动态平衡受到破坏。