Department of Physiology and Pharmacology, Faculty of Medicine, University of Cantabria, Santander, Spain.
Department of Molecular Neuropathology, Centro de Biología Molecular "Severo Ochoa", CBMSO, CSICUAM, Madrid, Spain; Network Center for Biomedical Research on Neurodegenerative Diseases (CIBERNED), Madrid, Spain; Department of Molecular Biology, Faculty of Sciences, Universidad Autónoma de Madrid, Madrid, Spain.
Brain Behav Immun. 2018 Oct;73:235-251. doi: 10.1016/j.bbi.2018.05.008. Epub 2018 May 31.
Down syndrome (DS) is characterized by structural and functional anomalies that are present prenatally and that lead to intellectual disabilities. Later in life, the cognitive abilities of DS individuals progressively deteriorate due to the development of Alzheimer's disease (AD)-associated neuropathology (i.e., β-amyloid (Aβ) plaques, neurofibrillary tangles (NFTs), neurodegeneration, synaptic pathology, neuroinflammation and increased oxidative stress). Increasing evidence has shown that among these pathological processes, neuroinflammation plays a predominant role in AD etiopathology. In AD mouse models, increased neuroinflammation appears earlier than Aβ plaques and NFTs, and in DS and AD models, neuroinflammation exacerbates the levels of soluble and insoluble Aβ species, favoring neurodegeneration. The Ts65Dn (TS) mouse, the most commonly used murine model of DS, recapitulates many alterations present in both DS and AD individuals, including enhanced neuroinflammation. In this study, we observed an altered neuroinflammatory milieu in the hippocampus of the TS mouse model. Pro-inflammatory mediators that were elevated in the hippocampus of this model included pro-inflammatory cytokine IL17A, which has a fundamental role in mediating brain damage in neuroinflammatory processes. Here, we analyzed the ability of an anti-IL17A antibody to reduce the neuropathological alterations that are present in TS mice during early neurodevelopmental stages (i.e., hippocampal neurogenesis and hypocellularity) or that are aggravated in later-life stages (i.e., cognitive abilities, cholinergic neuronal loss and increased cellular senescence, APP expression, Aβ peptide expression and neuroinflammation). Administration of anti-IL17 for 5 months, starting at the age of 7 months, partially improved the cognitive abilities of the TS mice, reduced the expression of several pro-inflammatory cytokines and the density of activated microglia and normalized the APP and Aβ levels in the hippocampi of the TS mice. These results suggest that IL17-mediated neuroinflammation is involved in several AD phenotypes in TS mice and provide a new therapeutic target to reduce these pathological characteristics.
唐氏综合征(DS)的特征是存在于产前的结构和功能异常,导致智力障碍。在生命后期,由于阿尔茨海默病(AD)相关神经病理学的发展(即β-淀粉样蛋白(Aβ)斑块、神经原纤维缠结(NFTs)、神经退行性变、突触病理学、神经炎症和氧化应激增加),DS 个体的认知能力逐渐恶化。越来越多的证据表明,在这些病理过程中,神经炎症在 AD 的发病机制中起着主要作用。在 AD 小鼠模型中,神经炎症的增加早于 Aβ 斑块和 NFTs,在 DS 和 AD 模型中,神经炎症加剧了可溶性和不溶性 Aβ 物种的水平,促进了神经退行性变。Ts65Dn(TS)小鼠是最常用于 DS 的小鼠模型,它重现了 DS 和 AD 个体中存在的许多改变,包括增强的神经炎症。在这项研究中,我们观察到 TS 小鼠模型海马体中的神经炎症微环境发生改变。该模型海马体中升高的促炎介质包括促炎细胞因子 IL17A,它在介导神经炎症过程中的脑损伤中起着至关重要的作用。在这里,我们分析了抗 IL17A 抗体降低 TS 小鼠在早期神经发育阶段(即海马神经发生和细胞减少)或在后期生命阶段(即认知能力、胆碱能神经元丧失和细胞衰老增加、APP 表达、Aβ 肽表达和神经炎症)加重的神经病理改变的能力。从 7 月龄开始,连续 5 个月给予抗 IL17A 治疗,部分改善了 TS 小鼠的认知能力,降低了几种促炎细胞因子的表达以及激活小胶质细胞的密度,并使 TS 小鼠海马体中的 APP 和 Aβ 水平正常化。这些结果表明,IL17 介导的神经炎症参与了 TS 小鼠的几种 AD 表型,并为减少这些病理特征提供了一个新的治疗靶点。