Laboratory of Pharmacology, Department of Health Sciences, University of Milan, Polo H. San Paolo, via A di Rudinì 8, 20142, Milan, Italy.
Pediatric Clinical Research Center Fondazione Romeo e Enrica Invernizzi, University of Milan, Milan, Italy.
J Neuroinflammation. 2018 Nov 30;15(1):333. doi: 10.1186/s12974-018-1375-2.
Parkinson's disease (PD) is the second most common neurodegenerative disease, presenting with midbrain dopaminergic neurons degeneration. A number of studies suggest that microglial activation may have a role in PD. It has emerged that inflammation-derived oxidative stress and cytokine-dependent toxicity may contribute to nigrostriatal pathway degeneration and exacerbate the progression of the disease in patients with idiopathic PD. Cell therapies have long been considered a feasible regenerative approach to compensate for the loss of specific cell populations such as the one that occurs in PD. We recently demonstrated that erythropoietin-releasing neural precursors cells (Er-NPCs) administered to MPTP-intoxicated animals survive after transplantation in the recipient's damaged brain, differentiate, and rescue degenerating striatal dopaminergic neurons. Here, we aimed to investigate the potential anti-inflammatory actions of Er-NPCs infused in an MPTP experimental model of PD.
The degeneration of dopaminergic neurons was caused by MPTP administration in C57BL/6 male mice. 2.5 × 10 GFP-labeled Er-NPCs were administered by stereotaxic injection unilaterally in the left striatum. Functional recovery was assessed by two independent behavioral tests. Neuroinflammation was investigated measuring the mRNAs levels of pro-inflammatory and anti-inflammatory cytokines, and immunohistochemistry studies were performed to evaluate markers of inflammation and the potential rescue of tyrosine hydroxylase (TH) projections in the striatum of recipient mice.
Er-NPC administration promoted a rapid anti-inflammatory effect that was already evident 24 h after transplant with a decrease of pro-inflammatory and increase of anti-inflammatory cytokines mRNA expression levels. This effect was maintained until the end of the observational period, 2 weeks post-transplant. Here, we show that Er-NPCs transplant reduces macrophage infiltration, directly counteracting the M1-like pro-inflammatory response of murine-activated microglia, which corresponds to the decrease of CD68 and CD86 markers, and induces M2-like pro-regeneration traits, as indicated by the increase of CD206 and IL-10 expression. Moreover, we also show that this activity is mediated by Er-NPCs-derived erythropoietin (EPO) since the co-injection of cells with anti-EPO antibodies neutralizes the anti-inflammatory effect of the Er-NPCs treatment.
This study shows the anti-inflammatory actions exerted by Er-NPCs, and we suggest that these cells may represent good candidates for cellular therapy to counteract neuroinflammation in neurodegenerative disorders.
帕金森病(PD)是第二常见的神经退行性疾病,表现为中脑多巴胺能神经元退化。许多研究表明,小胶质细胞激活可能在 PD 中起作用。炎症引起的氧化应激和细胞因子依赖性毒性可能导致黑质纹状体通路退化,并加剧特发性 PD 患者的疾病进展。细胞疗法长期以来被认为是一种可行的再生方法,可以补偿特定细胞群体的损失,例如 PD 中发生的细胞群体损失。我们最近证明,在 MPTP 中毒动物中给予促红细胞生成素释放神经前体细胞(Er-NPCs)后,这些细胞在受体受损的大脑中移植后存活、分化并挽救退化的纹状体多巴胺能神经元。在这里,我们旨在研究 Er-NPCs 在 PD 的 MPTP 实验模型中潜在的抗炎作用。
通过给予 C57BL/6 雄性小鼠 MPTP 来引起多巴胺能神经元的退化。通过立体定向注射将 2.5×10 GFP 标记的 Er-NPCs 单侧注入左纹状体。通过两项独立的行为测试评估功能恢复情况。通过测量促炎和抗炎细胞因子的 mRNAs 水平来研究神经炎症,并且进行免疫组织化学研究以评估炎症标志物和受体小鼠纹状体中酪氨酸羟化酶(TH)投射的潜在挽救情况。
Er-NPC 给药后迅速产生抗炎作用,在移植后 24 小时即可观察到,促炎细胞因子和抗炎细胞因子的 mRNA 表达水平降低。这种作用一直持续到观察期结束,即移植后 2 周。在这里,我们表明 Er-NPC 移植可减少巨噬细胞浸润,直接对抗激活的小胶质细胞的 M1 样促炎反应,这对应于 CD68 和 CD86 标志物的减少,并诱导 M2 样促再生特征,如 CD206 和 IL-10 表达增加。此外,我们还表明,这种活性是由 Er-NPCs 衍生的促红细胞生成素(EPO)介导的,因为细胞与抗 EPO 抗体的共注射会中和 Er-NPCs 治疗的抗炎作用。
这项研究表明了 Er-NPCs 发挥的抗炎作用,我们认为这些细胞可能是细胞疗法的良好候选物,可用于对抗神经退行性疾病中的神经炎症。