Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
CHU Sainte-Justine/Université de Montréal, Montreal, Quebec, Canada.
Brain Behav Immun. 2019 Oct;81:598-607. doi: 10.1016/j.bbi.2019.07.021. Epub 2019 Jul 20.
Activation of Toll-like receptor 3 (TLR3) was previously shown to contribute to the generation of epileptic seizures in rodents by evoking a proinflammatory response in the forebrain. This suggests that TLR3 blockade may provide therapeutic effects in epilepsy. We report that brain activation of TLR3 using the synthetic receptor ligand Poly I:C may also result in remarkable dose- and time-dependent inhibitory effects on acute seizures in mice without inducing inflammation. These inhibitory effects are associated with reduced neuronal excitability in the hippocampus as shown by a decrease in the population spike amplitude of CA1 pyramidal neurons following Schaffer collaterals stimulation. TLR3 activation which results in seizure inhibition does not evoke NF-kB-dependent inflammatory molecules or morphological activation of glia, however, it induces the alternative interferon (IFN) regulatory factor (IRF)-3/IFN-β signaling pathway. IFN-β reproduced the inhibitory effects of Poly I:C on neuronal excitability in hippocampal slices. Seizure inhibition attained with activation the TLR3-IRF3/IFN-β axis should be carefully considered when TLR3 are targeted for therapeutic purposes.
先前的研究表明,Toll 样受体 3(TLR3)的激活通过在前脑中引发促炎反应,有助于啮齿动物癫痫发作的产生。这表明 TLR3 阻断可能在癫痫中提供治疗效果。我们报告称,使用合成受体配体 Poly I:C 激活脑内 TLR3 也可能导致在没有诱导炎症的情况下,对小鼠急性癫痫发作产生显著的剂量和时间依赖性抑制作用。这些抑制作用与海马神经元兴奋性降低有关,如 Schaffer 侧支刺激后 CA1 锥体神经元群体峰幅度降低所示。TLR3 激活导致的癫痫抑制不会引发 NF-κB 依赖性炎症分子或神经胶质的形态激活,但会诱导替代干扰素(IFN)调节因子(IRF)-3/IFN-β信号通路。IFN-β 复制了 Poly I:C 对海马切片中神经元兴奋性的抑制作用。当 TLR3 被靶向用于治疗目的时,应仔细考虑通过激活 TLR3-IRF3/IFN-β 轴来实现癫痫抑制。