Departments of Neurosciences, and.
Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio 44195.
J Neurosci. 2020 Jan 8;40(2):447-458. doi: 10.1523/JNEUROSCI.0866-19.2019. Epub 2019 Nov 12.
Cognitive impairments are key features in multiple sclerosis (MS), a progressive disorder characterized by neuroinflammation-induced demyelination in the central nervous system. To understand the neural substrates that link demyelination to cognitive deficits in MS, we investigated hippocampal neurogenesis and synaptic connectivity of adult-born neurons, which play an essential role in cognitive function. The administration and withdrawal of the combination of cuprizone and rapamycin (Cup/Rap) in C57BL/6J male mice efficiently demyelinated and remyelinated the hippocampus, respectively. In the demyelinated hippocampus, neurogenesis was nearly absent in the dentate gyrus, which was due to inhibited proliferation of neural stem cells (NSCs). Specifically, radial glia-like type 1 NSCs were shifted from a proliferative state to a mitotically-quiescent state in the demyelinated hippocampus. In addition, dendritic spine densities of adult-born neurons were significantly decreased, indicating a reduction in synaptic connections between hippocampal newborn neurons and excitatory input neurons. Concomitant with hippocampal remyelination induced by withdrawal of Cup/Rap, proliferation of type 1 NSCs and dendritic spine densities of adult-born neurons reverted to normal in the hippocampus. Our study shows that proliferation of hippocampal NSCs and synaptic connectivity of adult-born neurons are inversely correlated with the level of demyelination, providing critical insight into hippocampal neurogenesis as a potential therapeutic target to treat cognitive deficits associated with MS. To identify the neural substrates that mediate cognitive dysfunctions associated with a majority of MS patients, we investigated hippocampal neurogenesis and structural development of adult-born neurons using a Cup/Rap model, which recapitulates the hippocampal demyelination that occurs in MS patients. A shift of NSCs from a proliferatively-active state to mitotically-quiescent state dramatically decreased neurogenesis in the demyelinated hippocampus. Formation of dendritic spines on newborn neurons was also impaired following demyelination. Interestingly, the altered neurogenesis and synaptic connectivity of newborn neurons were reversed to normal levels during remyelination. Thus, our study revealed reversible genesis and synaptic connectivity of adult-born neurons between the demyelinated and remyelinated hippocampus, suggesting hippocampal neurogenesis as a potential target to normalize cognitive impairments in MS patients.
认知障碍是多发性硬化症(MS)的主要特征,这是一种进行性疾病,其特征是中枢神经系统中的神经炎症引起脱髓鞘。为了了解将脱髓鞘与 MS 患者认知缺陷联系起来的神经基础,我们研究了成年新生神经元的海马神经发生和突触连接,它们在认知功能中起着至关重要的作用。在 C57BL/6J 雄性小鼠中给予和停用 cuprizone 和 rapamycin(Cup/Rap)的组合可分别有效地脱髓鞘和再髓鞘化海马。在脱髓鞘的海马中,齿状回中的神经发生几乎不存在,这是由于神经干细胞(NSCs)的增殖受到抑制。具体来说,在脱髓鞘的海马中,放射状胶质样 1 型 NSCs 从增殖状态转变为有丝分裂静止状态。此外,成年新生神经元的树突棘密度显著降低,表明海马新生神经元与兴奋性输入神经元之间的突触连接减少。随着 Cup/Rap 停药引起的海马再髓鞘化,1 型 NSCs 的增殖和成年新生神经元的树突棘密度在海马中恢复正常。我们的研究表明,海马 NSCs 的增殖和成年新生神经元的突触连接与脱髓鞘程度呈负相关,为海马神经发生作为治疗与 MS 相关认知缺陷的潜在治疗靶点提供了重要见解。为了确定介导与大多数 MS 患者相关的认知功能障碍的神经基础,我们使用 Cup/Rap 模型研究了海马神经发生和成年新生神经元的结构发育,该模型再现了 MS 患者发生的海马脱髓鞘。NSCs 从增殖活跃状态转变为有丝分裂静止状态会导致脱髓鞘海马中的神经发生急剧减少。脱髓鞘后,新生神经元上的树突棘形成也受损。有趣的是,在再髓鞘化过程中,新生神经元的改变神经发生和突触连接恢复到正常水平。因此,我们的研究揭示了脱髓鞘和再髓鞘海马之间成年新生神经元的可逆发生和突触连接,表明海马神经发生可能是使 MS 患者认知障碍正常化的潜在靶点。