Du Bingying, Liang Meng, Zheng Huiwen, Fan Cunxiu, Zhang Hailing, Lu Xiaoyan, Du Zengkan, Lian Yongjie, Zhang Yanbo, Bi Xiaoying
Department of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, PR China; Department of Neurology, General Hospital of Central Theater Command of Chinese People's Liberation Army, Wuhan, PR China.
Department of Neurology, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai, PR China.
Neuroscience. 2020 Jul 1;438:169-181. doi: 10.1016/j.neuroscience.2020.05.011. Epub 2020 May 15.
White matter lesions are common when global cerebral ischemia (GCI) occurs in the elderly, and cause damage to neurological and psychological functions. Remyelination often fails because of the limited recruitment of oligodendrocyte progenitor cells (OPCs) to the demyelinated site or the inefficient differentiation of OPCs to mature oligodendrocytes (OLs). The activation of microglia, the most important immune cells in the central nervous system, and subsequent inflammation have been implicated in myelination repair disorder. Little is known about the role of the Fractalkine/CX3CR1 signaling pathway, the key regulator of microglia activation, on myelin in microglia. In this study, a GCI animal model was generated through bilateral common carotid artery occlusion to induce ischemic inflammation and white matter damage; then, we downregulated CX3CR1 by intracerebroventricular administration of neutralizing antibody anti-FKR. Downregulation of CX3CR1 significantly reversed the depression-like behavior and cognitive impairment in GCI mice. Activation of microglia was inhibited, and the peripheral inflammatory responses were also ameliorated as revealed by decreased serum levels of IL-1β, IL-6 and TNF-α. CX3CR1 block substantially reversed demyelination in striatum, cortex and hippocampus and promoted differentiation and maturation of OPCs into mature OLs in the hippocampus. No effect was found on myelin in the corpus callosum. Besides, hippocampal neurons were protected by anti-FKR treatment after GCI. Collectively, our data demonstrated that downregulating of the Fractalkine/CX3CR1 signaling pathway had an anti-depressant and cognition-improvement effect by inhibiting microglia activation, promoting OPCs maturation and remyelination.
白质病变在老年人发生全脑缺血(GCI)时很常见,并会损害神经和心理功能。由于少突胶质前体细胞(OPC)向脱髓鞘部位的募集有限或OPC向成熟少突胶质细胞(OL)的分化效率低下,髓鞘再生往往失败。小胶质细胞是中枢神经系统中最重要的免疫细胞,其激活及随后的炎症反应与髓鞘修复障碍有关。关于小胶质细胞激活的关键调节因子Fractalkine/CX3CR1信号通路在小胶质细胞髓鞘形成中的作用知之甚少。在本研究中,通过双侧颈总动脉闭塞建立GCI动物模型,以诱导缺血性炎症和白质损伤;然后,通过脑室内注射抗FKR中和抗体下调CX3CR1。CX3CR1的下调显著逆转了GCI小鼠的抑郁样行为和认知障碍。小胶质细胞的激活受到抑制,血清中IL-1β、IL-6和TNF-α水平降低表明外周炎症反应也得到改善。CX3CR1阻断显著逆转了纹状体、皮质和海马体的脱髓鞘,并促进了海马体中OPC向成熟OL的分化和成熟。在胼胝体的髓鞘上未发现影响。此外,GCI后抗FKR治疗可保护海马神经元。总的来说,我们的数据表明,下调Fractalkine/CX3CR1信号通路通过抑制小胶质细胞激活、促进OPC成熟和髓鞘再生,具有抗抑郁和改善认知的作用。