Department of Surgery, Feng Yuan Hospital, Taichung City, Taiwan.
Department of Anesthesiology, Taichung Veterans General Hospital, Taichung City, Taiwan; Department of Financial Engineering, Providence University, Taichung City, Taiwan; Department of Data Science and Big Data Analytics, Providence University, Taichung City, Taiwan.
Brain Behav Immun. 2021 Mar;93:194-205. doi: 10.1016/j.bbi.2021.01.012. Epub 2021 Jan 21.
Japanese Encephalitis Virus (JEV) is a neurotropic virus and its Central Nervous System (CNS) infection causes fatal encephalitis with high mortality and morbidity. Microglial activation and consequences of bystander damage appear to be the dominant mechanisms for Japanese Encephalitis and complications. Docosahexaenoic acid (DHA), an essential fatty acid and a major component of brain cell membranes, possesses additional biological activities, including anti-apoptosis, anti-inflammation, and neuroprotection. Through this study, we have provided experimental evidence showing the anti-inflammatory, neuroprotective, and anti-viral effects of DHA against JEV infection in rat Neuron/glia cultures. By Neuron/glia and Neuron cultures, DHA protected against neuronal cell death upon JEV infection and reduced JEV amplification. In Neuron/glia and Microglia cultures, the effects of DHA were accompanied by the downregulation of pro-inflammatory M1 microglia, upregulation of anti-inflammatory M2 microglia, and reduction of neurotoxic cytokine expression, which could be attributed to its interference in the Toll-Like Receptor (TLR), Mitogen-Activated Protein Kinase (MAPK), and Interferon/Janus Kinase/Signal Transducers and Activators of Transcription (Stat), along with the NF-κB, AP-1, and c-AMP Response Element Binding Protein (CREB) controlled transcriptional programs. Parallel anti-inflammatory effects against JEV infection were duplicated by G Protein-Coupled Receptor (GPR120) and GPR40 agonists and a reversal of DHA-mediated anti-inflammation was seen in the presence of GPR120 antagonist, while the GPR40 was less effectiveness. Since increasing evidence indicates its neuroprotection against neurodegenerative diseases, DHA is a proposed anti-inflammatory and neuroprotective candidate for the treatment of neuroinflammation-accompanied viral pathogenesis such as Japanese Encephalitis.
日本脑炎病毒(JEV)是一种神经嗜性病毒,其中枢神经系统(CNS)感染导致致命性脑炎,死亡率和发病率均较高。小胶质细胞激活和旁观者损伤的后果似乎是日本脑炎和并发症的主要机制。二十二碳六烯酸(DHA)是一种必需脂肪酸,也是脑细胞膜的主要成分,具有额外的生物学活性,包括抗细胞凋亡、抗炎和神经保护。通过这项研究,我们提供了实验证据,表明 DHA 对大鼠神经元/神经胶质细胞培养物中 JEV 感染具有抗炎、神经保护和抗病毒作用。通过神经元/神经胶质和神经元培养物,DHA 可防止 JEV 感染后的神经元细胞死亡并减少 JEV 扩增。在神经元/神经胶质和小胶质细胞培养物中,DHA 的作用伴随着促炎 M1 小胶质细胞的下调、抗炎 M2 小胶质细胞的上调以及神经毒性细胞因子表达的减少,这可归因于其对 Toll 样受体(TLR)、丝裂原活化蛋白激酶(MAPK)和干扰素/Janus 激酶/信号转导和转录激活剂(Stat)的干扰,以及 NF-κB、AP-1 和 c-AMP 反应元件结合蛋白(CREB)控制的转录程序。G 蛋白偶联受体(GPR120)和 GPR40 激动剂对 JEV 感染的抗炎作用与 DHA 相似,而 GPR120 拮抗剂的存在则逆转了 DHA 的抗炎作用,而 GPR40 的效果则较差。由于越来越多的证据表明其对神经退行性疾病具有神经保护作用,因此 DHA 是一种用于治疗伴有神经炎症的病毒发病机制的抗炎和神经保护候选药物,如日本脑炎。