Laboratory of Neuroendocrine Biochemistry, Instituto de Biología y Medicina Experimental-CONICET, Vuelta de Obligado 2490, 1428, Buenos Aires, Argentina.
Department of Human Biochemistry, Faculty of Medicine, University of Buenos Aires, Paraguay 2155, 1425, Buenos Aires, Argentina.
Cell Mol Neurobiol. 2022 Jan;42(1):23-40. doi: 10.1007/s10571-021-01118-y. Epub 2021 Jun 17.
Progesterone regulates a number of processes in neurons and glial cells not directly involved in reproduction or sex behavior. Several neuroprotective effects are better observed under pathological conditions, as shown in the Wobbler mouse model of amyotrophic laterals sclerosis (ALS). Wobbler mice are characterized by forelimb atrophy due to motoneuron degeneration in the spinal cord, and include microgliosis and astrogliosis. Here we summarized current evidence on progesterone reversal of Wobbler neuropathology. We demonstrated that progesterone decreased motoneuron vacuolization with preservation of mitochondrial respiratory complex I activity, decreased mitochondrial expression and activity of nitric oxide synthase, increased Mn-dependent superoxide dismutase, stimulated brain-derived neurotrophic factor, increased the cholinergic phenotype of motoneurons, and enhanced survival with a concomitant decrease of death-related pathways. Progesterone also showed differential effects on glial cells, including increased oligodendrocyte density and downregulation of astrogliosis and microgliosis. These changes associate with reduced anti-inflammatory markers. The enhanced neurochemical parameters were accompanied by longer survival and increased muscle strength in tests of motor behavior. Because progesterone is locally metabolized to allopregnanolone (ALLO) in nervous tissues, we also studied neuroprotection by this derivative. Treatment of Wobbler mice with ALLO decreased oxidative stress and glial pathology, increased motoneuron viability and clinical outcome in a progesterone-like manner, suggesting that ALLO could mediate some progesterone effects in the spinal cord. In conclusion, the beneficial effects observed in different parameters support the versatile properties of progesterone and ALLO in a mouse model of motoneuron degeneration. The studies foresee future therapeutic opportunities with neuroactive steroids for deadly diseases like ALS.
孕激素调节神经元和神经胶质细胞中的许多过程,这些过程与生殖或性行为不直接相关。一些神经保护作用在病理条件下表现得更好,如在肌萎缩侧索硬化症(ALS)的 wobbler 小鼠模型中所示。 wobbler 小鼠的特征是由于脊髓中的运动神经元退化导致前肢萎缩,包括小胶质细胞增生和星形胶质细胞增生。在这里,我们总结了孕激素逆转 wobbler 神经病理学的当前证据。我们证明,孕激素减少了运动神经元空泡化,同时保持了线粒体呼吸复合物 I 的活性,减少了线粒体中一氧化氮合酶的表达和活性,增加了 Mn 依赖性超氧化物歧化酶,刺激了脑源性神经营养因子,增加了运动神经元的胆碱能表型,并通过同时减少与死亡相关的途径来增强生存能力。孕激素对神经胶质细胞也表现出不同的作用,包括增加少突胶质细胞密度,并下调星形胶质细胞和小胶质细胞增生。这些变化与抗炎标志物的减少有关。增强的神经化学参数伴随着更长的生存时间和运动行为测试中肌肉力量的增加。由于孕激素在神经组织中局部代谢为别孕烯醇酮(ALLO),我们也研究了这种衍生物的神经保护作用。 wobbler 小鼠用 ALLO 治疗可减少氧化应激和神经胶质病理,以类似于孕激素的方式增加运动神经元的活力和临床结果,这表明 ALLO 可以在脊髓中介导孕激素的一些作用。总之,不同参数观察到的有益效果支持孕激素和 ALLO 在运动神经元退化的小鼠模型中的多功能特性。这些研究为使用神经活性甾体治疗致命疾病(如 ALS)提供了未来的治疗机会。