Department of Anatomy, Sapporo Medical University School of Medicine, Sapporo, Japan.
Department of Health Sciences, School of medicine, Hokkaido University, Sapporo, Japan.
Front Immunol. 2021 Nov 3;12:692321. doi: 10.3389/fimmu.2021.692321. eCollection 2021.
Neuropsychiatric manifestations targeting the central, peripheral, and autonomic nervous system are common in systemic lupus erythematosus (SLE); collectively, these symptoms are termed neuropsychiatric SLE (NPSLE). Among a wide variety of neuropsychiatric symptoms, depression is observed in about 24-39% of SLE patients. Several cytokines and chemokines have been identified as biomarkers or therapeutic targets of NPSLE; in particular, the levels of type 1 interferons, TNFs, and IL-6 are elevated in SLE patient's cerebrospinal fluid (CSF), and these factors contribute to the pathology of depression. Here, we show that senescent neural cells accumulate in the hippocampal cornu ammonis 3 (CA3) region in MRL/lpr SLE model mice with depressive behavior. Furthermore, oral administration of fisetin, a senolytic drug, reduced the number of senescent neural cells and reduced depressive behavior in the MRL/lpr mice. In addition, transcription of several senescence and senescence-associated secretory phenotype (SASP) factors in the hippocampal region also decreased after fisetin treatment in the MRL/lpr mice. These results indicate that the accumulation of senescent neural cells in the hippocampus plays a role in NPSLE pathogenesis, and therapies targeting senescent cells may represent a candidate approach to treat NPSLE.
针对中枢、外周和自主神经系统的神经精神表现是红斑狼疮(SLE)的常见表现;这些症状统称为神经精神狼疮(NPSLE)。在各种神经精神症状中,约有 24-39%的 SLE 患者出现抑郁。一些细胞因子和趋化因子已被确定为 NPSLE 的生物标志物或治疗靶点;特别是,SLE 患者的脑脊液(CSF)中 1 型干扰素、TNFs 和 IL-6 的水平升高,这些因素导致了抑郁的病理。在这里,我们发现具有抑郁行为的 MRL/lpr SLE 模型小鼠的海马角 3(CA3)区积累了衰老的神经细胞。此外,衰老细胞溶解剂 fisetin 的口服给药减少了 MRL/lpr 小鼠中衰老神经细胞的数量并减轻了其抑郁行为。此外,在 MRL/lpr 小鼠中用 fisetin 治疗后,海马区域中几种衰老和衰老相关分泌表型(SASP)因子的转录也减少了。这些结果表明,海马中衰老神经细胞的积累在 NPSLE 的发病机制中起作用,针对衰老细胞的治疗方法可能是治疗 NPSLE 的候选方法。
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