Department of Neurology, Zhongnan Hospital, Wuhan University, No.169, Donghu Road, Wuhan 430071, Hubei, China.
Department of Neurology, Zhongnan Hospital, Wuhan University, No.169, Donghu Road, Wuhan 430071, Hubei, China.
J Affect Disord. 2022 Aug 1;310:198-212. doi: 10.1016/j.jad.2022.04.087. Epub 2022 Apr 21.
Chronic cerebral hypoperfusion (CCH) has been gradually regarded as a common etiologic mechanism for cognitive and psychiatric disturbances. Ten-eleven translocation methylcytosine dioxygenase 1 (TET1) played an important role in adult hippocampal neurogenesis (AHN), neuronal circuits formation, cognition and psychiatric disorders. Enriched environment (EE) showed a beneficial effect on cognition and depression via effectively regulating AHN and glial reactivity. This study aimed to assess which strategy was feasible to improve cognition and psychiatric disturbances by comparing the TET1 hippocampal microinjection and EE in CCH models and to investigate the possible mechanisms.
CCH rats were established via permanent bilateral common carotid artery occlusion (2-VO). Rats were stereotaxically injected with the human catalytic domain of TET1 (hTET1) to overexpress the hTET1 in the hippocampus 10 days before 2-VO. 3 days after 2-VO, rats were subjected to standard environment or EE with free access to food and water. Behavioral tests were used to appraise depression and cognition before sacrifice. Epigenetic molecules, adult neurogenesis, synaptic proteins expression, and glial activation were analyzed using immunofluorescent staining, qRT-PCR and western blot.
In the present study, we found both EE and genetical treatment with overexpressing hTET1 were sufficient for stimulating AHN. However, promoting ANH could not deal with the cognitive dysfunction and depressive-like behaviors in CCH rats. Notably, a healthy local brain environment with elevated BDNF and astrocytes was conducive to improving cognitive dysfunction. Meanwhile, astrocytes were involved in the cognitive regulating process of neurons, presynaptic function and microglia. In general, we held that depressive disturbances were determined by BDNF levels, neuronal and presynaptic function, as well as glial activation containing astrocytes and microglia. To further support this point, we investigated severe depressive symptoms that were strongly correlated with the activation of astroglia and microglia. Importantly, causal mediation analysis showed significant mediation by the presence of reactive glial cells in the relation between neural plasticity and depressive symptoms. Finally, we showed EE performed better than hTET1 treatment for cognitive deficits and depression. EE with less glial reactivity was much more resistant to depression, while hTET1 with more glial activation was more vulnerable to depressive disorders.
EE was likely to be superior to TET1 hippocampal administration for cognition and psychiatric behaviors in CCH rats. Furthermore, a healthy local brain environment with elevated BDNF and astrocytes was conducive to improving cognitive dysfunction. More glial activation, and more vulnerable to depressive disorders. These results were important for our understanding of disease mechanisms and provided valuable tools for the overall management of CCH patients.
慢性脑灌注不足(CCH)已逐渐被认为是认知和精神障碍的共同病因机制。10-十一转位甲基胞嘧啶双加氧酶 1(TET1)在成年海马神经发生(AHN)、神经元回路形成、认知和精神障碍中发挥重要作用。丰富环境(EE)通过有效调节 AHN 和神经胶质反应,对认知和抑郁有有益的影响。本研究旨在通过比较 CCH 模型中的 TET1 海马微注射和 EE,评估哪种策略更能改善认知和精神障碍,并探讨可能的机制。
通过永久性双侧颈总动脉闭塞(2-VO)建立 CCH 大鼠模型。在 2-VO 前 10 天,大鼠通过立体定向注射人 TET1 的催化结构域(hTET1),使 hTET1 在海马中过表达。在 2-VO 后 3 天,大鼠置于标准环境或 EE 中,可自由摄取食物和水。在牺牲前,使用行为测试评估抑郁和认知。使用免疫荧光染色、qRT-PCR 和 Western blot 分析表观遗传分子、成年神经发生、突触蛋白表达和神经胶质激活。
在本研究中,我们发现 EE 和基因治疗过表达 hTET1 都足以刺激 AHN。然而,促进 AHN 并不能解决 CCH 大鼠的认知功能障碍和抑郁样行为。值得注意的是,具有升高的 BDNF 和星形胶质细胞的健康局部脑环境有利于改善认知功能障碍。同时,星形胶质细胞参与了神经元、突触前功能和小胶质细胞的认知调节过程。总的来说,我们认为抑郁障碍由 BDNF 水平、神经元和突触前功能以及包含星形胶质细胞和小胶质细胞的神经胶质激活决定。为了进一步支持这一点,我们研究了与星形胶质细胞和小胶质细胞激活强烈相关的严重抑郁症状。重要的是,因果中介分析表明,神经可塑性与抑郁症状之间的关系存在由反应性神经胶质细胞介导。最后,我们发现 EE 在认知缺陷和抑郁方面的表现优于 hTET1 治疗。EE 中的神经胶质反应较少,对抑郁的抵抗力更强,而 hTET1 中的神经胶质激活更多,更容易患抑郁障碍。
EE 可能优于 CCH 大鼠的 TET1 海马给药,用于认知和精神行为。此外,具有升高的 BDNF 和星形胶质细胞的健康局部脑环境有利于改善认知功能障碍。更多的神经胶质激活,更容易患抑郁障碍。这些结果对于我们理解疾病机制很重要,并为 CCH 患者的整体管理提供了有价值的工具。