Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Utrecht, The Netherlands.
Platform Immunology, Danone Nutricia Research, Utrecht, The Netherlands.
Am J Physiol Lung Cell Mol Physiol. 2022 Sep 1;323(3):L251-L265. doi: 10.1152/ajplung.00485.2021. Epub 2022 Jun 14.
Brain-related comorbidities are frequently observed in chronic obstructive pulmonary disease (COPD) and are related to increased disease progression and mortality. To date, it is unclear which mechanisms are involved in the development of brain-related problems in COPD. In this study, a cigarette smoke and lipopolysaccharide (LPS) exposure murine model was used to induce COPD-like features and assess the impact on brain and behavior. Mice were daily exposed to cigarette smoke for 72 days, except for , , and , on which mice were intratracheally exposed to the bacterial trigger LPS. Emphysema and pulmonary inflammation as well as behavior and brain pathology were assessed. Cigarette smoke-exposed mice showed increased alveolar enlargement and numbers of macrophages and neutrophils in bronchoalveolar lavage. Cigarette smoke exposure resulted in lower body weight, which was accompanied by lower serum leptin levels, more time spent in the inner zone of the open field, and decreased claudin-5 and occludin protein expression levels in brain microvessels. Combined cigarette smoke and LPS exposure resulted in increased locomotion and elevated microglial activation in the hippocampus of the brain. These novel findings show that systemic inflammation observed after combined cigarette smoke and LPS exposure in this COPD model is associated with increased exploratory behavior. Findings suggest that neuroinflammation is present in the brain area involved in cognitive functioning and that blood-brain barrier integrity is compromised. These findings can contribute to our knowledge about possible processes involved in brain-related comorbidities in COPD, which is valuable for optimizing and developing therapy strategies.
脑相关合并症在慢性阻塞性肺疾病(COPD)中经常观察到,与疾病进展和死亡率增加有关。迄今为止,尚不清楚 COPD 中脑相关问题的发展涉及哪些机制。在这项研究中,使用香烟烟雾和脂多糖(LPS)暴露的小鼠模型来诱导 COPD 样特征,并评估其对大脑和行为的影响。小鼠每天暴露于香烟烟雾中 72 天,除了 、 、 和 天,这 4 天小鼠通过气管内暴露于细菌触发物 LPS。评估肺气肿和肺部炎症以及行为和大脑病理学。香烟烟雾暴露的小鼠表现出肺泡扩大和支气管肺泡灌洗液中巨噬细胞和中性粒细胞数量增加。香烟烟雾暴露导致体重下降,伴随着血清瘦素水平降低、在开放场的内区花费的时间增加以及大脑微血管中 Claudin-5 和 Occludin 蛋白表达水平降低。香烟烟雾和 LPS 联合暴露导致大脑海马体中的运动增加和小胶质细胞激活增加。这些新发现表明,在这种 COPD 模型中,香烟烟雾和 LPS 联合暴露后观察到的全身炎症与探索行为增加有关。研究结果表明,认知功能相关脑区存在神经炎症,血脑屏障完整性受损。这些发现可以帮助我们了解 COPD 中脑相关合并症可能涉及的过程,这对于优化和开发治疗策略非常有价值。