Capsoni Simona, Arisi Ivan, Malerba Francesca, D'Onofrio Mara, Cattaneo Antonino, Cherubini Enrico
Bio@SNS Laboratory of Biology, Scuola Normale Superiore, 56126 Pisa, Italy.
Section of Physiology, Department of Neuroscience and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.
Brain Sci. 2022 Jun 15;12(6):783. doi: 10.3390/brainsci12060783.
GABA, the main inhibitory neurotransmitter in the adult brain, depolarizes and excites immature neurons because of an initially higher intracellular chloride concentration [Cl]i due to the delayed expression of the chloride exporter KCC2 at birth. Depolarization-induced calcium rise via NMDA receptors and voltage-dependent calcium channels is instrumental in shaping neuronal circuits and in controlling the excitatory (E)/inhibitory (I) balance in selective brain areas. An E/I imbalance accounts for cognitive impairment observed in several neuropsychiatric disorders. The aim of this review is to summarize recent data on the mechanisms by which alterations of GABAergic signaling alter the E/I balance in cortical and hippocampal neurons in Alzheimer's disease (AD) and the role of cation-chloride co-transporters in this process. In particular, we discuss the NGF and AD relationship and how mice engineered to express recombinant neutralizing anti-NGF antibodies (AD11 mice), which develop a neurodegenerative pathology reminiscent of that observed in AD patients, exhibit a depolarizing action of GABA due to KCC2 impairment. Treating AD and other forms of dementia with bumetanide, a selective KCC2 antagonist, contributes to re-establishing a proper E/I balance in selective brain areas, leading to amelioration of AD symptoms and the slowing down of disease progression.
γ-氨基丁酸(GABA)是成人大脑中主要的抑制性神经递质,由于出生时氯化物转运体KCC2表达延迟,导致未成熟神经元细胞内氯化物浓度[Cl]i最初较高,从而使未成熟神经元发生去极化并兴奋。通过N-甲基-D-天冬氨酸(NMDA)受体和电压依赖性钙通道引起的去极化诱导的钙升高,对塑造神经元回路以及控制选择性脑区的兴奋(E)/抑制(I)平衡起着重要作用。E/I失衡是几种神经精神疾病中观察到的认知障碍的原因。本综述的目的是总结有关GABA能信号改变如何改变阿尔茨海默病(AD)皮质和海马神经元中E/I平衡的机制以及阳离子-氯化物共转运体在此过程中的作用的最新数据。特别是,我们讨论了神经生长因子(NGF)与AD的关系,以及工程改造以表达重组中和抗NGF抗体的小鼠(AD11小鼠)如何表现出由于KCC2功能受损导致的GABA去极化作用。用布美他尼(一种选择性KCC2拮抗剂)治疗AD和其他形式的痴呆,有助于在选择性脑区重新建立适当的E/I平衡,从而改善AD症状并减缓疾病进展。