Institute of Neuroscience and Key Laboratory of Molecular Neurobiology of Military of Education, Naval Medical University, Shanghai, 200433, China.
Department of Naval Medicine, Naval Medical University, Shanghai, 200433, China.
J Neuroinflammation. 2023 Jan 30;20(1):16. doi: 10.1186/s12974-023-02696-y.
Multiple sclerosis (MS) is an autoimmune demyelinating disease of the central nervous system (CNS). Anxiety and depression are the most common psychiatric comorbidities of MS, which seriously affect patients' quality of life, treatment compliance, and prognosis. However, current treatments for anxiety and depression in MS show low therapeutic efficacy and significant side effects. In the present study, we explored the therapeutic effects of a novel low-toxic anti-inflammatory drug, nanoparticulate magnesium hydride (MgH), on mood disorders of MS. We observed that anxiety/depression-like behaviors in experimental autoimmune encephalomyelitis (EAE) mice were alleviated by MgH treatment. In addition, disease severity and inflammatory demyelination were also diminished. Furthermore, we confirmed the suppressive effect of MgH on depression in the acute restraint stress model. Mechanistically, MgH may play a therapeutic role by promoting microglial M2 polarization, inhibiting microglial M1 polarization, and reducing oxidative stress and mitochondrial damage. Therefore, nanoparticulate MgH may be a promising therapeutic drug for psychiatric comorbidities of MS.
多发性硬化症(MS)是一种中枢神经系统(CNS)的自身免疫性脱髓鞘疾病。焦虑和抑郁是 MS 最常见的精神共病,严重影响患者的生活质量、治疗依从性和预后。然而,目前治疗 MS 焦虑和抑郁的方法疗效低,副作用明显。在本研究中,我们探讨了一种新型低毒抗炎药物纳米镁氢(MgH)对 MS 情绪障碍的治疗作用。我们观察到 MgH 治疗可减轻实验性自身免疫性脑脊髓炎(EAE)小鼠的焦虑/抑郁样行为。此外,疾病严重程度和炎症性脱髓鞘也有所减轻。此外,我们还证实了 MgH 在急性束缚应激模型中对抑郁的抑制作用。从机制上讲,MgH 可能通过促进小胶质细胞 M2 极化、抑制小胶质细胞 M1 极化以及减少氧化应激和线粒体损伤来发挥治疗作用。因此,纳米镁氢可能是治疗 MS 精神共病的一种有前途的治疗药物。