Department of Pharmacology, National Defense Medical College, Tokorozawa, Saitama, Japan.
Department of Clinical Laboratory Medicine, Faculty of Medical Technology, Teikyo University, Itabashi, Tokyo, Japan.
Clin Exp Immunol. 2023 Apr 25;212(2):81-92. doi: 10.1093/cei/uxad010.
Neuropsychiatric systemic lupus erythematosus (NPSLE) is an incurable disease characterised by neuropsychiatric symptoms, particularly depression. Novel therapeutic options for NPSLE are urgently needed. Several previous reports have suggested that both microglial activation and impaired neurogenesis may be involved in the progression of depression. In contrast, the administration of lysophosphatidic acid (LPA) ameliorates depression and anxiety. Therefore, in the present study, we determined whether treatment with LPA affects microglial activation, impaired neurogenesis, and abnormal behaviour in MRL/lpr mice. In both tail suspension test and forced swim test, the MRL/lpr mice exhibited a significant increase in total immobility time compared with MRL/+ mice. Treatment with LPA significantly suppressed the prolonged immobility time in MRL/lpr mice. In contrast, pretreatment with ki16425 (a specific antagonist of LPA receptor 1 and 3) significantly reversed the effects of LPA. Furthermore, MRL/lpr mice exhibited impairments in spatial working memory and visual cognitive memory, which were suppressed by LPA treatment. The expression levels of TMEM119, CD68, GFAP, and caspase-3 in the hippocampus and prefrontal cortex of MRL/lpr mice were significantly higher than those in MRL/+ mice. Treatment with LPA inhibited these increases in MRL/lpr mice. Pretreatment with ki16425 reversed LPA-mediated inhibition of microglial activation. The quantity of sodium fluorescein that leaked into the brain tissues in MRL/lpr mice were significantly higher than that in MRL/+ mice. Treatment with LPA tended to decrease the sodium fluorescein leakage. These findings suggest that treatment with LPA may regulate microglial activation, which is important in the pathogenesis of NPSLE, as well as blood-brain-barrier weakening and abnormal behaviour.
神经精神性狼疮(NPSLE)是一种无法治愈的疾病,其特征为神经精神症状,尤其是抑郁。目前急需寻找治疗 NPSLE 的新方法。一些先前的报告表明,小胶质细胞激活和神经发生受损可能都与抑郁的进展有关。相反,溶血磷脂酸(LPA)的给药可以改善抑郁和焦虑。因此,在本研究中,我们确定了 LPA 治疗是否会影响 MRL/lpr 小鼠的小胶质细胞激活、神经发生受损和异常行为。在尾部悬挂试验和强迫游泳试验中,与 MRL/+ 小鼠相比,MRL/lpr 小鼠的总不动时间明显增加。LPA 治疗显著抑制了 MRL/lpr 小鼠的延长不动时间。相反,LPA 受体 1 和 3 的特异性拮抗剂 ki16425 的预处理显著逆转了 LPA 的作用。此外,MRL/lpr 小鼠表现出空间工作记忆和视觉认知记忆受损,而 LPA 治疗可抑制这些损伤。MRL/lpr 小鼠海马体和前额叶皮质中的 TMEM119、CD68、GFAP 和 caspase-3 的表达水平明显高于 MRL/+ 小鼠。LPA 治疗抑制了 MRL/lpr 小鼠的这些增加。Ki16425 的预处理逆转了 LPA 介导的小胶质细胞激活抑制作用。MRL/lpr 小鼠脑组织中漏出的荧光素钠量明显高于 MRL/+ 小鼠。LPA 治疗有降低荧光素钠漏出的趋势。这些发现表明,LPA 治疗可能调节小胶质细胞激活,这在 NPSLE 的发病机制中很重要,并且可能调节血脑屏障减弱和异常行为。