Second Clinical Medical College, Beijing University of Chinese Medicine, Beijing, 100029, People's Republic of China.
Department of Clinical Psychology, Yuquan Hospital of Tsinghua University, Beijing, 100049, People's Republic of China.
J Neuroinflammation. 2023 Feb 10;20(1):31. doi: 10.1186/s12974-023-02715-y.
Patients with hypertension have a risk of depression. Morinda officinalis oligosaccharides (MOOs) have anti-depressant properties. In this study, we aimed to determine whether MOOs can improve the symptoms of depression in individuals with hypertension.
Dahl salt-sensitive rats fed with a high-salt diet were stimulated by chronic unpredictable mild stress to mimic hypertension with depression. Primary astrocytes and neurons were isolated from these rats. Astrocytes underwent LPS stimulation to simulate the inflammatory astrocytes during depression. MOOs were administrated at 0.1 mg/g/day in vivo and 1.25, 2.5, and 5 mg/mL in vitro. Mitophagy was inhibited using 5 mM 3-methyladenine (3-MA). Astrocyte-mediated neurotoxicity was detected by co-culturing astrocytes and neurons.
MOOs decreased systolic pressure, diastolic pressure, and mean arterial pressure, thereby improving depression-like behavior, including behavioral despair, lack of enthusiasm, and loss of pleasure during hypertension with depression. Furthermore, MOOs inhibited inflammation, astrocytic dysfunction, and mitochondrial damage in the brain. Then, MOOs promoted autophagosome and lysosome enriched in mitochondria in LPS-stimulated astrocytes. MOOs suppressed mitochondrial damage and the release of tumor necrosis factor-α (TNF-α), interleukin (IL)-6, and IL-1β in astrocytes undergoing LPS stimulation. Importantly, MOOs rescued the impaired neurons co-cultured with astrocytes. The effects of MOOs on LPS-stimulated astrocytes were reversed by 3-MA. Finally, MOOs upregulated LPS-downregulated Mfn2 expression in astrocytes. Mfn2 inhibition partly reversed the effects of MOOs on hypertension with depression. Intriguingly, Mfn2 suppression activated PI3K/Akt/mTOR pathway during MOOs treatment.
Astrocytes develop neuroinflammation in response to mitochondrial damage during hypertension with depression. MOOs upregulated Mfn2 expression to activate the PI3K/Akt/mTOR pathway-mediated mitophagy, thereby removing impaired mitochondria in astrocytes.
高血压患者存在抑郁风险。茂谷柑低聚糖(MOOs)具有抗抑郁作用。本研究旨在探讨 MOOs 是否能改善高血压伴抑郁患者的抑郁症状。
给予食用高盐饲料的 Dahl 盐敏感大鼠慢性不可预测轻度应激刺激,以模拟高血压伴抑郁;从这些大鼠中分离出原代星形胶质细胞和神经元。用 LPS 刺激星形胶质细胞模拟抑郁时的炎症星形胶质细胞。体内给予 MOOs 0.1mg/g/天,体外给予 1.25、2.5 和 5mg/mL。用 5mM3-甲基腺嘌呤(3-MA)抑制自噬。通过共培养星形胶质细胞和神经元检测星形胶质细胞介导的神经毒性。
MOOs 降低了收缩压、舒张压和平均动脉压,从而改善了高血压伴抑郁大鼠的抑郁样行为,包括行为绝望、缺乏热情和愉悦感缺失。此外,MOOs 抑制了大脑中的炎症、星形胶质细胞功能障碍和线粒体损伤。然后,MOOs 促进了 LPS 刺激的星形胶质细胞中富含自噬体和溶酶体的线粒体。MOOs 抑制了 LPS 刺激的星形胶质细胞中线粒体损伤和肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-6 和 IL-1β的释放。重要的是,MOOs 挽救了与星形胶质细胞共培养的受损神经元。3-MA 逆转了 MOOs 对 LPS 刺激的星形胶质细胞的作用。最后,MOOs 上调了 LPS 下调的星形胶质细胞中的 Mfn2 表达。Mfn2 抑制部分逆转了 MOOs 对高血压伴抑郁的作用。有趣的是,Mfn2 抑制在 MOOs 治疗过程中激活了 PI3K/Akt/mTOR 通路。
高血压伴抑郁时,星形胶质细胞因线粒体损伤而发生神经炎症。MOOs 通过上调 Mfn2 表达激活 PI3K/Akt/mTOR 通路介导的自噬,从而清除星形胶质细胞中受损的线粒体。