De Luca Simone N, Chan Stanley M H, Dobric Aleksandar, Wang Hao, Seow Huei Jiunn, Brassington Kurt, Mou Kevin, Alateeq Rana, Akhtar Alina, Bozinovski Steven, Vlahos Ross
Centre for Respiratory Science and Health, School of Health and Biomedical Sciences, RMIT University, Bundoora, Victoria, Australia.
Centre for Respiratory Science and Health, School of Health and Biomedical Sciences, RMIT University, Bundoora, Victoria, Australia.
Brain Behav Immun. 2023 Mar;109:292-307. doi: 10.1016/j.bbi.2023.02.005. Epub 2023 Feb 10.
Chronic obstructive pulmonary disease (COPD) is a major, incurable respiratory condition that is primarily caused by cigarette smoking (CS). Neurocognitive disorders including cognitive dysfunction, anxiety and depression are highly prevalent in people with COPD. It is understood that increased lung inflammation and oxidative stress from CS exposure may 'spill over' into the systemic circulation to promote the onset of these extra-pulmonary comorbidities, and thus impacts the quality of life of people with COPD. The precise role of the 'spill-over' of inflammation and oxidative stress in the onset of COPD-related neurocognitive disorders are unclear. The present study investigated the impact of chronic CS exposure on anxiety-like behaviors and social recognition memory, with a particular focus on the role of the 'spill-over' of inflammation and oxidative stress from the lungs. Adult male BALB/c mice were exposed to either room air (sham) or CS (9 cigarettes per day, 5 days a week) for 24 weeks and were either daily co-administered with the NOX2 inhibitor, apocynin (5 mg/kg, in 0.01 % DMSO diluted in saline, i.p.) or vehicle (0.01 % DMSO in saline) one hour before the initial CS exposure of the day. After 23 weeks, mice underwent behavioral testing and physiological diurnal rhythms were assessed by monitoring diurnal regulation profiles. Lungs were collected and assessed for hallmark features of COPD. Consistent with its anti-inflammatory and oxidative stress properties, apocynin treatment partially lessened lung inflammation and lung function decline in CS mice. CS-exposed mice displayed marked anxiety-like behavior and impairments in social recognition memory compared to sham mice, which was prevented by apocynin treatment. Apocynin was unable to restore the decreased Bmal1-positive cells, key in cells in diurnal regulation, in the suprachiasmatic nucleus of the hypothalamus to that of sham levels. CS-exposed mice treated with apocynin was associated with a restoration of microglial area per cell and basal serum corticosterone. This data suggests that we were able to model the CS-induced social recognition memory impairments seen in humans with COPD. The preventative effects of apocynin on memory impairments may be via a microglial dependent mechanism.
慢性阻塞性肺疾病(COPD)是一种主要的、无法治愈的呼吸系统疾病,主要由吸烟(CS)引起。包括认知功能障碍、焦虑和抑郁在内的神经认知障碍在COPD患者中非常普遍。据了解,CS暴露导致的肺部炎症和氧化应激增加可能会“溢出”到体循环中,从而促进这些肺外合并症的发生,进而影响COPD患者的生活质量。炎症和氧化应激“溢出”在COPD相关神经认知障碍发病中的具体作用尚不清楚。本研究调查了慢性CS暴露对焦虑样行为和社会识别记忆的影响,特别关注肺部炎症和氧化应激“溢出”的作用。成年雄性BALB/c小鼠暴露于室内空气(假手术组)或CS(每天9支香烟,每周5天)中24周,并在每天首次CS暴露前1小时,每日联合给予NOX2抑制剂阿朴吗啡(5mg/kg,溶于0.01%二甲基亚砜稀释的生理盐水中,腹腔注射)或载体(0.01%二甲基亚砜溶于生理盐水中)。23周后,对小鼠进行行为测试,并通过监测昼夜调节曲线评估生理昼夜节律。收集肺部并评估COPD的标志性特征。与阿朴吗啡的抗炎和氧化应激特性一致,阿朴吗啡治疗部分减轻了CS小鼠的肺部炎症和肺功能下降。与假手术组小鼠相比,暴露于CS的小鼠表现出明显的焦虑样行为和社会识别记忆受损,而阿朴吗啡治疗可预防这种情况。阿朴吗啡无法将下丘脑视交叉上核中昼夜调节关键细胞中Bmal1阳性细胞的减少恢复到假手术组水平。用阿朴吗啡治疗的暴露于CS的小鼠,其每个细胞的小胶质细胞面积和基础血清皮质酮恢复正常。该数据表明,我们能够模拟在COPD患者中看到的CS诱导的社会识别记忆受损。阿朴吗啡对记忆障碍的预防作用可能是通过小胶质细胞依赖机制实现的。