Hong Chen, Wang Li, Zhou Xiaowei, Zou Liyong, Xiang Xinming, Deng Haoyue, Li Qinghui, Wu Yue, Liu Liangming, Li Tao
Shock and Transfusion Department, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing, China.
CNS Neurosci Ther. 2025 Jan;31(1):e70149. doi: 10.1111/cns.70149.
Neuroinflammation is one of the essential pathogeneses of cognitive damage suffering from sepsis-associated encephalopathy (SAE). Lots of evidences showed the microglia presented mitochondrial fragmentation during SAE. This study investigated the protective effects and novel mechanisms of inhibiting microglia mitochondrial fragmentation via mitochondrial division inhibitor 1 (Mdivi-1) on cognitive damage in SAE.
The SAE model was performed by cecal ligation and puncture (CLP), and Mdivi-1 was administrated via intraperitoneal injection. Morris water maze was performed to assess cognitive function. Mitochondrial morphology was observed by electron microscope or MitoTracker staining. The qRT-PCR, immunofluorescence staining, and western blots were used to detect the inflammatory factors and protein content, respectively. Flow cytometry was used to detect the polarization of hippocampal microglia. Bioinformatics analysis was used to verify hypotheses.
Mdivi-1 administration alleviated sepsis-induced mitochondrial fragmentation, microglia activation, polarization, and cognitive damage. The mechanisms study showed neuroinflammation and oxidative stress were suppressed via NF-κB and Keap1/Nrf2/HO-1 pathways following Mdivi-1 administration; meanwhile, pyroptosis in microglia was reduced, which was associated with enhanced autophagosome formation via p62 elevation following Mdivi-1 administration.
Inhibition of microglia mitochondrial fragmentation is beneficial to SAE cognitive disturbance, the mechanisms are related to alleviating neuroinflammation, oxidative stress, and pyroptosis.
神经炎症是脓毒症相关性脑病(SAE)所致认知损害的重要发病机制之一。大量证据表明,SAE 期间小胶质细胞出现线粒体碎片化。本研究探讨了通过线粒体分裂抑制剂 1(Mdivi-1)抑制小胶质细胞线粒体碎片化对 SAE 认知损害的保护作用及新机制。
采用盲肠结扎穿刺术(CLP)建立 SAE 模型,并通过腹腔注射给予 Mdivi-1。进行 Morris 水迷宫实验以评估认知功能。通过电子显微镜或 MitoTracker 染色观察线粒体形态。分别采用 qRT-PCR、免疫荧光染色和蛋白质印迹法检测炎症因子和蛋白质含量。采用流式细胞术检测海马小胶质细胞的极化情况。利用生物信息学分析验证假设。
给予 Mdivi-1 可减轻脓毒症诱导的线粒体碎片化、小胶质细胞激活、极化及认知损害。机制研究表明,给予 Mdivi-1 后通过 NF-κB 和 Keap1/Nrf2/HO-1 途径抑制了神经炎症和氧化应激;同时,小胶质细胞中的焦亡减少,这与给予 Mdivi-1 后通过 p62 升高增强自噬体形成有关。
抑制小胶质细胞线粒体碎片化对 SAE 认知障碍有益,其机制与减轻神经炎症、氧化应激和焦亡有关。