Mohapatra Abhipsa, Pancholi Bhaskaranand, Babu Raja, Abate Selamu Kebamo, Garabadu Debapriya
Department of Pharmacology, School of Health Sciences, Central University of Punjab, Bathinda, 151401, India.
Mol Biol Rep. 2025 Jan 28;52(1):166. doi: 10.1007/s11033-025-10252-5.
Multiple sclerosis (MS) is a chronic autoimmune condition that damages the myelin sheath of neurons in the central nervous system, resulting in compromised nerve transmission and motor impairment. The astrocytopathy is considered one of the prominent etiological factor in the pathophysiology of demyelination in MS. The expression level of ceramide synthase-2 (CS-2) is yet to be established in the pathophysiology of astrocytopathy although the derailed ceramide biosynthetic pathways is well demonstrated in the pathophysiology of demyelination. Therefore, in the present study, the expression level of CS-2 has been evaluated in lysophosphatidylcholine (LPC)-challenged primary astrocytes in the presence of anti-demyelinating agents such as Fingolimod, a clinically approved anti-demyelinating drug, and Ursolic Acid (UA), an experimentally accepted anti-demyelinating agent, in MS.
LPC (150 µg/ml) caused astrocytopathy evident by decrease in percentage of viable astrocytes, increase in percentage of apoptotic astrocytes, increase in the level of reactive oxygen species (ROS), and increase in the level of activated astrocytes. Interestingly, LPC significantly increased the expression level of CS-2 in the primary culture of astrocytes where as fingolimod and UA (1, 10, and 100 µM) were able to attenuate the extent of LPC-induced astrocytopathy in the primary culture model of MS. Further, both the drugs drastically reduced the LPC-induced increase in the level of expression of CS-2 in the astrocytes.
These observations indicate the fact that CS-2 could be a potential target in the management of astrocytopathy and astrocytopathy-related neurological disorders including MS. In conclusion, CS-2-targeted drugs could be potential therapeutic options in the management of MS.
多发性硬化症(MS)是一种慢性自身免疫性疾病,会损害中枢神经系统中神经元的髓鞘,导致神经传导受损和运动功能障碍。星形细胞病变被认为是MS脱髓鞘病理生理学中的一个重要病因。尽管在脱髓鞘病理生理学中已充分证明神经酰胺生物合成途径紊乱,但神经酰胺合酶-2(CS-2)的表达水平在星形细胞病变的病理生理学中尚未确定。因此,在本研究中,已在抗脱髓鞘药物(如临床上批准的抗脱髓鞘药物芬戈莫德和实验上认可的抗脱髓鞘药物熊果酸(UA))存在的情况下,评估了CS-2在溶血磷脂酰胆碱(LPC)刺激的原代星形胶质细胞中的表达水平。
LPC(150μg/ml)导致星形细胞病变,表现为存活星形胶质细胞百分比降低、凋亡星形胶质细胞百分比增加、活性氧(ROS)水平升高以及活化星形胶质细胞水平增加。有趣的是,LPC显著增加了星形胶质细胞原代培养物中CS-2的表达水平,而芬戈莫德和UA(1、10和100μM)能够减轻MS原代培养模型中LPC诱导的星形细胞病变程度。此外,这两种药物都大幅降低了LPC诱导的星形胶质细胞中CS-2表达水平的增加。
这些观察结果表明,CS-2可能是管理星形细胞病变和包括MS在内的与星形细胞病变相关的神经系统疾病的潜在靶点。总之,以CS-2为靶点的药物可能是治疗MS的潜在选择。