Xu Dan, Zhao Mingming, Liu Guilin, Zhu Tingting, Cai Yi, Murayama Rumi, Yue Yong, Hashimoto Kenji
Chiba University Center for Forensic Mental Health, Chiba, 260-8670, Japan.
Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, PR China.
Brain Behav Immun Health. 2025 Feb 11;44:100966. doi: 10.1016/j.bbih.2025.100966. eCollection 2025 Mar.
Patients with acute lung injury (ALI) often experience psychiatric and neurological symptoms; however, the precise underlying mechanisms remain unclear. Given that white matter loss (demyelination) contributes to these symptoms, we investigated whether lipopolysaccharide (LPS)-induced ALI leads to brain demyelination via a vagus nerve-dependent lung-brain axis. A single intratracheal injection of LPS caused severe lung injury and demyelination in the corpus callosum (CC) of mouse brains. Subdiaphragmatic vagotomy did not affect LPS-induced lung injury or demyelination in the CC. Interestingly, cervical vagotomy significantly attenuated LPS-induced hypo-locomotion, plasma interleukin-6 levels, and demyelination in the CC of ALI mice without influencing lung injury. These findings demonstrate that ALI can induce demyelination in the CC of the mouse brain via a cervical vagus nerve-dependent lung-brain axis, highlighting the critical role of this pathway in the psychiatric and neurological symptoms observed in ALI patients.
急性肺损伤(ALI)患者常出现精神和神经症状;然而,确切的潜在机制仍不清楚。鉴于白质损失(脱髓鞘)会导致这些症状,我们研究了脂多糖(LPS)诱导的ALI是否通过迷走神经依赖性肺-脑轴导致脑脱髓鞘。单次气管内注射LPS会导致小鼠脑胼胝体(CC)出现严重的肺损伤和脱髓鞘。膈下迷走神经切断术不影响LPS诱导的肺损伤或CC中的脱髓鞘。有趣的是,颈迷走神经切断术显著减轻了LPS诱导的ALI小鼠的运动减少、血浆白细胞介素-6水平以及CC中的脱髓鞘,而不影响肺损伤。这些发现表明,ALI可通过颈迷走神经依赖性肺-脑轴诱导小鼠脑CC脱髓鞘,突出了该途径在ALI患者观察到的精神和神经症状中的关键作用。