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迷走神经依赖性肺-脑轴在急性肺损伤后介导脑脱髓鞘。

The vagus nerve-dependent lung-brain axis mediates brain demyelination following acute lung injury.

作者信息

Xu Dan, Zhao Mingming, Liu Guilin, Zhu Tingting, Cai Yi, Murayama Rumi, Yue Yong, Hashimoto Kenji

机构信息

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.

出版信息

Brain Behav Immun Health. 2025 Feb 11;44:100966. doi: 10.1016/j.bbih.2025.100966. eCollection 2025 Mar.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e48/11871466/f69230c0b2ea/gr1.jpg

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