Jhan Kai-Yuan, Chen Kuang-Yao, Chang Pi-Kai, Chiu Cheng-Hsun, Chou Chih-Jen, Wang Lian-Chen
Department of Parasitology, College of Medicine, Chang Gung University, Taoyuan, 333, Taiwan.
Department of Parasitology, College of Medicine, Chang Gung University, Taoyuan, 333, Taiwan; Graduate Institute of Biomedical Sciences, College of Medicine, Chang Gung University, Taoyuan, 333, Taiwan; Molecular Infectious Disease Research Center, Chang Gung Memorial Hospital, Taoyuan, 333, Taiwan.
J Microbiol Immunol Infect. 2025 Apr 22. doi: 10.1016/j.jmii.2025.04.001.
Angiostrongylus cantonensis triggers eosinophilic meningitis and/or eosinophilic meningoencephalitis in humans, potentially causing permanent central nervous system damage. While corticosteroids may ease infection-induced headaches, they prove ineffective against A. cantonensis larvae or neuronal injuries. Conversely, anthelmintics and neuroprotective agents like 7,8-Dihydroxyflavone (7,8-DHF), activating BDNF/TrkB signaling, offer promise.
This study aimed to assess neural structure, brain function impairment and recovery, and pathological symptoms and cell death in A. cantonensis-infected C57BL/6 mice before and after treatment with 7,8-DHF or Albendazole alone, and in combination with 7,8-DHF/Albendazole.
All treatment groups effectively mitigated infection-induced weight loss in mice. Those receiving 7,8-DHF or combined treatment displayed significant improvements in motor and balance abilities during the rotarod test. Post-treatment, infected mice showed enhanced spatial learning and memory in the Morris water maze test. Golgi staining revealed that strategies involving 7,8-DHF reduced infection-induced synaptic loss. A. cantonensis infection induced severe inflammatory responses and brain damage in mice. Albendazole alone and the combined 7,8-DHF/Albendazole treatment effectively alleviated inflammation-related pathological phenomena. Analysis of neuronal functional protein expression across different brain regions showed increased presynaptic proteins following 7,8-DHF treatment. Moreover, 7,8-DHF treatment alone or combined with Albendazole prevented brain injury without inducing cell death in infected mice.
These findings suggested that 7,8-DHF could confer neuroprotective effects, particularly in mitigating synaptic loss in the presynaptic region, and alleviating behavioral deficits from infection without inducing cell death. We anticipate these results will aid in the treatment of angiostrongyliasis-induced neurological damage.
广州管圆线虫可引发人类嗜酸性粒细胞性脑膜炎和/或嗜酸性粒细胞性脑膜脑炎,有可能导致永久性中枢神经系统损伤。虽然皮质类固醇可能缓解感染引起的头痛,但它们对广州管圆线虫幼虫或神经元损伤无效。相反,驱虫药和神经保护剂如7,8 - 二羟基黄酮(7,8 - DHF),可激活脑源性神经营养因子/酪氨酸激酶受体B(BDNF/TrkB)信号通路,带来了希望。
本研究旨在评估单独用7,8 - DHF或阿苯达唑,以及7,8 - DHF与阿苯达唑联合治疗前后,感染广州管圆线虫的C57BL/6小鼠的神经结构、脑功能损伤与恢复情况,以及病理症状和细胞死亡情况。
所有治疗组均有效减轻了感染引起的小鼠体重减轻。接受7,8 - DHF或联合治疗的小鼠在转棒试验中运动和平衡能力有显著改善。治疗后,感染小鼠在莫里斯水迷宫试验中空间学习和记忆能力增强。高尔基染色显示,涉及7,8 - DHF的治疗策略减少了感染引起的突触损失。广州管圆线虫感染在小鼠中引发了严重的炎症反应和脑损伤。单独使用阿苯达唑以及7,8 - DHF与阿苯达唑联合治疗有效减轻了炎症相关的病理现象。对不同脑区神经元功能蛋白表达的分析显示,7,8 - DHF治疗后突触前蛋白增加。此外,单独使用7,8 - DHF或与阿苯达唑联合使用可预防感染小鼠的脑损伤且不诱导细胞死亡。
这些发现表明,7,8 - DHF可发挥神经保护作用,特别是在减轻突触前区域的突触损失以及缓解感染引起的行为缺陷方面,且不诱导细胞死亡。我们预计这些结果将有助于治疗管圆线虫病引起的神经损伤。