Persistent activation of microglia and NADPH oxidase [corrected] drive hippocampal dysfunction in experimental
Massimiliano Di Filippo1, Antonio de Iure1, Carmela Giampà2
1Clinica Neurologica, Dipartimento di Medicina, Università degli Studi di Perugia, Ospedale Santa Maria della Misericordia, S. Andrea delle Fratte, 06132 Perugia, Italy.
Abstract:
Cognitive impairment is common in multiple sclerosis (MS). Unfortunately, the synaptic and molecular mechanisms underlying MS-associated cognitive dysfunction are largely unknown. We explored the presence and the underlying mechanism of cognitive and synaptic hippocampal dysfunction during the remission phase of experimental MS. Experiments were performed in a chronic-relapsing experimental autoimmune encephalomyelitis (EAE) model of MS, after the resolution of motor deficits. Immunohistochemistry and patch-clamp recordings were performed in the CA1 hippocampal area. The hole-board was utilized as cognitive/behavioural test. In the remission phase of experimental MS, hippocampal microglial cells showed signs of activation, CA1 hippocampal synapses presented an impaired long-term potentiation (LTP) and an alteration of spatial tests became evident. The activation of hippocampal microglia mediated synaptic and cognitive/behavioural alterations during EAE. Specifically, LTP blockade was found to be caused by the reactive oxygen species (ROS)-producing enzyme nicotinamide adenine dinucleotide phosphate (NADPH) oxidase. We suggest that in the remission phase of experimental MS microglia remains activated, causing synaptic dysfunctions mediated by NADPH oxidase. Inhibition of microglial activation and NADPH oxidase may represent a promising strategy to prevent neuroplasticity impairment associated with active neuro-inflammation, with the aim to improve cognition and counteract MS disease progression.
Insights
In multiple sclerosis (MS), activated microglia in the hippocampus impair cognitive function during remission by producing reactive oxygen species (ROS). Targeting microglial activation and NADPH oxidase may improve cognition in MS patients.
Area of Science:
- Neuroscience
- Immunology
- Pathology
Background:
- Cognitive impairment is a prevalent symptom in multiple sclerosis (MS).
- The precise synaptic and molecular mechanisms driving cognitive dysfunction in MS remain largely unelucidated.
- Understanding these mechanisms during remission is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate cognitive and synaptic hippocampal dysfunction during the remission phase of experimental autoimmune encephalomyelitis (EAE), a model for MS.
- To identify the underlying molecular mechanisms, particularly the role of microglial activation.
- To explore potential therapeutic targets for mitigating MS-associated cognitive deficits.
Main Methods:
- Utilized a chronic-relapsing EAE model in mice, focusing on the remission phase after motor symptom resolution.
- Employed immunohistochemistry and patch-clamp electrophysiology in the CA1 hippocampal region.
- Assessed cognitive function using the hole-board test.
Main Results:
- Activated hippocampal microglia were observed during the remission phase of EAE.
- Impaired long-term potentiation (LTP) at CA1 hippocampal synapses and deficits in spatial memory tests were evident.
- Microglial activation mediated synaptic and cognitive alterations, with NADPH oxidase identified as the enzyme responsible for LTP blockade via reactive oxygen species (ROS).
Conclusions:
- Microglial activation persists into the remission phase of experimental MS, leading to synaptic dysfunction.
- The enzyme NADPH oxidase plays a key role in mediating these synaptic deficits through ROS production.
- Inhibiting microglial activation and NADPH oxidase presents a potential therapeutic strategy to preserve neuroplasticity and improve cognition in MS.
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