Hippocampal microglial activation triggers a neurotoxic-specific astrocyte response and mediates etomidate-induced

Dongliang Li1, Mingming Chen2, Tao Meng1

  • 1Department of Anesthesiology, Qilu Hospital of Shandong University, Ji'nan, 250012, China.

Abstract

Insights

Activated microglia trigger A1-specific astrocyte responses, leading to cognitive decline in postoperative neurocognitive disorders (PND). Targeting this pathway may offer new therapeutic strategies for PND.

Area of Science:

  • Neuroscience
  • Immunology
  • Gerontology

Background:

  • Postoperative cognitive dysfunction (POCD) involves microglial and astrocyte responses.
  • Mechanisms underlying POCD pathogenesis remain unclear.

Purpose of the Study:

  • Investigate the role of microglia and astrocytes in etomidate-induced perioperative neurocognitive disorders (PND) in aged mice.
  • Elucidate the temporal relationship between microglial activation, astrocyte response, and cognitive impairment.

Main Methods:

  • Established a PND mouse model using etomidate in aged mice.
  • Assessed cognitive function via behavioral tests (Morris water maze, novel object recognition).
  • Analyzed neuronal activity, isolated microglia/astrocytes, and quantified gene expression.

Main Results:

  • Etomidate induced significant cognitive impairment in aged mice.
  • Early microglial activation preceded late A1-specific astrocyte activation and cognitive deficits.
  • Eliminating microglia early ameliorated astrocyte activation and improved cognition.
  • Activating microglia post-sedation exacerbated astrocyte activation and cognitive dysfunction.

Conclusions:

  • Microglia initiate A1-specific astrocyte activation in early PND stages.
  • This astrocyte response leads to synaptic inhibition and long-term cognitive deficits.
  • Findings suggest microglia-astrocyte interactions as a therapeutic target for PND.

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