Nogo-A/S1PR2 Signaling Pathway Inactivation Decreases Microvascular Damage and Enhances Microvascular Regeneration in

Hongmei Tang1, Yunxian Xu2, Liru Liu1

  • 1Department of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou 510120, China.

Neuroscience
|October 11, 2020
PubMed

Insights

Downregulating Nogo-A protein in Parkinson's disease with mild cognitive impairment (PDMCI) models improved cognitive function and microvascular health. This suggests Nogo-A inhibition is a potential therapeutic strategy for PDMCI.

Area of Science:

  • Neuroscience
  • Pathology
  • Vascular Biology

Background:

  • Mild cognitive impairment in Parkinson's disease (PDMCI) affects 18-55% of patients, with unclear pathological mechanisms.
  • Previous research links PDMCI to microvascular pathology and chronic cerebral hypoperfusion.
  • Nogo-A, a regulator of central nervous system microvascular regeneration, is implicated but its role in PDMCI remains unclear.

Purpose of the Study:

  • To investigate the hypothesis that Nogo-A negatively regulates angiogenesis in Parkinson's disease with mild cognitive impairment (PDMCI).
  • To explore the mechanisms of Nogo-A and microvascular pathology in PDMCI.
  • To assess the therapeutic potential of Nogo-A downregulation in PDMCI.

Main Methods:

  • A mouse model of PDMCI was established using 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) and probenecid.
  • Nogo-A was downregulated using Nogo-A-specific short hairpin RNA (shRNA-Nogo-A).
  • Cognitive function was assessed using the Morris water maze test. Microvascular integrity, blood-brain barrier permeability, and molecular pathways (S1PR2, RhoA/ROCK) were analyzed using techniques including transmission electron microscopy and Western blot.

Main Results:

  • MPTP induced spatial memory and behavioral impairments, significant microvascular damage, and increased Nogo-A expression in mice.
  • Downregulation of Nogo-A alleviated cognitive deficits and microvascular impairments.
  • Nogo-A inhibition suppressed sphingosine-1-phosphate receptor 2 (S1PR2) expression and the RhoA/ROCK signaling pathway.

Conclusions:

  • Nogo-A appears to bind to S1PR2, activating signaling pathways that inhibit vascular remodeling in PDMCI.
  • Downregulating Nogo-A promotes microvascular remodeling and ameliorates cognitive and microvascular impairments in PDMCI.
  • Nogo-A is a potential therapeutic target for improving microvascular function and cognitive deficits in Parkinson's disease.

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