Propofol suppresses microglial phagocytosis through the downregulation of MFG-E8

Xiaoying Cai1, Ying Li1, Xiaoyang Zheng1

  • 1Department of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University, No. 58 Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, People's Republic of China.

Abstract

Insights

Propofol reduces microglial phagocytosis, but Milk fat globule epidermal growth factor 8 (MFG-E8) can reverse this effect. MFG-E8 modulates phagocytosis via AMPK and Src pathways, offering a potential therapeutic target.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Immunology

Background:

  • Microglia are crucial phagocytic cells in the brain, involved in surveillance and clearance.
  • Propofol is known to inhibit microglial phagocytosis.
  • Milk fat globule epidermal growth factor 8 (MFG-E8) regulates microglial phagocytosis, but its interaction with propofol is unclear.

Purpose of the Study:

  • To investigate the role of MFG-E8 in propofol-induced microglial phagocytosis inhibition.
  • To elucidate the signaling pathways involved in MFG-E8's effect on microglial function.

Main Methods:

  • BV2 microglial cells were treated with propofol and/or MFG-E8.
  • Phagocytosis was assessed using latex beads via flow cytometry and immunofluorescence.
  • Western blot analysis measured MFG-E8, p-AMPK, AMPK, p-Src, and Src levels.
  • AMPK and Src inhibitors (Compound C, dasatinib) were used to explore pathway involvement.

Main Results:

  • Propofol significantly decreased microglial phagocytosis and MFG-E8 production.
  • MFG-E8 pre-administration dose-dependently reversed propofol's inhibitory effect on phagocytosis.
  • Propofol-induced decreases in p-AMPK and p-Src were reversed by MFG-E8.
  • AMPK and Src inhibitors blocked MFG-E8's enhancement of phagocytosis.

Conclusions:

  • MFG-E8 acts as an intermediate in the interaction between propofol and microglial phagocytic activity.
  • MFG-E8 may counteract propofol's suppression of phagocytosis by regulating AMPK and Src signaling pathways.