Effects of hypernatremia on the microglia

Sachiho Fuse1, Haruki Fujisawa1, Naoya Murao1

  • 1Department of Endocrinology, Diabetes and Metabolism, School of Medicine, Fujita Health University, Toyoake, Aichi 470-1192, Japan.

Peptides
|June 22, 2024
PubMed

Insights

High sodium levels activate microglia, increasing nitric oxide production via NFAT5 and calcium signaling. Minocycline mitigates these effects, suggesting a therapeutic target for hypernatremia-related neurological issues.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Biochemistry

Background:

  • Hypernatremia, characterized by high sodium levels, often causes central nervous system dysfunction.
  • Microglia are implicated in neurological damage, particularly in conditions like osmotic demyelination syndrome (ODS).
  • Minocycline has shown protective effects against ODS by modulating microglial activation.

Purpose of the Study:

  • To investigate the impact of acute and chronic high sodium concentrations on microglial cells.
  • To elucidate the molecular mechanisms underlying microglial responses to hypernatremia.
  • To assess the potential of minocycline in modulating these responses.

Main Methods:

  • Utilized the BV-2 microglial cell line to study effects of acute (6-24h) and chronic (≥7 days) high sodium exposure.
  • Measured nitric oxide (NO) production and NOS2 expression.
  • Investigated the role of nuclear factor of activated T-cells-5 (NFAT5), intracellular calcium (Ca2+), and the Na+/Ca2+ exchanger (NCX).

Main Results:

  • Both acute and chronic high sodium increased NOS2 expression and NO production in microglia.
  • High sodium elevated NFAT5 expression, and NFAT5 knockdown reduced NOS2 and NO.
  • High sodium decreased intracellular Ca2+; NCX inhibition and minocycline suppressed these changes and NO production.

Conclusions:

  • Microglial activation in response to high sodium is mediated by NFAT5 and Ca2+ efflux via NCX.
  • Minocycline inhibits microglial activation induced by high sodium concentrations.
  • These findings offer insights into potential therapeutic strategies for hypernatremia-induced neurological complications.