Modulating neuroinflammation and cognitive function in postoperative cognitive dysfunction via CCR5-GPCRs-Ras-MAPK

Zheng Qi1, Junlin Peng1, Haitao Wang1

  • 1Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

PubMed
Abstract

Insights

Extracellular vesicles (EVs) from microglia with C-C chemokine receptor type 5 (CCR5) worsen postoperative cognitive dysfunction (POCD). Modifying these EVs to reduce CCR5 protects against POCD, offering a new therapeutic strategy.

Area of Science:

  • Neuroscience
  • Immunology
  • Cell Biology

Background:

  • Postoperative cognitive dysfunction (POCD) is a common and serious condition affecting elderly patients after surgery.
  • Microglia play a critical role in neuroinflammation and neuronal integrity, processes implicated in POCD.
  • Extracellular vesicles (EVs) are emerging as key mediators of intercellular communication in the central nervous system.

Purpose of the Study:

  • To investigate the role of C-C chemokine receptor type 5 (CCR5) on microglial extracellular vesicles (EVs) in the pathogenesis of POCD.
  • To determine how EVs derived from BV2 microglial cells with or without CCR5 influence neuroinflammation, neuronal integrity, and cognitive function in a POCD mouse model.

Main Methods:

  • EVs were collected from BV2 microglial cells expressing CCR5 (EVsM1) and from BV2 cells with CCR5 knockdown (EVsM1-CCR5).
  • These EVs were administered to mice subjected to POCD induction.
  • Protein interactions, neuroinflammation markers, synaptic protein expression, dendritic spine morphology, and cognitive function (Morris Water Maze) were assessed.

Main Results:

  • Interactions between CCR5, G-protein-coupled receptors (GPCRs), and Ras were confirmed, implicating the CCR5-GPCRs-Ras-MAPK pathway in neuroinflammation.
  • EVsM1 exacerbated neuroinflammation, reduced synaptic integrity, and impaired cognitive function in POCD mice.
  • Conversely, EVsM1-CCR5 attenuated neuroinflammation, preserved synaptic proteins and dendritic spines, and improved cognitive performance.

Conclusions:

  • Microglial EVs mediate neuroinflammation and cognitive decline in POCD through the CCR5-GPCRs-Ras-MAPK pathway.
  • Reducing CCR5 expression on microglial EVs confers neuroprotection and ameliorates POCD.
  • Targeted modification of microglial EVs represents a promising therapeutic avenue for managing POCD.