Human microglia polarization following infection with the Lyme disease spirochete

Idris Akinlusi1, Brian Kan1, Ted Shi1

  • 1Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, USA.

Insights

Neuroborreliosis involves central nervous system infection by Borrelia burgdorferi. This study shows microglia shift polarization markers and increase inflammatory mediators in response to B. burgdorferi infection.

Area of Science:

  • Neuroimmunology
  • Microbial Pathogenesis

Background:

  • Borrelia burgdorferi infection can lead to neuroborreliosis, affecting the central nervous system.
  • Microglia, the resident immune cells of the brain, play a crucial role in responding to pathogens like B. burgdorferi.
  • Microglial cells exhibit polarization into M1 (pro-inflammatory) and M2 (anti-inflammatory/resolving) phenotypes, influencing the immune response.

Purpose of the Study:

  • To investigate the dynamic changes in human microglial polarization upon infection with Borrelia burgdorferi.
  • To identify key immunological mediators secreted by microglia during B. burgdorferi infection.
  • To explore potential therapeutic targets for neuroborreliosis based on microglial responses.

Main Methods:

  • Utilized the HMC3 human microglia cell line, infected with Borrelia burgdorferi.
  • Evaluated the expression of M1 (iNOS, CD14) and M2 (CX3CR1, CD163, CD206) polarization markers using flow cytometry at 4 and 24 hours post-infection.
  • Assessed the secretion of immunological mediators (MIP-1α, MIP-1β, IP-10, MCP-1, IL-8, VEGF) using multiplex ELISA at 4, 18, and 24 hours post-infection.

Main Results:

  • Observed an early decrease followed by a late increase in inducible nitric oxide synthase (iNOS) expression (M1 marker).
  • Noted a decrease in CX3CR1 expression (M2 marker) at 24 hours post-infection.
  • Detected increased secretion of pro-inflammatory cytokines and chemokines, including MIP-1α, MIP-1β, IP-10, MCP-1, IL-8, and VEGF, at multiple time points.

Conclusions:

  • Microglial response to Borrelia burgdorferi involves complex polarization dynamics, including an initial reduction and subsequent increase in iNOS.
  • The observed changes in M1 and M2 markers suggest a shift towards a pro-inflammatory state, potentially impacting neuroinflammation.
  • The elevated secretion of specific immunological mediators highlights their potential as therapeutic targets for managing neuroborreliosis.

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