Inhibition of Astrocyte Reactivity by Mdivi-1 After Status Epilepticus in Rats Exacerbates Microglia-Mediated

Francisca Gómez-Oliver1,2,3, Rubén Fernández de la Rosa1,4, Mirjam Brackhan1,3

  • 1Unidad de Cartografía Cerebral, Instituto Pluridisciplinar, Universidad Complutense de Madrid, 28040 Madrid, Spain.

Biomolecules
|September 27, 2025
PubMed

Insights

Mitochondrial fission inhibitor Mdivi-1 did not prevent neuroprotection or improve brain metabolism after status epilepticus (SE) in rats. Early Mdivi-1 treatment worsened brain hypometabolism and neuroinflammation, challenging its use post-SE.

Area of Science:

  • Neuroscience
  • Epileptology
  • Mitochondrial Biology

Background:

  • Status epilepticus (SE) is a critical condition leading to epileptogenesis.
  • Astrocyte reactivity plays a role in neuroinflammation and seizure susceptibility, but its function in early epileptogenesis is not fully understood.
  • Mitochondrial dynamics, specifically fission regulated by Drp1, are implicated in cellular stress responses.

Purpose of the Study:

  • To investigate the effects of Mdivi-1, a Drp1 inhibitor, on astrocytic mitochondrial dynamics and neuroprotection post-SE.
  • To evaluate Mdivi-1's impact on brain glucose metabolism, neurodegeneration, and glial activation in the lithium-pilocarpine rat model of SE.

Main Methods:

  • Administration of Mdivi-1 shortly after SE onset in the lithium-pilocarpine rat model.
  • Assessment of brain glucose metabolism using [18F]FDG PET at 3 days post-SE.
  • Histological analysis of neurodegeneration, astrocyte reactivity (astrogliosis), and microglial activation.

Main Results:

  • SE induced significant brain hypometabolism, hippocampal neurodegeneration, and glial activation.
  • Post-SE Mdivi-1 treatment reduced hippocampal astrogliosis but did not provide neuroprotection or rescue glucose metabolism.
  • Mdivi-1 exacerbated limbic-cortical hypometabolism and increased microglia-mediated neuroinflammation.

Conclusions:

  • Early Mdivi-1 administration after SE onset does not confer neuroprotection and may worsen brain metabolic deficits.
  • Inhibiting astrocyte reactivity post-SE might promote maladaptive microglial activation, suggesting potential adverse effects of Mdivi-1 in this context.
  • The use of Mdivi-1 as a post-SE therapeutic agent requires careful consideration due to its potential unintended consequences on neuroinflammation and brain metabolism.

Related Concept Videos