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Relationship: 906
Title
Neuroinflammation leads to Degeneration of dopaminergic neurons of the nigrostriatal pathway
Upstream event
Downstream event
AOPs Referencing Relationship
| AOP Name | Adjacency | Weight of Evidence | Quantitative Understanding | Point of Contact | Author Status | OECD Status |
|---|---|---|---|---|---|---|
| Inhibition of the mitochondrial complex I of nigro-striatal neurons leads to parkinsonian motor deficits | adjacent | Moderate | Moderate | Cataia Ives (send email) | Open for citation & comment | WPHA/WNT Endorsed |
Taxonomic Applicability
Sex Applicability
Life Stage Applicability
Cells of the innate (microglia and astrocytes) and adaptive (infiltrating monocytes and lymphocytes) immune system of the brain have, like other immune cells (in peripheral tissues), various ways to kill neighboring cells. This is in part due to evolutionary-conserved mechanisms evolved to kill virus-infected cells or tumor cells; in part it is a bystander phenomenon due to the release of mediators that should activate other cells and contribute to the killing of invading microorganisms. An exaggerated or unbalanced activation of immune cells can thus lead to parenchymal (neuronal) cell death (Gehrmann et al., 1995). Mediators known to have such effects, and that are also known to be produced during inflammation in the brain comprise components of the complement system and cytokines/death receptor ligands triggering programmed cell death (Dong and Benveniste, 2001). Besides these specific signals, various secreted proteases (e.g. matrix metalloproteases), lipid mediators (e.g. ceramide or gangliosides) or reactive oxygen species can contribute to bystander death of neurons (Chao et al., 1995; Nakajima et al., 2002; Brown and Bal-Price, 2003; Kraft and Harry, 2011; Taetzsch and Block, 2013). Especially the equimolar production of superoxide and NO from glial cells can lead to high steady state levels of peroxynitrite, which is a very potent cytotoxicant (Yuste et al., 2015). Already damaged neurons, with an impaired anti-oxidant defence system, are more sensitive to such mediators. An important role of microglia in the brain is the removal of cell debris (Xu et al., 2015). Healthy cells continuously display anti-“eat me” signals, while damaged and stressed neurons/neurites display “eat-me” signals that may be recognbized by microglia as signal to start phagocytosis (Neher et al., 2012), thus accelerating the loss of DA neurites in the striatum. Activated microglia surrounding DAergic neurons in PD express the M1 neurodegenerative phenotype (Hunot et al., 1999), which promote proliferation and function of CD4+ T cells (for review Appel et al., 2010), which in turn induce DA neuron toxicity, as assessed by experiments with immunodeficient mice (Brochard et al., 2009). Possible infiltration of other myeloid cells, such as monocytes or macrophages through a compromised blood-brain barrier, may also be involved in phagocytosis and neurodegeneration (Depboylu et al., 2012 ; Pey et al., 2014).
| ID | Experimental Design | Species | Upstream Observation | Downstream Observation | Citation (first author, year) | Notes |
|---|
| Title | First Author | Biological Plausibility |
Dose Concordance |
Temporal Concordance |
Incidence Concordance |
|---|
Biological Plausibility
Dose Concordance Evidence
Temporal Concordance Evidence
Incidence Concordance Evidence
Uncertainties and Inconsistencies
• Mice deficient in microglia (depletion by a ganciclovir-thymidine kinase system under the CD11b promoter) were still susceptible to MPTP toxicity, while mixed cell cultures prepared from these deficient mice showed partial protection (Kinugawa et al., 2013).
• Although some publications show strong protection by COX-2 inhibition/deletion, others showed that mice deficient for COX-2 were partly protected against MPTP-induced decrease of DAergic neurons in substantia nigra, but not against DA terminal loss in striatum (Feng et al., 2000).
• Mice deficient in IL6 (IL6-/-) showed an increased vulnerability of the nigrostriatal pathway following MPTP treatment associated to a normal astrogliosis but a transient microgliosis, suggesting that transient microgliosis and IL6 may have also protective effects (Cardenas and Bolin, 2003).
• MMTV integration site 1 (Wnt 1) is a key transcript involved in DAergic neurodevelopment, and is dynamically regulated during MPTP-induced DA degeneration and glial activation. MPTP-activated astrocytes of the ventral midbrain were identified as candidate source of Wnt 1 by in situ hybridization and RT-PCR in vitro, suggesting that reactive astrocytes may be rather involved in neuroprotective/neurorescue pathways, as further demonstrated by deletion of Wnt 1 or pharmacological activation of Wnt/-catenin signaling pathway (L’Episcopo et al, 2011).
• The role of microglia, NADPH-oxidase and oxidative stress in paraquat-induced neurodegeneration is well established. Nevertheless, the mechanism connecting these three elements remain poorly understood since direct evidence for extracellular and/or intracellular formation of radical paraquat and superoxide is controversial.
• Rotenone (1-3 nM) applied directly on BV2 microglial cells increased their phagocytosis and the release of pro-inflammatory cytokines (TNF-alpha, IL-1 beta), suggesting that microglial cell can also be a primary target of rotenone (Zhang et al., 2014). However, these results in a transformed microglial cell line contrast with the experiments performed on isolated primary microglial cells, where rotenone (10-50 nM) was not able to trigger a direct activation (Klintworth et al., 2009).
• The regulation of inducible nitric oxide synthase (for production of peroxynitrite) differs strongly between rodents and human, and thus, the role of NO in human remains unclear (Ganster et al., 2001).
• While in human long-term use of anti-inflammatory drugs (NSAIDs, aspirin, iboprufen) for preventing PD onset or for slowing the progression is still controversial, a new strategy is emerging aiming at targeting microglial cells by modulating their activity, rather than simply trying to counteract their inflammatory neurotoxicity. The advantage of this therapeutic approach could be to reduce neuroinflammation and neurotoxicity, while at the same time strengthening intrinsic neuroprotective properties (Pena-Altamira et al., 2015)
As it is rather the features and the duration of the inflammatory response that determine the extent of the nigrostriatal pathway neurodegeneration, the best way to propose a quantitative or semi-quantitative evaluation of the links between KEup and KEdown is to use studies where any feature of neuroinflammation is inhibited and to quantify the protection of the Daergic neurons and terminals. Thus it will give an evaluation of how much neurodegeneration depends on the neuroinflammatory process. Below are some examples for illustration.
|
KE upstream Neuroinflammation |
KE downstream Neurodegeneration of dopaminergic nigrostriatal pathway |
Reference |
Type of study |
Comment |
|
Inhibition of any feature of neuroinflammation (microglia/astrocyte) |
How much nigrostriatal pathway degeneration depends on KEup as assessed by protection when any KEup feature is inhibited |
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KATP channel opener (iptakalim) induced decrease of TNF-alpha and COX2 mRNA expression and TNF-alpha content, as well as microglial reactivity (OX42, ED1) |
TH immunoreactivity : Total recovery |
Zhou et al., 2007 |
In vivo Rotenone 2.5 mg/kg/d + in vitro |
|
|
NADPH oxydase Neuron enriched cultures Neuron-Glia co-cultures +apocynin |
DA uptake TH immunoreactivity About 50% more neuronal death in presence of glia (80 % of protection with apocynin) |
Gao et al., 2002 |
In vitro Rotenone 5-20 nM |
|
|
NADPH oxydase Mice knockout for NADPH ox gp91-/- Co-culture neuron-glia |
DA uptake : 40% protection TH immuno : 20% protection |
Gao et al., 2003 |
In vitro Rotenone 5-10 nM |
|
|
Phagocytic signaling between neuron and microglia i.e. block of vitronectin and P2Y6 on microglia or annexin or phophatidylserine on neuron (eat-me signal) |
About 20% neuronal protection |
Emmrich et al., 2013 |
In vitro Co-cultures of cerebellum Rotenone 2.5 nM |
|
|
Decrease in the number of activated microglia by L-thyroxin in substantia nigra, not in striatum |
Protection of DA terminals in striatum, but no effect in substantia nigra |
Salama et al., 2012 |
In vivo Rotenone 3mg/kg/d |
|
|
Myeloperoxidase (HOCl from H2O2) Resveratrol decreased NO, ROS, phagocytosis in microglia and astrocytes |
Protection of neuron : 40% cell viability 50-60% TH immuno + number of dendrites |
Chang et al., 2013 |
In vitro Rotenone 30 nM MPP+ 0.1 microM |
|
|
NADPH oxydase : NOX2 Diphenyleneiodonium : long acting NOX2 inhibitor |
DA uptake and TH immuno : 30-40 % of protection |
Wang et al., 2014 |
In vitro LPS 20 ng/ml MPP+ 0.15 microM |
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|
Control of microglial and astrocyte reactivity by Alpha 7 nicotinic Ach receptor present on microglia and astrocyte Its activation decreased microglial and astrocyte reactivity |
MPP+ cuased 40% decrease of TH+ neurons Nicotine induced a 30% recovery |
Liu et al., 2012, 2015 |
In vivo MPTP 20mg/kg Nicotine 5mg/kg In vitro on isolated microglia and astrocytes |
|
|
'TNF-alpha of microglial origin By blocking angiotensin-1 receptors, NADPH-oxydase, Rho-kinase and NF.kB |
20 % of recovery of TH immunoreactivity |
Borrajo et al., 2013 |
In vitro + in vivo MPP+ 0.25 microM |
|
|
Infusion of the anti-inflammatory cytokine TGF beta protects from MPP+-induced cell loss by decreasing CD11b, i-NOS, TNFalpha, IL+ beta, and increas ing IGF-1. Silencing of TGFbR1 gene abolished the protective effect |
MPP+ caused 60% decrease of TH immuno, and TGFbeta induced a dose-dependent recovery (5-20 ng/ml) |
Liu et al., 2015 |
In vitro Co-cultures MPP+ 5 microM |
indirect |
|
i-NOS inhibition caused a decrease of astrocyte and microglial reactivity as assessed by GFAP and OX6, respectively (n-NOS inhibition had no effect) |
TH immunoreactivity Dose-dependent recovery with 1400W (0.1-100 micoM) |
Brzozowski et al., 2015 |
In vitro MPP+ 43 microM |
|
|
Inhibition of laminin receptor on microglia i.e. regulating cell-ECM interactions induced a decrease of microglia phagocytosis and of O2- production |
Dose-dependent partial recovery (about 35% of TH immunoreactivity |
Wang et al., 2006 |
In vitro MPP+ 0.1-0.5 microM |
|
|
Inhibition of glial activation-mediated oxidative stress by Fluoxetine, anti-depressant) |
30% of recovery of TH immunoreactivity in Substantia nigra and total recovery of DA terminals in striatum |
Chung et al., 2011 |
In vivo MPTP 20 mg/ kg ip |
|
|
Mice lacking both TNFR Induced a decrease of GFAP in striatum Double KO, if only KO for TNFR1 or TNFR2, no protection |
TH staining in striatum, DA content and GFAP staining , all returned to control level |
Sriram et al., 2014 |
In vivo MPTP 12.5 mg/kg sc |
|
|
Mice-deficient for COX2 Microglial cells are the major cells expressing COX2 |
MPTP caused in substantia nigra 40% loss in wild type 45% loss in COX1-/- 20% loss in COX2-/- in striatum 70% loss of DA in all 3 types of mice |
Feng et al., 2002 |
In vivo MPTP 20 mg/kg sc |
|
|
S100B-/- in astrocytes caused decreased microgliosis, TNF-alpha and RAGE |
12% of protection for TH+ neuron 30% of protection for Nissl-labelled neurons |
Sathe et al., 2012 |
In vivo MPTP 30 mg/kg ip |
|
|
Glia Maturation Factor (GMF) overexpression or GMF-/- showed decreased TNF-alpha, IL-1beta, ROS and NFkappaB downregulation |
Overexpression of GMF exacerbate DA neuron degeneration GMF-/- induced a protection of 40% of TH+ neurons |
Khan et al., 2014 |
In vitro Mesencephalic neuron/glia cultures MPP+ 5,10,20 microM |
|
|
Pharmacological inhibition or deletion of CD95 in peripheral myeloid cells (monocytes, macrophages, microglia, leucocytes) hampered infiltration in the brain of peripheral myeloid cells |
Total preservation of DA level in striatum Total protection of TH+ neurons in Snigra (25% affected in wild type mice) |
Gao et al., 2015 |
In vivo MPTP 30 mg/kg ip |
|
|
Glucocorticoid receptor (GR) deletion in microglia increased their reactivity and induced a persistant activation |
2X aggravation of TH+ neuronal loss in Snigra |
Ros-Bernal et al., 2011 |
In vivo MPTP 20 mg/kg ip |
|
|
TNF -/- mice |
No protection in substantia nigra TH density in striatum : return to control level |
Ferger et al., 2004 |
In vivo MPTP 20 mg/kg ip |
|
|
Intra-venous transplantation of mesenchymal stem cells Cell migration in substantianigra and release of TGFbeta (anti-inflammatory) Reparation of BBB, decreased infilatration and microglial activation |
About 15% protection of TH+ neurons in Snigra |
Chao et al., 2009 |
In vivo MPTP 20 mg/kg ip |
|
|
Nrf2-/- Increase in microgliosis and astrogliosis Microglial M1 phenotype Nrf2 involved in tuning microglial activation, switch M1/M2 phenotypes |
40% more DA neurons loss in substantia nigra (TM immunostaining) |
Rojo et al., 2010 |
In vivo MPTP 20mg/kg ip |
indirect |
|
Beta2 adrenergic receptor activation decreased microglial activation |
20% protection of TH+ neurons in Substantia nigra |
Qian et al., 2011 |
In vivo MPTP 15 mg/kg sc |
|
|
Deficiency in i-NOS blocks MPTP-induced increase of i-NOS, but not morphological microglial activation (IB4) |
Rescue of TH+ neurons in substantia nigra to control level, but no protection for striatal DA content |
Dehmer et al., 2000 |
In vivo MPTP 30 mg/KG/d ip, 5d |
|
|
C3-deficient mice Inhibition of complement-phagossome pathway Induced a decrease in several markers of microglial activation |
Loss of DA neurons induced by repeated systemic LPS application is rescued to control level |
Bodea et al., 2014 |
In vivo 4 dayly injection of LPS 1 microg/gbw LPS |
|
Response-response Relationship
Time-scale
Known Feedforward/Feedback loops influencing this KER
Rodent models have been mainly used to study the impact of neuroinflammation on DAergic nigrostriatal pathway degeneration, without any sex restriction. Neuroinflammation preceding neuronal death was detected in monkeys exposed to MPTP (Barcia et al., 2011); and in human, neuroinflammation is considered as an early event in the disease process (Innaccone et al., 2012).