Pharmacological depletion of microglia and perivascular macrophages prevents vascular Cognitive Impairment in Ang II-induced Hypertension
Daniëlle KerkhofsBritt T. van HagenIrina V. MilanovaKimberly J SchellHelma van EssenErwin WijnandsPieter GoossensW. Matthijs BlankesteijnThomas UngerJos PrickaertsErik A.L. BiessenRobert J. van OostenbruggeSébastien Foulquier
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Rationale: Hypertension is a major risk factor for cerebral small vessel disease, the most prevalent cause of vascular cognitive impairment. As we have shown, hypertension induced by a prolonged Angiotensin II infusion is associated with increased permeability of the blood-brain barrier (BBB), chronic activation of microglia and myelin loss. In this study we therefore aim to determine the contribution of microglia to hypertension-induced cognitive impairment in an experimental hypertension model by a pharmacological depletion approach. Methods: For this study, adult Cx3Cr1gfp/wtxThy1yfp/0 reporter mice were infused for 12 weeks with Angiotensin II or saline and subgroups were treated with PLX5622, a highly selective CSF1R tyrosine kinase inhibitor. Systolic blood pressure (SBP) was measured via tail-cuff. Short- and long-term spatial memory was assessed during an Object Location task and a Morris Water Maze task (MWM). Microglia depletion efficacy was assessed by flow cytometry and immunohistochemistry. BBB leakages, microglia phenotype and myelin integrity were assessed by immunohistochemistry. Results: SBP, heart weight and carotid pulsatility were increased by Ang II and were not affected by PLX5622. Short-term memory was significantly impaired in Ang II hypertensive mice, and partly prevented in Ang II mice treated with PLX5622. Histological and flow cytometry analysis revealed almost complete ablation of microglia and a 60% depletion of brain resident perivascular macrophages upon CSF1R inhibition. Number and size of BBB leakages were increased in Ang II hypertensive mice, but not altered by PLX5622 treatment. Microglia acquired a pro-inflammatory phenotype at the site of BBB leakages in both Saline and Ang II mice and were successfully depleted by PLX5622. There was however no significant change in myelin integrity at the site of leakages. Conclusion: Our results show that depletion of microglia and PVMs, by CSF1R inhibition prevents short-term memory impairment in Ang II induced hypertensive mice. We suggest this beneficial effect is mediated by the major decrease of pro-inflammatory microglia within BBB leakages. This novel finding supports the critical role of brain immune cells in the pathogenesis of hypertension-related cognitive impairment. An adequate modulation of microglia /PVM density and phenotype may constitute a relevant approach to prevent and/or limit the progression of vascular cognitive impairment.Keywords:
Cognitive Decline
Perivascular space
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Microglia, the major inflammatory cells of the brain, play a pivotal role in the initiation and progression of Alzheimer's Disease (AD) by either phagozytosing amyloid‐β deposits or by releasing cytotoxic and pro‐inflammatory substances in response to activation by amyloid‐β aggregates, including amyloid‐β oligomers (AβO). We here propose microglial Kv1.3 channels as a novel target for curbing the harmful effects of Aβ‐induced microglia activation. Microglia isolated from the brains of adult 5xFAD mice expressed higher levels of Kv1.3 than microglia from age‐matched control mice. We further observed strong Kv1.3 immunoreactivities in microglia associated with amyloid plaques in brains of 5xFAD mice. Proof for the functional importance of Kv1.3 in microglia comes from our observations that the Kv1.3 blocker PAP‐1 inhibits AβO‐stimulated NO production as well as microglia‐mediated neurotoxicity in dissociated cultures and organotypic brain slices. A 6‐week course of daily PAP‐1 injections also reduced the degree of microglia activation in 5xFAD mice. In contrast, Kv1.3 blockade with PAP‐1 does not affect phagocytosis of Aβ aggregates by microglia. These observations suggest that Kv1.3 blockers might preferentially inhibit microglia mediated neuronal killing without affecting beneficial functions such as scavenging of debris. Supported by NIH and Alzheimer's Association
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Abstract Brain iron accumulation has been found to accelerate disease progression in amyloid-β(Aβ) positive Alzheimer patients, though the mechanism is still unknown. Microglia have been identified as key players in the disease pathogenesis, and are highly reactive cells responding to aberrations such as increased iron levels. Therefore, using histological methods, multispectral immunofluorescence and an automated in-house developed microglia segmentation and analysis pipeline, we studied the occurrence of iron-accumulating microglia and the effect on its activation state in human Alzheimer brains. We identified a subset of microglia with increased expression of the iron storage protein ferritin light chain (FTL), together with increased Iba1 expression, decreased TMEM119 and P2RY12 expression. This activated microglia subset represented iron-accumulating microglia and appeared morphologically dystrophic. Multispectral immunofluorescence allowed for spatial analysis of FTL + Iba1 + -microglia, which were found to be the predominant Aβ-plaque infiltrating microglia. Finally, an increase of FTL + Iba1 + -microglia was seen in patients with high Aβ load and Tau load. These findings suggest iron to be taken up by microglia and to influence the functional phenotype of these cells, especially in conjunction with Aβ.
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Microglia are central nervous system (CNS) resident macrophages. They play a prominent role in virtually all neurodegenerative and traumatic brain injuries. Visualizing microglia using label-free methodologies will allow a better understanding of how microglia participate in CNS disorders in the absence of perturbations from external fluorescent dyes. Fluorescence Lifetime Imaging (FLIM) of NADH is an effective tool for monitoring cell intrinsic metabolic changes, and can imply metabolic state based on free/bound NADH lifetime quantification. Recently, FLIM based NADH lifetime quantification was used to characterize macrophages and other immune cell types. Here, we use a lifetime-based, label-free method to characterize microglia in vitro. We have found that there is a unique and statistically significant difference (p<0.05, n=5) in the NADH lifetime and free/bound NADH levels in microglia compared to other CNS cell types. Activated (i.e. inflammatory) microglia play a particularly important role in CNS diseases compared to quiescent microglia, and to our knowledge, there are no markers that can uniquely identify activated microglia, and distinguish them from related immune cell types. Thus, we have extended our NADH FLIM-based approach to differentiate quiescent microglia from activated microglia and found that there is a statistically significant difference (p<0.05,n=5) in NADH mean lifetime in the activated cells. Identifying microglia in a mixed population of CNS cells, and distinguishing activated from quiescent microglia will pave the way to better understanding their roles in the healthy and diseased brain.
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Abstract Age-associated microglial dysfunction contributes to the accumulation of amyloid-β (Aβ) plaques in Alzheimer’s disease. Although several studies have shown age-related declines in the phagocytic capacity of myeloid cells, relatively few have examined phagocytosis of normally aged microglia. Furthermore, much of the existing data on aging microglial function have been generated in accelerated genetic models of Alzheimer’s disease. Here we found that naturally aged microglia phagocytosed less Aβ over time. To gain a better understanding of such dysfunction, we assessed differences in gene expression between young and old microglia that either did or did not phagocytose Aβ. Young microglia had both phagocytic and neuronal maintenance signatures indicative of normal microglial responses, whereas, old microglia, regardless of phagocytic status, exhibit signs of broad dysfunction reflective of underlying neurologic disease states. We also found downregulation of many phagocytic receptors on old microglia, including TREM2, an Aβ phagocytic receptor. TREM2 protein expression was diminished in old microglia and loss of TREM2 + microglia was correlated with impaired Aβ uptake, suggesting a mechanism for phagocytic dysfunction in old microglia. Combined, our work reveals that normally aged microglia have broad changes in gene expression, including defects in Aβ phagocytosis that likely underlies the progression to neurologic disease.
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Author(s): Rice, Rachel Anne | Advisor(s): Green, Kim N | Abstract: Microglia are the immune competent cells of the central nervous system (CNS). During development, microglia play critical roles in pruning synapses and refining neuronal connectivity. In the adult brain, microglia constantly survey the parenchyma for cellular damage or invading pathogens. Upon detection of such events, microglia become activated and shift to a phagocytic phenotype, secreting pro-inflammatory molecules and adopting an amoeboid morphology. As part of the resolution/repair process, microglia return to a surveillant state and produce anti-inflammatory molecules. Unfortunately, with severe insults, such as traumatic brain injury or chronic neurodegeneration, microglia remain activated and contribute to an inflammatory process that is never, or poorly, resolved. In this way, we hypothesize that microglia contribute deleteriously to functional outcomes.The goal of my dissertation is to determine the contributions of microglia to neuronal health and cognition in both the healthy and injured brain. The direct assessment of microglia-specific contributions is possible due to the discovery by our lab that microglia are dependent upon signaling through the colony-stimulating factor 1 receptor (CSF1R) for their survival. Treatment with a small-molecule CSF1R inhibitor eliminates g99% of microglia from the adult mouse brain. Critically, microglia fully repopulate the CNS upon withdrawal of the CSF1R inhibitor, effectively renewing this cellular compartment. Using a genetic model of inducible neuronal loss, I have determined that the elimination of microglia during a lesion is detrimental to cellular health, while the elimination of microglia following a lesion results in the reversal of many lesion-induced deficits. Importantly, this research suggests that the microglia-mediated immune response is beneficial during insult or injury, but deleterious after such an event. Moreover, repopulation of the brain with new microglia following neuronal lesioning largely resets the inflammatory milieu and confers functional benefits.Finally, long-term elimination of microglia was employed in order to determine if these cells shape the synaptic landscape in the healthy adult brain, as they do during development. Indeed, I found that microglial elimination in healthy adult mice results in brain-wide and robust increases in dendritic spine numbers and excitatory neuronal connectivity, indicating that microglia modulate synaptic function throughout the course of the lifetime.
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