Role of microglia in the pathogenesis of osmotic-induced demyelination
- 作者：Seiko Takefuji ; Takashi Murase ; Yoshihisa Sugimura ; Yoshiko Takagishi ; Shizu Hayasaka ; Yutaka Oiso ; Yoshiharu Murata
- 关键词：Central pontine myelinolysis ; dDAVP ; Demyelination ; Hyponatremia ; IFN-γ ; iNOS ; Lovastatin ; Microglia ; Proinflammatory cytokines ; TNF-α
- 刊名：Experimental Neurology
- 出版年：2007
- 期刊代码：78_00144886
- 类别：neu
- 出版时间：March 2007
- 卷：204
- 期：1
- 页码：88-94
- 文件大小：1359 K
摘要
Osmotic demyelination is a serious disease caused by rapid correction of hyponatremia. In humans, demyelinative lesions occur preferentially in the central pons, and thus are termed central pontine myelinolysis. Although accumulation of microglia has been reported in such demyelinative lesions, their role in the pathogenesis of osmotic demyelination remains unclear. We examined the expression of cytokines in microglia that accumulated in the demyelinative lesions in a rat model of osmotic demyelination. Hyponatremia was induced in rats by a combination of dDAVP infusion and liquid diet feeding. After 7 days, serum sodium levels were rapidly corrected by hypertonic saline injection. The rats developed severe motor deficits, and marked demyelinative lesions were found in the midbrain and cerebral cortex. In the area of the demyelinative lesions, massive accumulations of microglia were observed that expressed the proinflammatory cytokines TNF-α and IFN-γ as well as iNOS. In contrast, in hyponatremia corrected rats treated with lovastatin, which is known to inhibit microglial infiltration in various animal models of CNS disease, neurological impairments and the degree of demyelination were significantly ameliorated. Lovastatin also reduced the accumulation of microglia and decreased the expression of TNF-α in the demyelinative lesions. These results indicate that microglia play a detrimental role in the pathogenesis of osmotic demyelination by producing proinflammatory cytokines, and further suggest that lovastatin may be useful in repressing the demyelination.