Abstract

Inflammation may contribute to multiple brain pathologies. One cause of inflammation is lipopolysaccharide/endotoxin (LPS), the levels of which are elevated in blood and/or brain during bacterial infections, gut dysfunction and neurodegenerative diseases, such as Parkinson’s disease. How inflammation causes neuronal loss is unclear, but one potential mechanism is microglial phagocytosis of neurons, which is dependent on the microglial P2Y6 receptor. We investigated here whether the P2Y6 receptor was required for inflammatory neuronal loss. Intraperitoneal injection of LPS on 4 successive days resulted in specific loss of dopaminergic neurons (measured as cells staining with tyrosine hydroxylase or NeuN) in the substantia nigra of wild-type mice, but no neuronal loss in cortex or hippocampus. This supports the hypothesis that neuronal loss in Parkinson’s disease may be driven by peripheral LPS. By contrast, there was no LPS-induced neuronal loss in P2Y6 receptor knockout mice. In vitro, LPS-induced microglial phagocytosis of cells was prevented by inhibition of the P2Y6 receptor, and LPS-induced neuronal loss was reduced in mixed glial–neuronal cultures from P2Y6 receptor knockout mice. This supports the hypothesis that microglial phagocytosis contributes to inflammatory neuronal loss, and can be prevented by blocking the P2Y6 receptor, suggesting that P2Y6 receptor antagonists might be used to prevent inflammatory neuronal loss in Parkinson’s disease and other brain pathologies involving inflammatory neuronal loss.

Highlights

  • Inflammation contributes to the pathology and neuronal loss of various CNS diseases [1,2,3,4], but the mechanisms are unclear, and means to prevent inflammatory neuronal loss are underdeveloped

  • We found that an inhibitor of ­Pyrimidinergic receptor ­P2Y6 (P2Y6R) (MRS2578) prevented neuronal loss induced by LPS injected into brain or cell cultures [9], but we did not test whether: (i) this was mediated by P­ 2Y6R, and (ii) lack of ­P2Y6R was protective against peripheral LPS

  • We tested whether ­P2Y6R knockout (P2ry6−/−) protected against the neuronal loss induced by peripheral inflammation

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Summary

Introduction

Inflammation contributes to the pathology and neuronal loss of various CNS diseases [1,2,3,4], but the mechanisms are unclear, and means to prevent inflammatory neuronal loss are underdeveloped. The inflammatory response of the brain is mainly mediated by microglia, which are resident brain macrophages that when inflamed can kill neurons by multiple mechanisms, including by phagocytosing neurons [1,2,3]. Dead neurons do not accumulate significantly in neurodegenerative diseases, and one potential cause of this is that neurons are phagocytosed when alive [5, 6]. We have shown that activated microglia become highly phagocytic and cause neuronal loss by phagocytosis of stressed-but-viable neurons [8,9,10,11].

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