Misalignment in circadian‐regulated glymphatic clearance as a driver of neurodegeneration

Abstract

AbstractBackgroundGlymphatic system (GS) is a glial‐dependent perivascular network that under circadian regulation (Hablitz et al, 2020) controls the clearance of waste products in the central nervous system during the sleep (Xie et al, 2013) and its function is suppressed in several neurodegenerative diseases. Our aim is to investigate whether alteration in the circadian‐controlled dynamics of the GS may be the linker between the periphery and the brain. Our hypothesis is that the disruption of the gut‐brain dialogue, due to peripheral colonic inflammation, alters the circadian clockwork both in periphery and CNS, thereby impacting on the circadian‐regulated GS flux in the brain.MethodThe peripheral inflammation was obtained using an acute dextran sulfate sodium (DSS) mouse model of colitis. Alterations in GS dynamics and in the relative concentrations of selected metabolites in the brain have been evaluated by MRI and MRS, respectively. Aquaporin‐4, α‐syntropin, Connexin‐43 as well as clock genes expression have been assessed in colon, and in different brain areas, by real‐time PCR. AQP4 mis‐location has been evaluated by transmission electron microscopy.ResultOur data demonstrate that, in DSS‐driven acute colitis model, the inflammatory hit strongly impacts on the circadian clockwork both at peripheric and central level, by altering the expression of the core clock components. Such alteration in the clock components expression pattern correlates with changes in GS dynamics in the brain. In particular, colonic inflammation impacts on the expression of astrocyte aquaporin‐4, as well as of α‐syntropin and Connexin‐43, in both cerebellum and cortex, thus suggesting a potential molecular derangement in the regulation of glymphatic influx. Alterations in GS dynamics have also been detected in the relative concentrations of specific metabolites in selective brain areas by MRS. As a consequence of brain changes in GS dynamics, we observed an increased phospho‐tau deposition in the hippocampus of DSS mice.ConclusionThe characterization of the cascade of events and the relationship among gut inflammation, glymphatic influx alteration and brain waste product deposition has a novel significance since it will allow understanding how a persistent peripheral enteric hit may disorganize a central hierarchy thus triggering a self‐sustaining process prodromal of neurodegeneration.