Increasing evidence suggests that intestinal dysfunctions may represent early events in Alzheimer's disease and contribute to brain pathology. This study examined the relationship between onset of cognitive impairment and colonic dysfunctions in a spontaneous AD model before the full development of brain pathology. SAMP8 mice underwent Morris water maze and assessment of faecal output at four, six and eight months of age. In vitro colonic motility was examined. Faecal and colonic Aβ, tau proteins, α-synuclein and IL-1β were assessed by ELISA. Colonic citrate synthase activity was assessed by spectrophotometry. Colonic NLRP3, caspase-1 and ASC expression were evaluated by Western blotting. Colonic eosinophil density and claudin-1 expression were evaluated by immunohistochemistry. The effect of Aβ on NLRP3 signalling and mitochondrial function was tested in cultured cells. Cognitive impairment and decreased faecal output occurred in SAMP8 mice from six months. When compared with SAMR1, SAMP8 animals displayed: (1) impaired in vitro colonic contractions; (2) increased enteric AD-related proteins, IL-1β, active-caspase-1 expression and eosinophil density; and (3) decreased citrate synthase activity and claudin-1 expression. In THP-1 cells, Aβ promoted IL-1β release, which was abrogated upon incubation with caspase-1 inhibitor or in ASC-/- cells. Aβ decreased mitochondrial function in THP-1 cells. In SAMP8, enteric AD-related proteins deposition, inflammation and impaired colonic excitatory neurotransmission, occurring before the full brain pathology development, could contribute to bowel dysmotility and represent prodromal events in AD.

译文

越来越多的证据表明,肠道功能障碍可能代表阿尔茨海默病的早期事件,并导致大脑病理。这项研究在脑病理全面发展之前,研究了自发性AD模型中认知障碍的发作与结肠功能障碍之间的关系。SAMP8小鼠在四个,六个月和八个月大时接受了Morris水迷宫并评估了粪便输出量。检查了体外结肠运动。通过ELISA评估粪便和结肠a β,tau蛋白,α-突触核蛋白和IL-1β。通过分光光度法评估结肠柠檬酸合酶活性。通过蛋白质印迹法评估结肠NLRP3、caspase-1和ASC表达。通过免疫组织化学评估结肠嗜酸性粒细胞密度和claudin-1表达。在培养的细胞中测试了a β 对NLRP3信号传导和线粒体功能的影响。从六个月开始,SAMP8小鼠发生了认知障碍和粪便输出量减少。与SAMR1相比,SAMP8动物显示 :( 1) 体外结肠收缩受损; (2) 肠道AD相关蛋白,IL-1β,active-caspase-1表达和嗜酸性粒细胞密度增加; (3) 柠檬酸合酶活性和claudin-1表达降低。在THP-1细胞中,a β 促进IL-1β 释放,其在与caspase-1抑制剂或ASC-/-细胞孵育后被消除。A β 降低了THP-1细胞的线粒体功能。在SAMP8中,在整个大脑病理发展之前发生的肠道AD相关蛋白沉积,炎症和结肠兴奋性神经传递受损,可能会导致肠动力障碍并代表AD的前驱事件。

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