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Antiinflammatory Drugs Protect Hippocampal Neurogenesis
30 December 2003. Two recent studies confirm that local inflammation inhibits adult neurogenesis in the hippocampus and, in a promising advance, they find evidence that systemic administration of common nonsteroidal antiinflammatory drugs (NSAIDs) can restore some of the neurogenesis. These findings, from groups working in different disease models, add another angle to the rationale behind the therapeutic use of NSAIDs to protect the brain in Alzheimer's disease and in normal aging.

Already a decade ago, in-vitro data suggested that inflammatory molecules, such as the cytokines released by activated microglia, could regulate the differentiation of dentate gyrus stem cells into neurons and glia (Mehler et al., 1993). In subsequent years, researchers began to link perturbations in hippocampal neurogenesis to cognitive defects in AD and aging, as well as stroke and epilepsy. And in a separate line of research, Theo Palmer, Michelle Monje, and colleagues at Stanford University in California demonstrated last year that the cognitive damage associated with some cancer radiation therapy can be partly blamed on the inhibition of hippocampal neurogenesis (Monje et al., 2002). Monje et al. showed that, rather than damaging the precursors or differentiated neurons directly, radiation therapy disastrously perturbs the “microenvironment” of the stem cells and increases the number of activated microglia.

In the November 11 PNAS, Olle Lindvall, Christine Ekdahl, and their colleagues at Lund University in Sweden implicate inflammation as one of those microenvironment changes. These researchers have been modeling the reduction of hippocampal neurogenesis—which is accompanied by inflammation—in epilepsy. In their recent study, Lindvall and colleagues found that inflammation, whether triggered by status epilepticus or by bacterial lipopolysaccharide (LPS), directly impaired hippocampal neurogenesis in rats. The decreased neurogenesis was accompanied and probably fueled by the activation of microglia, as neurogenesis was tightly correlated with the degree of microglial activation. Minocycline, an NSAID (and an antibiotic) that specifically inhibits microglial activation, was able to significantly boost neurogenesis in spite of status epilepticus- or LPS-induced inflammation (see ARF related news story, Hirsch et al., 2003, Kriz et al., 2002).

Similar findings were reported in the December 5 Science by Monje and colleagues, who found that inflammation associated with both cranial irradiation and LPS treatment substantially reduced hippocampal neurogenesis in vivo. NSAID indomethacin reversed this reduction. The researchers also looked more closely at the possible role of microglia in creating a microenvironment disruptive to neurogenesis. They found that the proinflammatory cytokines interleukin-6 (IL-6) or tumor necrosis factor-α (TNFα) alone, but not IL-1β or interferon-γ, lowered neurogenesis (but not gliogenesis) in vitro by about half. In the presence of conditioned media from astroglia, inhibition of IL-6 alone was sufficient to restore the neurogenesis, suggesting a central role for this cytokine (see also Licastro et al., 2003, Vallieres et al., 2002).

In their editorial accompanying the recent Monje et al. article, Gerd Kempermann of the Max Delbrük Center for Molecular Medicine in Berlin, Germany, and Harald Neumann of the European Neuroscience Institute in Göttingen, Germany, note that "inhibition of neurogenesis by IL-6 might be due to increased production of astrocytes (or perhaps other glial cells) at the expense of neuronal progenitor cells, particularly as astrocytes and neuronal precursor cells seem to share a common stem cell. Alternatively, inhibition of neurogenesis by IL-6 may be a consequence of a decrease in neuronal progenitor cell proliferation or an increase in the number of these cells undergoing apoptosis."

Apropos the question of what indomethacin might be doing to protect neurogenesis, Monje et al. point out that NSAIDs may have effects on the stem cell microenvironment beyond blocking microglial release of IL-6. For example, the drugs have effects via the hypothalamic-pituitary-adrenal axis and may change vascular permeability and reduce the recruitment of proinflammatory endothelial cells.—Hakon Heimer.

References:
Ekdahl CT, Claasen JH, Bonde S, Kokaia Z, Lindvall O. Inflammation is detrimental for neurogenesis in adult brain. Proc Natl Acad Sci U S A. 2003 Nov 11;100(23):13632-7. Epub 2003 Oct 27. Abstract

Monje ML, Toda H, Palmer TD. Inflammatory blockade restores adult hippocampal neurogenesis. Science. 2003 Dec 5;302(5651):1760-5. Epub 2003 Nov 13. Abstract

Kempermann G, Neumann H. Microglia: the enemy within? Science. 2003 Dec 5;302(5651):1689-90. Abstract

 
Comments on News and Primary Papers
  Comment by:  Beka Solomon
Submitted 19 January 2004 Posted 19 January 2004

These two recent exciting studies demonstrate that local inflammation inhibits adult neurogenesis in the hippocampus in different diseased animal models [1,2]. The suppression of hippocampal neurogenesis by activated microglia may explain the cognitive dysfunction and adds another angle to the rationale behind immunotherapeutics in Alzheimer's disease. The authors showed that decreased neurogenesis was accompanied with, and probably fueled by, activation of microglia, as neurogenesis was tightly correlated to the degree of microglial activation. Further support comes from the use of nonsteroidal antiinflammatory drugs, like indomethacin, and a selective inhibitor of microglia activation, minocycline, which were able to restore hippocampal neurogenesis in inflammation without affecting neurogenesis in control animals [1].

Inflammatory changes—including microgliosis, astrocytosis, complement activation, cytokine elevation, and acute phase protein changes—are thought to represent, at least in part, a response to the early accumulation of Aβ1-42 in the AD brain...  Read more

Comments on Related News
  Related News: A Little BDNF May Help Your Canary Sing

Comment by:  Mark Mattson, ARF Advisor
Submitted 10 March 2004 Posted 10 March 2004

The discoveries that neurons that mediate birdsong in canaries are replaced by new neurons produced from stem cells, and that this turnover of the neurons is regulated by testosterone in a seasonal manner, have provided important insight into the control of neurogenesis by environmental factors. In their new study, Alvarez-Borda et al. provide evidence that BDNF promotes the survival of newly generated neurons in the high vocal center of the canaries. Remarkably, there is only a very tight time window of approximately two weeks following neurogenesis in the spring when BDNF is capable of promoting the long-term survival of the newly generated neurons. These findings have important implications for the regulation of adult neurogenesis in mammals as well as for the importance of neurogenesis in learning and memory processes.

Recent studies of neurogenesis in the hippocampus and forebrain of mice suggest that the continued production of new neurons is required for at least some aspects of learning and memory [1,2]. Presumably, newly generated neurons must integrate into neuronal...  Read more


  Related News: Neurogenesis—A Mechanism for Memory Storage, Clearance?

Comment by:  David Greenberg
Submitted 1 June 2004 Posted 1 June 2004

This report by Deisseroth and colleagues, that excitatory transmission stimulates neurogenesis in the hippocampus of rats, could have important implications for the pathogenesis and treatment of Alzheimer’s disease (AD).

In AD, as in several other neurological disorders, neurogenesis is increased (2), although the reason for this increase is unknown. Possible causes include the loss of an anti-proliferative effect that is normally imposed by intact tissue, or enhancement of neurogenesis by one or more proliferative factors released from damaged tissue. In either case, neurogenesis might represent an endogenous mechanism directed at repairing brain injury through cell replacement.

As Deisseroth and colleagues note, the bulk of prior evidence has suggested that excitatory amino acids inhibit neurogenesis, based largely on the neurogenesis-promoting effects of glutamate receptor antagonists (3). This would be consistent with a release-of-inhibition mechanism for injury-induced neurogenesis, in which neurogenesis is triggered by interruption of excitatory inputs that project...  Read more


  Related News: Neurogenesis—A Mechanism for Memory Storage, Clearance?

Comment by:  Joe Tsien
Submitted 9 June 2004 Posted 9 June 2004

This is a very exciting study with clever designs and elegant executions. It addresses one of the most fundamental issues in the field of neurogenesis. Adult neurogenesis, occurring in the dentate gyrus of the hippocampus and olfactory bulb in the adult brains, is evolutionarily preserved in mammalian species, including rodents to monkeys to humans. The functional significance of adult dentate neurogenesis is not clear. One leading idea is that neurogenesis is needed for clearance of outdated memories [1]. It has been observed that the forebrain-specific knockout of presenilin-1, a gene whose mutations are responsible for a vast majority of cases of early-onset Alzheimer’s disease, resulted in a pronounced deficiency in enrichment-induced neurogenesis in the dentate gyrus [1]. Behavioral experiments suggested that adult neurogenesis in the dentate gyrus may play a role in the clearance or destabilization of outdated hippocampal memory traces after cortical memory consolidation, thereby preventing the hippocampus from overload. This leads to the hypothesis that adult neurogenesis...  Read more
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