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Microglia modulation through external vagus nerve stimulation in a murine model of Alzheimer's disease

Chronically activated microglia contribute to the development of neurodegenerative diseases such as Alzheimer's disease (AD) by the release of pro‐inflammatory mediators that compromise neuronal function and structure. Modulating microglia functions could be instrumental to interfere with disea...

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Published in:Journal of neurochemistry 2018-07, Vol.146 (1), p.76-85
Main Authors: Kaczmarczyk, Robert, Tejera, Dario, Simon, Bruce J., Heneka, Michael T.
Format: Article
Language:English
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Summary:Chronically activated microglia contribute to the development of neurodegenerative diseases such as Alzheimer's disease (AD) by the release of pro‐inflammatory mediators that compromise neuronal function and structure. Modulating microglia functions could be instrumental to interfere with disease pathogenesis. Previous studies have shown anti‐inflammatory effects of acetylcholine (ACh) or norepinephrine (NE), which mainly activates the β‐receptors on microglial cells. Non‐invasive vagus nerve stimulation (nVNS) is used in treatment of drug‐resistant depression, which is a risk factor for developing AD. The vagus nerve projects to the brainstem's locus coeruleus from which noradrenergic fibers reach to the Nucleus Basalis of Meynert (NBM) and widely throughout the brain. Pilot studies showed first signs of cognitive‐enhancing effects of nVNS in AD patients. In this study, the effects of nVNS on mouse microglia cell morphology were analyzed over a period of 280 min by 2‐photon laser scanning in vivo microscopy. Total branch length, average branch order and number of branches, which are commonly used indicators for the microglial activation state were determined and compared between young and old wild‐type and amyloid precursor protein/presenilin‐1 (APP/PS1) transgenic mice. Overall, these experiments show strong morphological changes in microglia, from a neurodestructive to a neuroprotective phenotype, following a brief nVNS in aged animals, especially in APP/PS1 animals, whereas microglia from young animals were morphologically unaffected. Microglia activation plays an important role in the pathogenesis of neurodegenerative diseases including Alzheimer's disease (AD) and Parkinson's disease and in acute brain trauma, including stroke and traumatic brain injury. Non‐invasive vagus nerve stimulation (nVNS) is able to revert the neuroinflammatory phenotype of microglia in a mouse model of AD. nVNS is thought to exert this effect by the release of norepinephrine and acetylcholine from the locus coeruleus and nucleus basalis of Meynert, respectively. nVNS may therefore provide a novel treatment paradigm for neurodegenerative diseases by inducing the neuroprotective action of microglia and suppressing the detrimental release of proinflammatory mediators.
ISSN:0022-3042
1471-4159
DOI:10.1111/jnc.14284