多発性硬化症における脳ミエリン損傷が発作を引き起こす可能性(How brain myelin damage could lead to seizures in MS)

ad

2025-10-08 カリフォルニア大学リバーサイド校(UCR)

Web要約 の発言:
カリフォルニア大学リバーサイド校の生物医学研究チームは、多発性硬化症(MS)患者の一部に発作が起こる仕組みを解明した。マウスモデル実験で、ミエリン(神経を覆う絶縁層)が損傷すると、海馬で興奮性伝達物質グルタミン酸が増加し、抑制性のGABAが減少して脳の過興奮状態を引き起こすことを発見。従来のてんかん治療薬が脳全体を抑制する副作用を持つのに対し、本研究は原因細胞(特にアストロサイト)を標的とする精密治療の道を開く。成果は『Neurobiology of Disease』誌に掲載。

<関連情報>

脱髄誘発性グルタミン酸不均衡が海馬の過興奮を媒介する Demyelination-induced glutamatergic imbalance mediates hippocampal Hyperexcitability

Alyssa M. Anderson, Moyinoluwa Ajayi, Carrie R. Jonak, Shane Desfor, Joselyn Soto, Adrian Akhuetie, Devang Deshpande, Andrew Lapato, Devin K. Binder, Seema K. Tiwari-Woodruff
Neurobiology of Disease  Available online: 24 September 2025
DOI:https://doi.org/10.1016/j.nbd.2025.107125

多発性硬化症における脳ミエリン損傷が発作を引き起こす可能性(How brain myelin damage could lead to seizures in MS)

Highlights

  • Progressive demyelination in CPZ mice increased seizures from 38% to 88%, linking hippocampal loss to epileptogenesis.
  • Chronic CA1 demyelination caused dendritic shrinkage, PV interneuron loss, and structural degeneration of pyramidal layers.
  • Glutamate rose by 3 weeks and stayed elevated at excitotoxic levels, indicating sustained neurotransmitter imbalance.
  • Astrocyte reactivity with GLT-1/GLAST loss and AQP4 changes impaired glutamate clearance, worsening hippocampal stress.
  • Transcriptomics revealed broad neuroglial gene loss at 6 weeks with partial recovery, mapping pathways for MS epilepsy.

Abstract

Chronic demyelination is a hallmark of multiple sclerosis (MS) and is associated with increased seizure susceptibility. In this study, we used the cuprizone (CPZ) diet induced demyelination model to investigate the progression of hippocampal demyelination and its impact on seizure activity and neurotransmitter dysregulation. Using EEG recordings, immunohistochemistry, Western blotting, ELISA, Golgi staining, and NanoString transcriptomics, we found progressive hippocampal demyelination accompanied by a striking increase in seizure incidence, from 38 % at 6 weeks to 88 % by 12 weeks. Structural degeneration of the CA1 pyramidal layer was marked by reduced dendritic arborization and loss of parvalbumin interneurons. Hippocampal glutamate levels increased as early as 3 weeks and remained elevated, with values (∼2.2 μM) reaching excitotoxic thresholds, along with astrocyte reactivity (glial fibrillary acidic protein) and downregulation of astrocytic glutamate transporter-1, and glutamate aspartate Transporter-1 and modification of aquaporin-4 in CA1. Stratum pyramidal and stratum radiatum region-specific alterations in glutamate transporters and related enzymes (glutamine synthetase, glutamic acid decarboxylase 67, vesicular glutamate transporter 1), further supported neurotransmitter imbalance. Transcriptomic profiling revealed widespread downregulation of myelin, neuronal, astrocytic, glutamatergic, and GABAergic genes at 6 weeks, with partial recovery by 12 weeks. Together, these findings establish a mechanistic link between chronic hippocampal demyelination, glutamate dysregulation, and epileptogenesis offering potential molecular targets for therapeutic intervention in MS-associated epilepsy.

細胞遺伝子工学
ad
ad
Follow
ad
タイトルとURLをコピーしました