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大学・研究所にある論文を検索できる 「Persistent elevation of lysophosphatidylcholine promotes radiation brain necrosis with microglial recruitment by P2RX4 activation」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Persistent elevation of lysophosphatidylcholine promotes radiation brain necrosis with microglial recruitment by P2RX4 activation

Kondo, Natsuko Sakurai, Yoshinori Takata, Takushi Kano, Kuniyuki Kume, Kyo Maeda, Munetoshi Takai, Nobuhiko Suzuki, Shugo Eto, Fumihiro Kikushima, Kenji Wanibuchi, Hideki Miyatake, Shin-Ichi Kajihara, Takayuki Oda, Shoji Setou, Mitsutoshi Aoki, Junken Suzuki, Minoru 京都大学 DOI:10.1038/s41598-022-12293-3

2022

概要

Brain radiation necrosis (RN) or neurocognitive disorder is a severe adverse effect that may occur after radiation therapy for malignant brain tumors or head and neck cancers. RN accompanies inflammation which causes edema or micro-bleeding, and no fundamental treatment has been developed. In inflammation, lysophospholipids (LPLs) are produced by phospholipase A2 and function as bioactive lipids involved in sterile inflammation in atherosclerosis or brain disorders. To elucidate its underlying mechanisms, we investigated the possible associations between lysophospholipids (LPLs) and RN development in terms of microglial activation with the purinergic receptor P2X purinoceptor 4 (P2RX4). We previously developed a mouse model of RN and in this study, measured phospholipids and LPLs in the brains of RN model by liquid chromatography tandem mass spectrometry (LC–MS/MS) analyses. We immune-stained microglia and the P2RX4 in the brains of RN model with time-course. We treated RN model mice with ivermectin, an allosteric modulator of P2RX4 and investigate the effect on microglial activation with P2RX4 and LPLs’ production, and resulting effects on overall survival and working memory. We revealed that LPLs (lysophosphatidylcholine (LPC), lysophosphatidyl acid, lysophosphatidylserine, lysophosphatidylethanolamine, lysophosphatidylinositol, and lysophosphatidylglycerol) remained at high levels during the progression of RN with microglial accumulation, though phospholipids elevations were limited. Both microglial accumulation and activation of the P2RX4 were attenuated by ivermectin. Moreover, the elevation of all LPLs except LPC was also attenuated by ivermectin. However, there was limited prolongation of survival time and improvement of working memory disorders. Our findings suggest that uncontrollable increased LPC, even with ivermectin treatment, promoted the development of RN and working memory disorders. Therefore, LPC suppression will be essential for controlling RN and neurocognitive disorder after radiation therapy.

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Acknowledgements

This research was performed in collaboration with the Radioisotope Research Center, Kyoto University.

Author contributions

N.K. designed the study, conducted the radiation necrosis experiments, supervised all experiments, analyzed and

interpreted the data, and wrote the manuscript. Y.S. and T.T. conducted the radiation necrosis model experiments

and supervised the dose measurements. K.Kano performed the LC–MS/MS analyses and J.A. supervised the LC–

MS/MS experiments. K.Kume and M.M. performed and supervised the proton beam irradiation. N.T. conducted

and supervised the animal behavioral tests. S.S. and H.W. conducted and supervised the immunohistochemical

experiments. F.E., K.Kikushima, and M.Setou conducted and supervised the MALDI-IMS analyses. S.-I.M. and

M.Suzuki helped with the immunohistochemical experiments and advised from the viewpoint of clinical relevance. T.K. and S.O. conducted and supervised immunohistochemistry experiments for Supplementary Figures.

Funding

This research was supported by the Japan Society for the Promotion of Science KAKENHI Grant Number

17K16641 (AdAMS) and the Ishizue Research Development Program of Kyoto University to N.K., the Collaborative Research Grant of the Wakasa Wan Energy Research Center to N.K. and Y.S., and the Japan Society for the

Promotion of Science KAKENHI Grant Number 26293327 to S.-I.M..

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Competing interests The authors declare no competing interests.

Additional information

Supplementary Information The online version contains supplementary material available at https://​doi.​org/​

10.​1038/​s41598-​022-​12293-3.

Correspondence and requests for materials should be addressed to N.K.

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