Systemic inflammation induces acute behavioral and cognitive changes and accelerates neurodegenerative disease.
Open accessAbstract
BACKGROUND: Chronic neurodegeneration results in microglial activation, but the contribution of inflammation to the progress of neurodegeneration remains unclear. We have shown that microglia express low levels of proinflammatory cytokines during chronic neurodegeneration but are "primed" to produce a more proinflammatory profile after systemic challenge with bacterial endotoxin (lipopolysaccharide [LPS]). METHODS: Here, we investigated whether intraperitoneal (IP) challenge with LPS, to mimic systemic infection, in the early stages of prion disease can 1) produce exaggerated acute behavioral (n = 9) and central nervous system (CNS) inflammatory (n = 4) responses in diseased animals compared with control animals, and 2) whether a single LPS challenge can accelerate disease progression (n = 34-35). RESULTS: Injection of LPS (100 microg/kg), at 12 weeks postinoculation (PI), resulted in heightened CNS interleukin-1 beta (IL-1beta), tumor necrosis factor-alpha (TNF-alpha), and interferon-beta (IFN-beta) transcription and microglial IL-1beta translation in prion-diseased animals relative to control animals. This inflammation caused exaggerated impairments in burrowing and locomotor activity, and induced hypothermia and cognitive changes in prion-diseased animals that were absent in LPS-treated control animals. At 15 weeks PI, LPS (500 microg/kg) acutely impaired motor coordination and muscle strength in prion-diseased but not in control animals. After recovery, these animals also showed earlier onset of disease-associated impairments on these parameters. CONCLUSIONS: These data demonstrate that transient systemic inflammation superimposed on neurodegenerative disease acutely exacerbates cognitive and motor symptoms of disease and accelerates disease progression. These deleterious effects of systemic inflammation have implications for the treatment of chronic neurodegeneration and associated delirium.
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Macrophages are one of the main producers of inflammatory cytokines.
“macrophages are known to be one of the main producers of inflammatory cytokines”
From Alzheimer’s disease-associated protective variant Plcg2-P522R modulates peripheral macrophage function in a sex-dimorphic manner (2024) · cites this paper as [2]
The Discussion (Exaggerated Sickness Behavior and Microglial Priming; page unavailable) reports IL-1β production by hippocampal microglia after systemic LPS challenge. The paper does not establish that macrophages generally are among the main producers of inflammatory cytokines; its finding concerns microglia under a specific condition. (LLM, conf=0.78)
Experimental — accuracy not yet measuredChronic inflammatory cytokines can exacerbate neurodegeneration.
“which, when chronic, can exacerbate neurodegeneration [2–4]”
From Alzheimer’s disease-associated protective variant Plcg2-P522R modulates peripheral macrophage function in a sex-dimorphic manner (2024) · cites this paper as [2]
The Abstract Conclusions report that transient systemic inflammation accelerates neurodegenerative disease, and the Discussion Conclusion cites evidence that systemic IL-1β exacerbates neurodegeneration. Neither passage establishes that chronic exposure to inflammatory cytokines causes the exacerbation; the paper says its mechanism remains unclear. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAnimal studies demonstrated that systemic immune activation by viral, bacterial, or parasitic infections results in impaired memory functioning.
“Studies in experimental animals demonstrated that systemic immune activation by viral, bacterial, or parasitic infections result in impaired memory functioning [18], [19], [20], [21], [22], [23].”
From Dose-dependent effects of endotoxin on neurobehavioral functions in humans (2011) · cites this paper as [18]
Systemic endotoxin precipitates brain pathology in mice expressing prions, APP variants or TAU variants or mice with α-synuclein injected in the brain.
“and systemic endotoxin precipitates brain pathology in mice expressing prions [74], APP variants [33] or TAU variants [69] or mice with α-synuclein injected in the brain [46].”
From The endotoxin hypothesis of neurodegeneration (2019) · cites this paper as [74]
A series of studies using a ME7 prion disease model showed dystrophic morphology of microglia and enhanced expression of inflammatory mediators such as IL-1β and COX-2 following in vivo LPS challenge; the exaggerated inflammatory changes in ME7 mice were also associated with impairments in spatial learning.
“A series of studies using a ME7 prion disease model showed dystrophic morphology of microglia and enhanced expression of inflammatory mediators such as IL-1β and COX-2 following in vivo LPS challenge.The exaggerated inflammatory changes in ME7 mice were also associated with impairments in spatial learning (Cunningham et al, 2009).”
From Microglia Priming with Aging and Stress (2017) · cites this paper as Cunningham et al, 2009
In prion disease, microglia appear to express low levels of pro-inflammatory cytokines during chronic neurodegeneration but may be in a "primed" state.
“In prion disease, microglia appear to express low levels of pro-inflammatory cytokines during chronic neurodegeneration but may be in a “primed” state [8].”
From MicroRNA 146a (miR-146a) Is Over-Expressed during Prion Disease and Modulates the Innate Immune Response and the Microglial Activation State (2012) · cites this paper as [8]
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Self-citationSaba, R., Gushue, S., Huzarewich, R. L. C. H., Manguiat, K., Medina, S., Robertson, C., & Booth, S. A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0030832 · Cited by 151 · see citing works
Post-mortem analysis of neuroinflammatory changes in human Alzheimer’s disease
Gomez-Nicola, D., & Boche, D. (2015) · Alzheimer's Research & Therapy · doi:10.1186/s13195-015-0126-1 · Cited by 147 · see citing works
Teeling, J. L., Cunningham, C., Newman, T. A., & Perry, V. H. (2010) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2009.11.006 · Cited by 139 · see citing works
Self-citationThe Role of Neuroinflammation in Dementias
Pasqualetti, G., Brooks, D. J., & Edison, P. (2015) · Current Neurology and Neuroscience Reports · doi:10.1007/s11910-015-0531-7 · Cited by 133 · see citing works
Environment matters: microglia function and dysfunction in a changing world
Hanamsagar, R., & Bilbo, S. D. (2017) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2017.10.007 · Cited by 122 · see citing works
Targeting innate immunity for neurodegenerative disorders of the central nervous system
Andreasson, K. I., Bachstetter, A. D., Colonna, M., Ginhoux, F., Holmes, C., Lamb, B., Landreth, G., Lee, D. C., Low, D., Lynch, M. A., et al. (2016) · Journal of Neurochemistry · doi:10.1111/jnc.13667 · Cited by 126 · see citing works
Lasselin, J., Lekander, M., Axelsson, J., & Karshikoff, B. (2018) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2018.06.005 · Cited by 106 · see citing works
Johansson, J. U., Pradhan, S., Lokteva, L. A., Woodling, N. S., Ko, N., Brown, H. D., Wang, Q., Loh, C., Cekanaviciute, E., Buckwalter, M., et al. (2013) · The Journal of Neuroscience · doi:10.1523/jneurosci.2203-13.2013 · Cited by 96 · see citing works
Hughes, M. M., Field, R. H., Perry, V. H., Murray, C. L., & Cunningham, C. (2010) · Glia · doi:10.1002/glia.21070 · Cited by 94 · see citing works
Self-citationSimon, E., Obst, J., & Gomez-Nicola, D. (2019) · Neuroscience · doi:10.1016/j.neuroscience.2018.01.059 · Cited by 83 · see citing works
ICU Survivorship—The Relationship of Delirium, Sedation, Dementia, and Acquired Weakness
Mart, M. F., Pun, B. T., Pandharipande, P., Jackson, J. C., & Ely, E. W. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005125 · Cited by 67 · see citing works
International drive to illuminate delirium: a developing public health blueprint for action
Khachaturian, A. S., Hayden, K. M., Devlin, J. W., Fleisher, L. A., Lock, S. L., Cunningham, C., Oh, E. S., Fong, T. G., Fick, D. M., Marcantonio, E. R., et al. (2020) · Alzheimer's & Dementia · doi:10.1002/alz.12075 · Cited by 60 · see citing works
Self-citationBidirectional Brain-Systemic Interactions and Outcomes After TBI
Faden, A. I., Barrett, J. P., Stoica, B. A., & Henry, R. J. (2021) · Trends in Neurosciences · doi:10.1016/j.tins.2020.12.004 · Cited by 57 · see citing works
Gildawie, K. R., Orso, R., Peterzell, S., Thompson, V., & Brenhouse, H. C. (2020) · Neuroscience Letters · doi:10.1016/j.neulet.2020.135381 · Cited by 46 · see citing works
Lifetime modulation of the pain system via neuroimmune and neuroendocrine interactions
Zouikr, I., & Karshikoff, B. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2017.00276 · Cited by 45 · see citing works
Samaan, Z., McDermid Vaz, S., Bawor, M., Potter, T. H., Eskandarian, S., & Loeb, M. (2016) · PLOS ONE · doi:10.1371/journal.pone.0158364 · Cited by 42 · see citing works
Cerebrospinal Fluid Levels of Interleukin-8 in Delirium, Dementia, and Cognitively Healthy Patients
Sajjad, M. U., Blennow, K., Knapskog, A. B., Idland, A.-V., Chaudhry, F. A., Wyller, T. B., Zetterberg, H., & Watne, L. O. (2020) · Journal of Alzheimer’s Disease · doi:10.3233/jad-190941 · Cited by 34 · see citing works
Recent advances in psychoneuroimmunology: Inflammation in psychiatric disorders
Debnath, M., Doyle, K., Langan, C., McDonald, C., Leonard, B., & Cannon, D. (2011) · Translational Neuroscience · doi:10.2478/s13380-011-0019-0 · Cited by 28 · see citing works
Chouhan, J. K., Püntener, U., Booth, S. G., & Teeling, J. L. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.760721 · Cited by 24 · see citing works
Knopp, R. C., Baumann, K. K., Wilson, M. L., Banks, W. A., & Erickson, M. A. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23042377 · Cited by 17 · see citing works
Staley, H. A., Jernigan, J. E., Bolen, M. L., Titus, A. M., Neighbarger, N., Cole, C., Menees, K. B., Wallings, R. L., & Tansey, M. G. (2024) · Journal of Neuroinflammation · doi:10.1186/s12974-024-03271-9 · Cited by 9 · see citing works
“These cells are considered to be the body’s first line of defense, and are main propagators of inflammation, which has been shown to exacerbate neurodegeneration [2–4].”
BackgroundInnate Immune Tolerance in Microglia Does Not Impact on Central Nervous System Prion Disease
Pal, R., Bradford, B. M., & Mabbott, N. A. (2022) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2022.918883 · Cited by 7 · see citing works
- Authors
- Cunningham, C., Campion, S., Lunnon, K., Murray, C. L., Woods, J. F. C., Deacon, R. M. J., Rawlins, J. N. P., & Perry, V. H.
- Affiliations
- Trinity College Dublin (IE)
- University of Southampton (GB)
- University of Oxford (GB)
- Corresponding author
- Cunningham, Colm
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2009-02
- Volume
- 65
- Issue
- 4
- Pages
- 304-312
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC2633437
- OpenAlex
- W2093984890
- Cited by
- 584
- References
- 55
- Citations by year
- 2026: 18 · 2025: 24 · 2024: 40 · 2023: 22 · 2022: 33 · 2021: 50 · 2020: 33 · 2019: 32 · 2018: 28 · 2017: 40 · 2016: 38 · 2015: 38 · 2014: 40 · 2013: 43 · 2012: 35
- FWCI
- 9.33
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Biological Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Open Research Exeter (University of Exeter) (publishedVersion, cc-by)
- ePrints Soton (University of Southampton) (submittedVersion)
- Figshare (submittedVersion)
- Funders
- Wellcome Trust
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Prion Diseases and Protein Misfolding
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
- Keywords
- systemic inflammation, lipopolysaccharide, prion disease, neurodegeneration, microglial activation, IL-1β, TNF-α, interferon-beta, cognitive impairment, motor coordination, disease progression, behavior change, hypothermia, delirium
- MeSH terms
- Animals, Behavior, Animal, Body Temperature, Cognition, Female, Immunohistochemistry, Inflammation, Infusions, Parenteral, Lipopolysaccharides, Longitudinal Studies, Mice, Inbred C57BL, Motor Activity, Psychomotor Performance, Maze Learning, Neurodegenerative Diseases, Reverse Transcriptase Polymerase Chain Reaction, Mice
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