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Neuronal activity increases translocator protein (TSPO) levels
Open accessAbstract
The mitochondrial protein, translocator protein (TSPO), is a widely used biomarker of neuroinflammation, but its non-selective cellular expression pattern implies roles beyond inflammatory processes. In the present study, we investigated whether neuronal activity modifies TSPO levels in the adult central nervous system. First, we used single-cell RNA sequencing to generate a cellular landscape of basal TSPO gene expression in the hippocampus of adult (12 weeks old) C57BL6/N mice, followed by confocal laser scanning microscopy to verify TSPO protein in neuronal and non-neuronal cell populations. We then quantified TSPO mRNA and protein levels after stimulating neuronal activity with distinct stimuli, including designer receptors exclusively activated by designer drugs (DREADDs), exposure to a novel environment and acute treatment with the psychostimulant drug, amphetamine. Single-cell RNA sequencing demonstrated a non-selective and multi-cellular gene expression pattern of TSPO at basal conditions in the adult mouse hippocampus. Confocal laser scanning microscopy confirmed that TSPO protein is present in neuronal and non-neuronal (astrocytes, microglia, vascular endothelial cells) cells of cortical (medial prefrontal cortex) and subcortical (hippocampus) brain regions. Stimulating neuronal activity through chemogenetic (DREADDs), physiological (novel environment exposure) or psychopharmacological (amphetamine treatment) approaches led to consistent increases in TSPO gene and protein levels in neurons, but not in microglia or astrocytes. Taken together, our findings show that neuronal activity has the potential to modify TSPO levels in the adult central nervous system. These findings challenge the general assumption that altered TSPO expression or binding unequivocally mirrors ongoing neuroinflammation and emphasize the need to consider non-inflammatory interpretations in some physiological or pathological contexts.
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“Given that more recent evidence confirms TSPO expression in neurons [44]”
From Pharmacological modulation of TSPO in microglia/macrophages and neurons in a chronic neurodegenerative model of prion disease (2023) · cites this paper as [44]
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Šimončičová, E., de Andrade, E. G., Vecchiarelli, H. A., Awogbindin, I. O., Delage, C. I., & Tremblay, M. (2022) · Trends in Pharmacological Sciences · doi:10.1016/j.tips.2021.11.006 · Cited by 79
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“TSPO binding in the brain is a putative marker of activated microglia, although its expression on multiple other cell types in the brain has limited interpretation of imaging results (30).”
Imaging Neuroinflammation in Neurodegenerative Disorders
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“Moreover, TSPO expression should not unequivocally be considered as a marker of neuroinflammation, since also neuronal activation may increase TSPO levels [48].”
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“This latter finding should also be interpreted with caution, however, as PET studies of TSPO are unable to distinguish the many states and functions of microglia, which include synaptic pruning and dendritic arborization that are unrelated to inflammation (Notter et al., 2021).”
Inflammatory Biomarkers in Addictive Disorders
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“However, neuronal activity can modify TSPO levels, suggesting that non-inflammatory interpretations should be considered in some physiological or pathological contexts [70].”
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“However, it should be emphasized that TSPO expression should not just be considered as a marker of microglia activation, because it has been demonstrated that neuronal activation also may increase TSPO expression [20].”
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“Interestingly, neuronal activity has been shown to upregulate hippocampal and cortical neuronal TSPO expression, although the functional significance of neuronal TSPO was not addressed [34].”
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“However, studies using positron emission tomography (PET) of translocator protein (TSPO), a widely used in vivo measure of microglial activation, have found no correlation between serum CRP levels and PET binding of TSPO, in both subjects with MDD and controls [51, 52], although TSPO expression may reflect other non-i…”
BackgroundMicroglial contribution to the pathology of neurodevelopmental disorders in humans
Matulevičiūtė, R., Akinluyi, E. T., Muntslag, T. A. O., Dewing, J. M., Long, K. R., Vernon, A. C., Tremblay, M., & Menassa, D. A. (2023) · Acta Neuropathologica · doi:10.1007/s00401-023-02629-2 · Cited by 41
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“Although TSPO is highly expressed in activated microglia [28, 33], recent studies have also demonstrated that neurons express TSPO, albeit at low levels, and may too be a direct target for TSPO therapeutics [7, 36].”
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Self-citationMitochondrial Translocator Protein (TSPO) Expression in the Brain After Whole Body Gamma Irradiation
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“, 1977); astrocytes which proliferate and reconfigure during inflammation (Liddelow and Barres, 2017); and even neurons whose increased activation was recently reported to increase TSPO (Notter et al., 2020).”
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“Consequently, the detection of neuroinflammation via TSPO detection may not be cell type-specific and may also involve non-inflammatory neuronal activity [17].”
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“Given that more recent evidence confirms TSPO expression in neurons [44], along with the established presence in the glial and endothelial cells [26, 45], we were keen to examine the contribution of neurons, glia and endothelial cells to TSPO signal in ME7 mice.”
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“Early human studies show regional overlap between CSF1R-PET signal and hypometabolic regions, reinforcing immune-metabolic coupling; TSPO biology itself warrants caution because it is not microglia-exclusive (Nam et al. 2023 ; Notter et al. 2021 ).”
Allopregnanolone and its antagonist modulate neuroinflammation and neurological impairment
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Topalis, V., Voros, C., & Ziaka, M. (2025) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/08919887251361578 · Cited by 14
Fairley, L. H., Lai, K. O., Grimm, A., Eckert, A., & Barron, A. M. (2024) · Biochimie · doi:10.1016/j.biochi.2024.07.003 · Cited by 14
Holzgreve, A., Pötter, D., Brendel, M., Orth, M., Weidner, L., Gold, L., Kirchner, M. A., Bartos, L. M., Unterrainer, L. M., Unterrainer, M., et al. (2022) · Biomedicines · doi:10.3390/biomedicines10040738 · Cited by 14
“Further cell types such as activated astrocytes and endothelial cells express TSPO in the context of brain diseases and thus are likely to contribute to a certain degree to the TSPO PET signal in brain tumors [46,47].”
BackgroundRiebel, M., Brunner, L.-M., Nothdurfter, C., Wein, S., Schwarzbach, J. V., Lière, P., Schumacher, M., & Rupprecht, R. (2024) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-024-01843-7 · Cited by 12
“However, TSPO expression should not unequivocally be considered as a marker of neuroinflammation, since also neuronal activa - tion may increase TSPO levels [ 67 ].”
Hernández‐Martín, N., Martínez, M. G., Bascuñana, P., de la Rosa, R. F., García‐García, L., Gómez-Oliver, F., Solas, M., Martín, E. D., & Pozo, M. A. (2024) · Glia · doi:10.1002/glia.24607 · Cited by 11
“Nevertheless, other studies have demonstrated that neuronal activity can independently alter TSPO levels in the brain (Notter et al., 2021).”
Andrew, P. M., MacMahon, J. A., Bernardino, P. N., Tsai, Y., Hobson, B. A., Porter, V. A., Huddleston, S. L., Luo, A., Bruun, D. A., Saito, N. H., et al. (2024) · Journal of Neuroinflammation · doi:10.1186/s12974-024-03272-8 · Cited by 13
Nwaubani, P., Cercignani, M., & Colasanti, A. (2022) · Clinical and Experimental Immunology · doi:10.1093/cei/uxac058 · Cited by 10
“Furthermore, recent evidence confirmed that TSPO is also expressed in neurons [37, 38].”
BackgroundMicroglial translocator protein and stressor-related disorder
Kikutani, K., Giga, H., Hosokawa, K., Shime, N., & Aizawa, H. (2020) · Neurochemistry International · doi:10.1016/j.neuint.2020.104855 · Cited by 10
Raymann, S., Schalbetter, S. M., Schaer, R., Bernhardt, A. C., Mueller, F. S., Meyer, U., & Weber‐Stadlbauer, U. (2022) · Cerebral Cortex · doi:10.1093/cercor/bhac207 · Cited by 10
Self-citationGlial overexpression of Tspo extends lifespan and protects against frataxin deficiency in Drosophila
Jullian, E., Russi, M., Turki, E., Bouvelot, M., Tixier, L., Middendorp, S., Martin, E., & Monnier, V. (2024) · Biochimie · doi:10.1016/j.biochi.2024.05.003 · Cited by 9
Microglial contribution to synaptic uptake in the prefrontal cortex in schizophrenia
Tzioras, M., Stevenson, A. J., Boche, D., & Spires‐Jones, T. L. (2020) · Neuropathology and Applied Neurobiology · doi:10.1111/nan.12660 · Cited by 10
Morrissey, N. A., Beall, C., & Ellacott, K. L. J. (2021) · Journal of Neuroendocrinology · doi:10.1111/jne.13027 · Cited by 7
Varlow, C., Knight, A. C., Mcquade, P. S., & Vasdev, N. (2022) · Brain Communications · doi:10.1093/braincomms/fcac019 · Cited by 9
Pignataro, A., Krashia, P., Introna, M. D., Nobili, A., Sabetta, A., Stabile, F., Barbera, L. L., D’Addario, S. L., Ventura, R., Cecconi, F., et al. (2023) · Translational Psychiatry · doi:10.1038/s41398-023-02357-x · Cited by 7
Tang, J. M., McClennan, A., Liu, L., Hadway, J. A., Ronald, J. A., Hicks, J. W., Hoffman, L., & Anazodo, U. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24087522 · Cited by 7
“However, it should be noted that the percentage of cells expressing TSPO are reported to be ~7 times higher for microglia than for astrocytes, as measured by scRNA-seq—suggesting a preference for the TSPO radiotracer to bind to microglia [71].”
BackgroundMicroglia matters: visualizing the immune battle in Parkinson’s disease
Lee, S. J., Wang, C., & Hooker, J. M. (2025) · Journal of Clinical Investigation · doi:10.1172/jci192919 · Cited by 7
“However, interpreting TSPOrelated bio logical mechanisms is complex because TSPO expression is not specific to a single cell type (9, 10), and TSPO reflects various functional changes such as steroidogenesis, cytokine release, and reactive oxygen gen eration (11).”
Cazuza, R. A., Zagrai, S. M., Grieco, A. R., Avery, T. D., Abell, A. D., Wey, H., Loggia, M. L., & Grace, P. M. (2024) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2024.08.057 · Cited by 6
“These cell types were selected because they express TSPO in naïve animals (Notter et al., 2021).”
BackgroundResultFelger, J. C. (2023) · Advances in neurobiology · doi:10.1007/978-3-031-21054-9_16 · Cited by 6
Structure-based drug design for TSPO: Challenges and opportunities
Giladi, M., Montgomery, A. P., Kassiou, M., & Danon, J. J. (2024) · Biochimie · doi:10.1016/j.biochi.2024.05.018 · Cited by 6
Microglial Positron Emission Tomography Imaging In Vivo
Ottoy, J., Picker, L. D., & Kang, M. S. (2024) · Advances in neurobiology · doi:10.1007/978-3-031-55529-9_32 · Cited by 6
Dirks, M., Buchert, R., Wirries, A., Pflugrad, H., Große, G. M., Petrusch, C., Schütze, C., Wilke, F., Mamach, M., Hamann, L., et al. (2021) · European Journal of Nuclear Medicine and Molecular Imaging · doi:10.1007/s00259-021-05398-w · Cited by 6
Regulation of astrocyte metabolism by mitochondrial translocator protein 18 kDa
Firth, W., Robb, J. L., Stewart, D., Pye, K. R., Bamford, R., Oguro‐Ando, A., Beall, C., & Ellacott, K. L. J. (2024) · Journal of Neurochemistry · doi:10.1111/jnc.16089 · Cited by 5
“Interestingly, expression of TSPO in neurons positively correlates with neuronal activity and oxidative phosphorylation (Guilarte et al., 2022; Notter et al., 2021 ), supporting a link between TSPO and regulation of cellular metabolism under ‘basal’ conditions in these cells.”
González‐Blanco, L., Bermejo-Millo, J. C., Oliveira, G. L., Potes, Y., Antuña, E., Menéndez‐Valle, I., Vega‐Naredo, I., Coto‐Montes, A. M., & Caballero, B. (2021) · Cells · doi:10.3390/cells10102784 · Cited by 6
“Interestingly, damaged neurons also show increased TSPO levels in those specific zones affected by brain injury [10], as well as under cell stress conditions in zones such as the brain cortex and hippocampus [11].”
BackgroundParametric Mapping for TSPO PET Imaging with Spectral Analysis Impulsive Response Function
Veronese, M., Tuosto, M., Marques, T. R., Howes, O. D., Pascual, B., Yu, M., Masdeu, J. C., Turkheimer, F., Bertoldo, A., & Zanotti‐Fregonara, P. (2021) · Molecular Imaging and Biology · doi:10.1007/s11307-020-01575-9 · Cited by 5
“TSPO is a five-transmembrane domain protein localised on the outer mitochondrial membrane in different cell types including microglia, astrocytes, endothelial cells, and, in small density, even in neurons [3].”
BackgroundSchaer, R., Wenger, N., Steiner, S., Notter, T., & Meyer, U. (2026) · Neuropsychopharmacology · doi:10.1038/s41386-026-02373-7 · Cited by 4
“In addition, immunohistochemical analyses of c-Fos expression were conducted to assess neuronal activation patterns [64, 81] 90min after MPH or VEH treatment.”
Self-citationBlaschke, S. J., Rautenberg, N., Endepols, H., Jendro, A., Konrad, J., Vlachakis, S., Wiedermann, D., Schroeter, M., Hoffmann, B., Merkel, R., et al. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25094837 · Cited by 4
“…in microglia, have been widely used to monitor neuroinflammation in, e.g., stroke [51] or neurodegeneration [52], but other sources of TSPO accumulation, e.g., increased neuronal activity [53], reactive astrocytes [54], or endothelial cells [55], have been debated to contribute to the PET signal.”
BackgroundBeaino, W., Kooijman, E. J. M., Werry, E. L., Vellinga, R. J., van den Hoek, J., Sohler, G., Cumbers, G. A., Genetzakis, E., Harvey-Latham, E. D., Schuit, R. C., et al. (2025) · European Journal of Nuclear Medicine and Molecular Imaging · doi:10.1007/s00259-025-07109-1 · Cited by 4
“Notably, TSPO has been used as a biomarker of neuroinflammation due to its increased expression during inflammatory processes, particularly in activated microglia [2, 3] but also in astrocytes [4, 5] and neurons [6].”
Neuroglia in hepatic encephalopathy
Zielińska, M., Popek, M. P., & Albrecht, J. (2025) · Handbook of clinical neurology · doi:10.1016/b978-0-443-19102-2.00011-9 · Cited by 4
Neurodevelopmental and Neuropsychiatric Disorders
Traetta, M. E., Filho, A. M. C., Akinluyi, E. T., & Tremblay, M. (2024) · Advances in neurobiology · doi:10.1007/978-3-031-55529-9_26 · Cited by 4
Saleem, A., Shah, S. I. A., Mangar, S. A., Coello, C. S., Wall, M. B., Rizzo, G., Jones, T., & Price, P. (2023) · Prostate Cancer · doi:10.1155/2023/6641707 · Cited by 5
“…marker of microglial 8 Prostate Cancer activity in the brain, TSPO protein is present in neuronal and non-neuronal cells of cortical and subcortical brain regions and increased neuronal activity has demonstrated consistent increases in TSPO gene and protein levels in neurons but not microglia [55].”
BackgroundTollefson, S., Himes, M. L., Kozinski, K. M., Lopresti, B. J., Mason, N. S., Hibbeln, J. R., Muldoon, M. F., & Narendran, R. (2021) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2021.09.005 · Cited by 4
Mahmud, M., Wade, C., Jawad, S., Hadi, Z., Otoul, C., Kaminski, R. M., Muglia, P., Kadiu, I., Rabiner, E. A., Maguire, R. P., et al. (2023) · Frontiers in Neuroimaging · doi:10.3389/fnimg.2023.1142463 · Cited by 3
Refining seizure foci localization: the potential of TSPO-PET
Wang, Y., Chen, Y., Xu, S., & Wu, X. (2025) · Acta Epileptologica · doi:10.1186/s42494-025-00234-2 · Cited by 3
“Neurons, under certain conditions, may also express small amounts of TSPO [19, 65].”
Shedenkova, M. O., Gurianova, A., Krasilnikova, I. A., Sudina, A. K., Karpulevich, E., Maksimov, Y., Samburova, M. V., Guguchkin, E., Nefedova, Z., Babenko, V. A., et al. (2025) · Cells · doi:10.3390/cells14231915 · Cited by 2
Tournier, B. B., Snoeijs, C., Tsartsalis, S., Amossé, Q., Farchoukh, R., Kövari, E., Ceyzériat, K., & Millet, P. (2022) · Aging Brain · doi:10.1016/j.nbas.2022.100045 · Cited by 2
“Introduction lar smooth muscle cells and some neurons [11,12,23].”
BackgroundMicroglial physiology and function
Verkhratsky, A., & Butt, A. M. (2023) · Elsevier eBooks · doi:10.1016/b978-0-12-821565-4.00002-x · Cited by 2
Maalouf, E., Khasawneh, H., Karbhari, A., AlAsfoor, S., Breen‐Lyles, M. K., Bernard, C. E., Rajan, E., Farrugia, G., Lowe, V. J., Goenka, A. H., et al. (2024) · Neurogastroenterology & Motility · doi:10.1111/nmo.14762 · Cited by 2
Translocator protein and neurodegeneration: insights from Alzheimer’s disease
Pradhan, A. K., Rupprecht, R., & Rammes, G. (2024) · Neural Regeneration Research · doi:10.4103/nrr.nrr-d-24-00246 · Cited by 1
“However, in most cases, changes in the expression profile of TSPO upon non-inflammatory stimuli such as changes due to neuronal activity are often neglected (Notter et al., 2021).”
Background
Metadata
- Authors
- Notter, T., Schalbetter, S. M., Clifton, N. E., Mattei, D., Richetto, J., Thomas, K., Meyer, U., & Hall, J.
- Affiliations
- Cardiff University (GB)
- University of Zurich (CH)
- Corresponding author
- Notter, Tina
- ORCID
- Venue
- Molecular Psychiatry
- Published
- 2020-05-12
- Volume
- 26
- Issue
- 6
- Pages
- 2025-2037
- ISSN
- 1359-4184 (ISSN-L)
- 1476-5578
- PMC
- PMC8440208
- OpenAlex
- W3016299128
- Cited by
- 118
- References
- 65
- Citations by year
- 2026: 9 · 2025: 13 · 2024: 24 · 2023: 20 · 2022: 20 · 2021: 24 · 2020: 8
- FWCI
- 6.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Molecular Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- National Science Foundation
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (PZ00P3_18009/1, 188524, 174868, 310030)
- Universität Zürich
- Medical Research Council (MR/L010305/1)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacological Receptor Mechanisms and Effects
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- translocator protein (TSPO), neuronal activity, neuroinflammation biomarkers, hippocampus, medial prefrontal cortex, amphetamine, astrocytes, microglia, vascular endothelial cells, single-cell RNA sequencing
- MeSH terms
- Animals, Neurons, Microglia, Receptors, GABA, Endothelial Cells, Positron-Emission Tomography, Mice
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