The impact of IL-1 modulation on the development of lipopolysaccharide-induced cognitive dysfunction

Crit Care. 2010;14(3):R88. doi: 10.1186/cc9019. Epub 2010 May 14.

Abstract

Introduction: The impact of pro-inflammatory cytokines on neuroinflammation and cognitive function after lipopolysaccharide (LPS) challenge remains elusive. Herein we provide evidence that there is a temporal correlation between high-mobility group box 1 (HMGB-1), microglial activation, and cognitive dysfunction. Disabling the interleukin (IL)-1 signaling pathway is sufficient to reduce inflammation and ameliorate the disability.

Methods: Endotoxemia was induced in wild-type and IL-1R-/- mice by intra peritoneal injection of E. Coli LPS (1 mg/kg). Markers of inflammation were assessed both peripherally and centrally, and correlated to behavioral outcome using trace fear conditioning.

Results: Increase in plasma tumor necrosis factor-alpha (TNFalpha) peaked at 30 minutes after LPS challenge. Up-regulation of IL-1beta, IL-6 and HMGB-1 was more persistent, with detectable levels up to day three. A 15-fold increase in IL-6 and a 6.5-fold increase in IL-1beta mRNA at 6 hours post intervention (P < 0.001 respectively) was found in the hippocampus. Reactive microgliosis was observed both at days one and three, and was associated with elevated HMGB-1 and impaired memory retention (P < 0.005). Preemptive administration of IL-1 receptor antagonist (IL-1Ra) significantly reduced plasma cytokines and hippocampal microgliosis and ameliorated cognitive dysfunction without affecting HMGB-1 levels. Similar results were observed in LPS-challenged mice lacking the IL-1 receptor to those seen in LPS-challenged wild type mice treated with IL-1Ra.

Conclusions: These data suggest that by blocking IL-1 signaling, the inflammatory cascade to LPS is attenuated, thereby reducing microglial activation and preventing the behavioral abnormality.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cognition Disorders / chemically induced*
  • Cognition Disorders / immunology
  • Cognition Disorders / prevention & control*
  • Cytokines / blood
  • Endotoxemia / chemically induced
  • Endotoxemia / metabolism
  • Escherichia coli / immunology
  • Escherichia coli / metabolism
  • HMGB1 Protein / metabolism
  • Hippocampus / metabolism
  • Interleukin-1 / antagonists & inhibitors*
  • Interleukin-1 / genetics
  • Interleukin-1 / pharmacology
  • Lipopolysaccharides / administration & dosage
  • Lipopolysaccharides / adverse effects*
  • Mice
  • Mice, Inbred C57BL
  • Microglia / metabolism
  • Tumor Necrosis Factor-alpha / blood
  • Tumor Necrosis Factor-alpha / drug effects

Substances

  • Cytokines
  • HMGB1 Protein
  • Interleukin-1
  • Lipopolysaccharides
  • Tumor Necrosis Factor-alpha