Elsevier

Neurobiology of Disease

Volume 14, Issue 3, December 2003, Pages 417-424
Neurobiology of Disease

Regular article
Involvement of benzodiazepine receptors in neuroinflammatory and neurodegenerative diseases: evidence from activated microglial cells in vitro

https://doi.org/10.1016/j.nbd.2003.07.002Get rights and content

Abstract

Increased binding of a ligand for the peripheral benzodiazepine binding receptor is currently used in PET studies as an in vivo measurement of inflammation in diseases like multiple sclerosis and Alzheimer's disease. Although peripheral-type benzodiazepin receptors (PBRs) are abundant in many cell types and expressed in the CNS physiologically only at low levels, previous reports suggest that after experimental lesions in animal models and in human neurodegenerative/-inflammatory diseases upregulated PBR expression with increased binding of its ligand PK11195 is confined mainly to activated microglia in vivo/in situ. Because the functional role of the PBR is unknown, we confirm by immunohistochemistry and PCR (I) that this receptor is expressed on microglia in vitro and (II) that benzodiazepines modulate proliferation of microglial cells and the release of the inflammatory molecules nitric oxide (NO) and tumor necrosis factor-alpha (TNF-α) in cell culture supernatants of primary rat microglia. Compared to lipopolysaccharide-activated controls the release of NO was markedly decreased in cultures treated with benzodiazepines (clonazepam, midazolam, diazepam) and the PBR ligand PK11195. Moreover, release of TNF-α and proliferation was significantly inhibited in the benzodiazepine-treated groups. These findings link the in vivo data of elevated PBR levels in neurodegenerative/-inflammatory diseases to a functional role and opens up possible therapeutic intervention targeting the PBR in microglia.

Section snippets

Cell culture

For all experiments Wistar rats that were bred and held under constant conditions (12h/12h light/dark cycle) in the animal house of the University of Kiel were used Free-floating microglial cells were collected from the medium of primary cell cultures from neonatal rat cerebral cortex after 10 days, as detailed elsewhere Sievers and Parwaresch, 1994, Wilms and Hartmann, 1997, Wilms and Wollmer, 1999: Briefly, free-floating microglia was collected from the medium of primary cell cultures from

Cell morphology and expression of PBR

Within 3 days the seeded microglial cells developed the characteristic ramified shape of resting microglia in vitro with branched cellular processes and a small cell soma (Fig. 1A). After treatment with LPS the microglial cells adopted an amoeboid phenotype characteristic of activated myelomonocytic cells (Fig. 1B). Both resting and activated cells could be immunostained with a specific antibody directed against the PBR (Fig. 1D and E). However, it should be noted that resting microglia (Fig.

Discussion

Peripheral-type benzodiazepine receptors are widely distributed receptors that recognize a subset of benzodiazepine receptors. Although they are expressed in the undamaged CNS at only a low level, it appears that the relative density of PBR is a reliable marker for neuroinflammation and gliosis with neuronal damage (Banati, 2002): Animal studies indicate that neuronal damage experimentally induced by excitoxicity (Altar and Baudry, 1990), ischemia (Stephenson et al., 1995), experimental facial

Acknowledgements

The authors thank Mrs. Rosemarie Sprang for superior technical assistance. This work was supported by a grant from the Hensel-Foundation, University of Kiel (to R.L.) and a generous donation from the “Herbert und Inge Lampe Stiftung” (to H.W. and R.L.).

References (52)

  • G.W. Kreutzberg

    Microgliaa sensor for pathological events in the CNS

    Trends Neurosci.

    (1996)
  • P. Lacor et al.

    Enhanced expression of the peripheral benzodiazepine receptor (PBR) and its endogenous ligand octadecaneuropeptide (ODN) in the regenerating adult rat sciatic nerve

    Neurosci. Lett.

    (1996)
  • P. Lacor et al.

    Regulation of the expression of peripheral benzodiazepine receptors and their endogenous ligands during rat sciatic nerve degeneration and regenerationa role for PBR in neurosteroidogenesis

    Brain Res.

    (1999)
  • M. Lenfant et al.

    In vivo immunomodulating activity of PK 1195, a structurally unrelated ligand for “peripheral” benzodiazepine binding sites. I. Potentiation in mice of the humoral response to sheep red blood cells

    Int. J. Immunopharmacol.

    (1986)
  • J.M. Olson et al.

    Presence of peripheral-type benzodiazepine binding sites on human erythrocyte membranes

    Eur. J. Pharmacol.

    (1988)
  • V. Papadopoulos et al.

    The peripheral-type benzodiazepine receptor is functionally linked to Leydig cell steroidogenesis

    J. Biol. Chem.

    (1990)
  • N.W. Pedigo et al.

    Benzodiazepine receptor binding in young, mature and senescent rat brain and kidney

    Neurobiol. Aging

    (1981)
  • N.J. Rothwell et al.

    Cytokines and the nervous system IIactions and mechanisms of action

    Trends Neurosci.

    (1995)
  • R.D. Schwartz-Bloom et al.

    Benzodiazepines protect hippocampal neurons from degeneration after transient cerebral ischemiaan ultrastructural study

    Neuroscience

    (2000)
  • C. Westenfelder et al.

    Human, rat, and mouse kidney cells express functional erythropoietin receptors

    Kidney Int.

    (1999)
  • H. Wilms et al.

    In vitro-staining specificity of the antibody 5-D-4 for microglia but not for monocytes and macrophages indicates that microglia are a unique subgroup of the myelomonocytic lineage

    J. Neuroimmunol.

    (1999)
  • H. Alho et al.

    Diazepam-binding inhibitora neuropeptide located in selected neuronal populations of rat brain

    Science

    (1985)
  • C.A. Altar et al.

    Systemic injection of kainic acidgliosis in olfactory and limbic brain regions quantified with [3H]PK 11195 binding autoradiography

    Exp. Neurol.

    (1990)
  • H. Amri et al.

    In vivo regulation of peripheral-type benzodiazepine receptor and glucocorticoid synthesis by Ginkgo biloba extract EGb 761 and isolated ginkgolides

    Endocrinology

    (1996)
  • R.B. Banati

    Visualising microglial activation in vivo

    Glia

    (2002)
  • R.B. Banati et al.

    Cytotoxicity of microglia

    Glia

    (1993)
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    H.W. and J.C. contributed equally to this study.

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