Disruption of the Microglial ADP Receptor P2Y13 Enhances Adult Hippocampal Neurogenesis

Total Page:16

File Type:pdf, Size:1020Kb

Disruption of the Microglial ADP Receptor P2Y13 Enhances Adult Hippocampal Neurogenesis ORIGINAL RESEARCH published: 17 May 2018 doi: 10.3389/fncel.2018.00134 Disruption of the Microglial ADP Receptor P2Y13 Enhances Adult Hippocampal Neurogenesis Jennifer Stefani 1, Olga Tschesnokowa 1†, Marta Parrilla 1,2†, Bernard Robaye 3, Jean-Marie Boeynaems 3, Amparo Acker-Palmer 1,2,4, Herbert Zimmermann 1* and Kristine Gampe 1 1Institute of Cell Biology and Neuroscience and Buchmann Institute for Molecular Life Sciences, Goethe-University, Frankfurt am Main, Germany, 2Max-Planck-Institute for Brain Research, Frankfurt am Main, Germany, 3Institute of Interdisciplinary Research, School of Medicine, Université Libre de Bruxelles, Bruxelles, Belgium, 4Focus Program Translational Neurosciences (FTN), University of Mainz, Mainz, Germany In mammalian species, including humans, the hippocampal dentate gyrus (DG) is a primary region of adult neurogenesis. Aberrant adult hippocampal neurogenesis is associated with neurological pathologies. Understanding the cellular mechanisms controlling adult hippocampal neurogenesis is expected to open new therapeutic strategies for mental disorders. Microglia is intimately associated with neural progenitor cells in the hippocampal DG and has been implicated, under varying experimental conditions, in the control of the proliferation, differentiation and survival of neural precursor cells. But the underlying mechanisms remain poorly defined. Using fluorescent Edited by: in situ hybridization we show that microglia in brain express the ADP-activated Oscar Gonzalez-Perez, P2Y13 receptor under basal conditions and that P2ry13 mRNA is absent from University of Colima, Mexico neurons, astrocytes, and neural progenitor cells. Disrupting P2ry13 decreases structural Reviewed by: Amanda Sierra, complexity of microglia in the hippocampal subgranular zone (SGZ). But it increases Achucarro Basque Center for progenitor cell proliferation and new neuron formation. Our data suggest that P2Y13 Neuroscience, Spain Hui Peng, receptor-activated microglia constitutively attenuate hippocampal neurogenesis. This University of Kentucky, United States identifies a signaling pathway whereby microglia, via a nucleotide-mediated mechanism, *Correspondence: contribute to the homeostatic control of adult hippocampal neurogenesis. Selective Herbert Zimmermann P2Y R antagonists could boost neurogenesis in pathological conditions associated [email protected] 13 with impaired hippocampal neurogenesis. †These authors have contributed equally to this work. Keywords: adult neurogenesis, ADP, ATP, dentate gyrus, hippocampus, microglia, P2Y13 receptor, progenitor cell Received: 16 March 2018 Accepted: 30 April 2018 INTRODUCTION Published: 17 May 2018 Microglia have long been known as major orchestrators of the brain inflammatory response. Citation: Stefani J, Tschesnokowa O, They actively move to sites of damage and engulf and eliminate neural debris. But microglia also Parrilla M, Robaye B, contribute to physiological brain functions. They continuously survey their cellular environment Boeynaems J-M, Acker-Palmer A, and regulate neuronal survival, migration of neurons, axonal growth, pruning of supernumerary Zimmermann H and Gampe K synapses, and functional maturation of developing synapses (Nayak et al., 2014; Sierra et al., 2014). (2018) Disruption of the Microglial The role of microglia in the control of developmental and adult neuron formation has recently ADP Receptor P2Y13 Enhances Adult Hippocampal Neurogenesis. received increasing attention (Gemma and Bachstetter, 2013). Microglia is intimately associated Front. Cell. Neurosci. 12:134. with neural progenitor cells in the adult hippocampal dentate gyrus (DG) and has been implicated doi: 10.3389/fncel.2018.00134 in the control of neurogenesis. But the underlying mechanisms remain poorly defined. Frontiers in Cellular Neuroscience| www.frontiersin.org 1 May 2018 | Volume 12 | Article 134 Stefani et al. Microglial P2Y13R in Hippocampal Neurogenesis In mammalian species, including humans, the hippocampal situation, essentially all P2 receptors are expressed by cultured DG is a primary region of adult neurogenesis (Frisén, microglia (Bianco et al., 2005). Moreover, culturing greatly alters 2016). Hippocampal neurogenesis confers an additional level microglial P2 receptor expression (Crain et al., 2009), suggesting of plasticity to the adult brain and has been implicated that in situ analyses are essential for evaluating the implication in memory consolidation, pattern separation, and mood of P2 receptors in microglial function. Nucleotide receptors regulation but also in regulating ‘‘forgetting’’ (Christian et al., expressed by microglia in situ include the ATP-activated 2014). Moreover, aberrant adult hippocampal neurogenesis P2X7 and P2X4 receptors which are strongly upregulated is associated with neurological pathologies. Understanding under diverse pathological conditions, the Gq-coupled and the molecular mechanisms controlling adult hippocampal UDP-activated P2Y6 receptor (P2Y6R) and three closely related neurogenesis is expected to open new therapeutic strategies for Gi-coupled receptors, the ADP-activated receptors P2Y12 mental disorders such as depression or schizophrenia (Jun et al., (P2Y12R) and P2Y13 (P2Y13R), and the UDP-glucose/UDP- 2012). Multiple evidence suggests that new neuron formation in activated P2Y14 receptor (P2Y14R). The P2Y6R has been the DG is initiated by the activation of astroglia-like type 1 cells implicated in microglial phagocytosis (Koizumi et al., 2007) whose cell bodies are located in the subgranular zone (SGZ), and the P2Y12R in mediating rapid microglial chemotaxis at followed by several intimately apposed transient functional early stages of the response to local CNS injury (Haynes et al., cellular stages, which can be addressed by specific marker 2006). profiles. Type 1 cells give rise to highly proliferating intermediate The more recently characterized P2Y13R(Communi et al., progenitor cells (type 2 cells) enlarging the neurogenic pool. The 2001; Zhang et al., 2002) is expressed in several tissues, including next stage comprises fate specification and the formation of type spleen, bone, liver, pancreas, and heart, or also in peripheral 3 cells (neuroblasts). These exhibit little proliferating activity and leukocytes (Pérez-Sen et al., 2017). P2ry13 KO mice exhibit a give rise to mature excitatory principal neurons that become small increase in bone area but no other major abnormalities. incorporated into the granule cell layer (GCL; Kempermann Body weight, fat mass, and lean body mass are normal. Hepatic et al., 2015). high-density lipoprotein (HDL) cholesterol uptake and biliary Neurogenesis needs to be under strict homeostatic control, cholesterol content and output were found to be decreased. But tightly balancing new neuron formation via proneurogenic their plasma HDL levels and other lipid levels were described as mechanisms and neurogenesis-attenuating mechanisms. These normal or only slightly decreased (Blom et al., 2010; Fabre et al., include the control of cell proliferation, elimination of surplus 2010). The P2Y13R is also expressed by osteoblasts and involved cells, and new neuron formation. A considerable variety of in osteogenesis. Studies on P2ry13 KO mice reveal a decreased external signaling cues, including growth factors, neurotrophic bone turnover associated with a reduction in the number of factors, and neurotransmitters as well as intracellular signaling osteoblasts and osteoclasts at the bone surface (Wang et al., 2012) pathways and epigenetic regulators have been implicated in and an impact of the receptor on the balance of the terminal the control of adult hippocampal neurogenesis. Factors may differentiation of bone marrow progenitors into osteoblasts and be derived from the neurogenic niche including its vasculature adipocytes (Biver et al., 2013). or from axonal inputs (Aimone et al., 2014; Gonçalves et al., Expression of the P2Y13R in cultured neurons (Miras- 2016; Yao et al., 2016). Increasing evidence suggests that Portugal et al., 2016), cultured astroglia (Carrasquero et al., 2009) extracellular nucleotides contribute to the control of both and spinal cord microglia in situ (Kobayashi et al., 2012) has been embryonic and adult neurogenesis (Lecca et al., 2016; Oliveira reported. After peripheral nerve injury the P2Y13R is upregulated et al., 2016). They activate specific receptors representing in spinal cord microglia together with the P2Y6R, the P2Y12R, C C 2C either Na ,K and Ca permeable ion channels (seven P2X and the P2Y14R(Kobayashi et al., 2012) and may be involved receptors) or G protein-coupled receptors (in rodents seven in the induction and maintenance of neuropathic pain (Tatsumi P2Y receptors). Nucleotides function as primary messengers et al., 2015). Otherwise functional roles of the P2Y13R or of in intercellular communication and can stimulate the release the P2Y14R in the central nervous system in situ are unknown. of other extracellular messenger substances. Depending on Importantly, the impact of the P2Y13R may have been overlooked receptor subtype, these include hormones, neurotransmitters, in previous studies targeting the P2Y12R and using ligands that growth factors, a considerable variety of other proteins are now known to antagonize both the P2Y12 and P2Y13R (2- including enzymes, numerous cytokines, lipid mediators, nitric methylthio-AMP and AR-C69931MX). oxide, and reactive oxygen species. Moreover, nucleotides In this study we determined the cellular expression
Recommended publications
  • Lysophosphatidic Acid and Its Receptors: Pharmacology and Therapeutic Potential in Atherosclerosis and Vascular Disease
    JPT-107404; No of Pages 13 Pharmacology & Therapeutics xxx (2019) xxx Contents lists available at ScienceDirect Pharmacology & Therapeutics journal homepage: www.elsevier.com/locate/pharmthera Lysophosphatidic acid and its receptors: pharmacology and therapeutic potential in atherosclerosis and vascular disease Ying Zhou a, Peter J. Little a,b, Hang T. Ta a,c, Suowen Xu d, Danielle Kamato a,b,⁎ a School of Pharmacy, University of Queensland, Pharmacy Australia Centre of Excellence, Woolloongabba, QLD 4102, Australia b Department of Pharmacy, Xinhua College of Sun Yat-sen University, Tianhe District, Guangzhou 510520, China c Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, Brisbane, St Lucia, QLD 4072, Australia d Aab Cardiovascular Research Institute, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA article info abstract Available online xxxx Lysophosphatidic acid (LPA) is a collective name for a set of bioactive lipid species. Via six widely distributed G protein-coupled receptors (GPCRs), LPA elicits a plethora of biological responses, contributing to inflammation, Keywords: thrombosis and atherosclerosis. There have recently been considerable advances in GPCR signaling especially Lysophosphatidic acid recognition of the extended role for GPCR transactivation of tyrosine and serine/threonine kinase growth factor G-protein coupled receptors receptors. This review covers LPA signaling pathways in the light of new information. The use of transgenic and Atherosclerosis gene knockout animals, gene manipulated cells, pharmacological LPA receptor agonists and antagonists have Gproteins fi β-arrestins provided many insights into the biological signi cance of LPA and individual LPA receptors in the progression Transactivation of atherosclerosis and vascular diseases.
    [Show full text]
  • NIH Public Access Author Manuscript Neuron Glia Biol
    NIH Public Access Author Manuscript Neuron Glia Biol. Author manuscript; available in PMC 2006 May 1. NIH-PA Author ManuscriptPublished NIH-PA Author Manuscript in final edited NIH-PA Author Manuscript form as: Neuron Glia Biol. 2006 May ; 2(2): 125±138. Purinergic receptors activating rapid intracellular Ca2+ increases in microglia Alan R. Light1, Ying Wu2, Ronald W. Hughen1, and Peter B. Guthrie3 1 Department of Anesthesiology, University of Utah, Salt Lake City, UT, USA 2 Oral Biology Program, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27510, USA 3 Scientific Review Administrator, Center for Scientific Review, National Institutes of Health, 6701 Rockledge Drive, Room 4142 Msc 7850, Bethesda, MD 20892-7850, USA Abstract We provide both molecular and pharmacological evidence that the metabotropic, purinergic, P2Y6, P2Y12 and P2Y13 receptors and the ionotropic P2X4 receptor contribute strongly to the rapid calcium response caused by ATP and its analogues in mouse microglia. Real-time PCR demonstrates that the most prevalent P2 receptor in microglia is P2Y6 followed, in order, by P2X4, P2Y12, and P2X7 = P2Y13. Only very small quantities of mRNA for P2Y1, P2Y2, P2Y4, P2Y14, P2X3 and P2X5 were found. Dose-response curves of the rapid calcium response gave a potency order of: 2MeSADP>ADP=UDP=IDP=UTP>ATP>BzATP, whereas A2P4 had little effect. Pertussis toxin partially blocked responses to 2MeSADP, ADP and UDP. The P2X4 antagonist suramin, but not PPADS, significantly blocked responses to ATP. These data indicate that P2Y6, P2Y12, P2Y13 and P2X receptors mediate much of the rapid calcium responses and shape changes in microglia to low concentrations of ATP, presumably at least partly because ATP is rapidly hydrolyzed to ADP.
    [Show full text]
  • Blood Platelet Adenosine Receptors As Potential Targets for Anti-Platelet Therapy
    International Journal of Molecular Sciences Review Blood Platelet Adenosine Receptors as Potential Targets for Anti-Platelet Therapy Nina Wolska and Marcin Rozalski * Department of Haemostasis and Haemostatic Disorders, Chair of Biomedical Science, Medical University of Lodz, 92-215 Lodz, Poland; [email protected] * Correspondence: [email protected]; Tel.: +48-504-836-536 Received: 30 September 2019; Accepted: 1 November 2019; Published: 3 November 2019 Abstract: Adenosine receptors are a subfamily of highly-conserved G-protein coupled receptors. They are found in the membranes of various human cells and play many physiological functions. Blood platelets express two (A2A and A2B) of the four known adenosine receptor subtypes (A1,A2A, A2B, and A3). Agonization of these receptors results in an enhanced intracellular cAMP and the inhibition of platelet activation and aggregation. Therefore, adenosine receptors A2A and A2B could be targets for anti-platelet therapy, especially under circumstances when classic therapy based on antagonizing the purinergic receptor P2Y12 is insufficient or problematic. Apart from adenosine, there is a group of synthetic, selective, longer-lasting agonists of A2A and A2B receptors reported in the literature. This group includes agonists with good selectivity for A2A or A2B receptors, as well as non-selective compounds that activate more than one type of adenosine receptor. Chemically, most A2A and A2B adenosine receptor agonists are adenosine analogues, with either adenine or ribose substituted by single or multiple foreign substituents. However, a group of non-adenosine derivative agonists has also been described. This review aims to systematically describe known agonists of A2A and A2B receptors and review the available literature data on their effects on platelet function.
    [Show full text]
  • Purinergic Receptors Brian F
    Chapter 21 Purinergic receptors Brian F. King and Geoffrey Burnstock 21.1 Introduction The term purinergic receptor (or purinoceptor) was first introduced to describe classes of membrane receptors that, when activated by either neurally released ATP (P2 purinoceptor) or its breakdown product adenosine (P1 purinoceptor), mediated relaxation of gut smooth muscle (Burnstock 1972, 1978). P2 purinoceptors were further divided into five broad phenotypes (P2X, P2Y, P2Z, P2U, and P2T) according to pharmacological profile and tissue distribution (Burnstock and Kennedy 1985; Gordon 1986; O’Connor et al. 1991; Dubyak 1991). Thereafter, they were reorganized into families of metabotropic ATP receptors (P2Y, P2U, and P2T) and ionotropic ATP receptors (P2X and P2Z) (Dubyak and El-Moatassim 1993), later redefined as extended P2Y and P2X families (Abbracchio and Burnstock 1994). In the early 1990s, cDNAs were isolated for three heptahelical proteins—called P2Y1, P2Y2, and P2Y3—with structural similarities to the rhodopsin GPCR template. At first, these three GPCRs were believed to correspond to the P2Y, P2U, and P2T receptors. However, the com- plexity of the P2Y receptor family was underestimated. At least 15, possibly 16, heptahelical proteins have been associated with the P2Y receptor family (King et al. 2001, see Table 21.1). Multiple expression of P2Y receptors is considered the norm in all tissues (Ralevic and Burnstock 1998) and mixtures of P2 purinoceptors have been reported in central neurones (Chessell et al. 1997) and glia (King et al. 1996). The situation is compounded by P2Y protein dimerization to generate receptor assemblies with subtly distinct pharmacological proper- ties from their constituent components (Filippov et al.
    [Show full text]
  • P2Y12-Dependent Modulation of ADP-Evoked Calcium Responses in Human Monocytes
    P2Y12-dependent modulation of ADP-evoked calcium responses in human monocytes Jonathon J. Micklewright A thesis submitted for the degree of Master of Science by Research University of East Anglia School of Biological Sciences February 2018 © This copy of the thesis has been supplied on condition that anyone who consults it is understood to recognise that its copyright rests with the author and that use of any information derived there from must be in accordance with current UK Copyright Law. In addition, any quotation or extract must include full attribution. Abstract The Gi-coupled, ADP-activated P2Y12 receptor is well-characterised as playing a key role in platelet activation via crosstalk with P2Y1. A crucial aspect of P2Y12-P2Y1 crosstalk in platelets involves ADP-induced intracellular calcium (Ca2+) mobilisation, however there is limited knowledge on the role of P2Y12 in ADP-evoked Ca2+ responses in other blood cells. Here, we investigate the expression of P2Y12 in human monocytes and the contribution of P2Y12 in THP-1 ADP-evoked Ca2+ responses. RT-PCR analysis showed that all ADP-binding P2Y receptors were expressed in THP-1 monocytes at the mRNA level, with P2Y12 expressed in CD14+ primary monocytes. P2Y12 protein was found to be expressed in THP-1 cells, using immunocytochemistry. ADP- evoked Ca2+ responses in fura-2-loaded THP-1 cells were completely abolished by a sarco/endoplasmic reticulum Ca2+-ATPase inhibitor, and by a phospholipase C inhibitor, indicating that these Ca2+ responses are mediated through GPCRs. Ca2+ responses induced by ADP were significantly reduced by the P2Y12 inhibitors ticagrelor and PSB- 0739 and by the P2Y6 antagonist MRS2578, but not by P2Y1 or P2Y13 inhibitors.
    [Show full text]
  • P2X and P2Y Receptors
    Tocris Scientific Review Series Tocri-lu-2945 P2X and P2Y Receptors Kenneth A. Jacobson Subtypes and Structures of P2 Receptor Molecular Recognition Section, Laboratory of Bioorganic Families Chemistry, National Institute of Diabetes and Digestive and The P2 receptors for extracellular nucleotides are widely Kidney Diseases, National Institutes of Health, Bethesda, distributed in the body and participate in regulation of nearly Maryland 20892, USA. E-mail: [email protected] every physiological process.1,2 Of particular interest are nucleotide Kenneth Jacobson serves as Chief of the Laboratory of Bioorganic receptors in the immune, inflammatory, cardiovascular, muscular, Chemistry and the Molecular Recognition Section at the National and central and peripheral nervous systems. The ubiquitous Institute of Diabetes and Digestive and Kidney Diseases, National signaling properties of extracellular nucleotides acting at two Institutes of Health in Bethesda, Maryland, USA. Dr. Jacobson is distinct families of P2 receptors – fast P2X ion channels and P2Y a medicinal chemist with interests in the structure and receptors (G-protein-coupled receptors) – are now well pharmacology of G-protein-coupled receptors, in particular recognized. These extracellular nucleotides are produced in receptors for adenosine and for purine and pyrimidine response to tissue stress and cell damage and in the processes nucleotides. of neurotransmitter release and channel formation. Their concentrations can vary dramatically depending on circumstances. Thus, the state of activation of these receptors can be highly dependent on the stress conditions or disease states affecting a given organ. The P2 receptors respond to various extracellular mono- and dinucleotides (Table 1). The P2X receptors are more structurally restrictive than P2Y receptors in agonist selectivity.
    [Show full text]
  • Role of the Serotonin Transporter and the 5-HT2A and 5-HT4 Receptors for Platelet Function in Blood
    Aus dem Institut für Prophylaxe und Epidemiologie der Kreislaufkrankheiten der Ludwig-Maximilians-Universität München Direktor: Prof. Dr. med. C. Weber Role of the serotonin transporter and the 5-HT2A and 5-HT4 receptors for platelet function in blood Dissertation zum Erwerb des Doktorgrades der Medizin an der Medizinischen Fakultät der Ludwig-Maximilians-Universität zu München Vorgelegt von Vasileios Bampalis aus Athen, Griechenland 2016 Mit Genehmigung der Medizinischen Fakultät der Universität München Berichterstatter: Prof. Dr. Med. Wolfgang Siess Mitberichterstatter: Priv. Doz. Dr. Dirk Sibbing Prof. Dr. Dr. Christian Sommerhof Dekan: Prof. Dr. med. dent. Reinhard Hickel Tag der mündlichen Prüfung: 28.01.2016 [i] Dedicated to my parents [ii] Contents Contents ........................................................................................................................ iii 1. State of the art ............................................................................................................ 1 1.1 Introduction: Serotonin, the happiness hormone .................................................. 1 1.2 Biosynthesis and degradation of 5-HT .................................................................... 2 1.3 5-HT transporter (SERT) and 5-HT receptors .......................................................... 4 1.4 Platelets and platelet function ............................................................................... 5 1.4.1 Platelet origin and morphology ......................................................................
    [Show full text]
  • Allosteric Modulators of G Protein-Coupled Dopamine and Serotonin Receptors: a New Class of Atypical Antipsychotics
    pharmaceuticals Review Allosteric Modulators of G Protein-Coupled Dopamine and Serotonin Receptors: A New Class of Atypical Antipsychotics Irene Fasciani 1, Francesco Petragnano 1, Gabriella Aloisi 1, Francesco Marampon 2, Marco Carli 3 , Marco Scarselli 3, Roberto Maggio 1,* and Mario Rossi 4 1 Department of Biotechnological and Applied Clinical Sciences, University of l’Aquila, 67100 L’Aquila, Italy; [email protected] (I.F.); [email protected] (F.P.); [email protected] (G.A.) 2 Department of Radiotherapy, “Sapienza” University of Rome, Policlinico Umberto I, 00161 Rome, Italy; [email protected] 3 Department of Translational Research and New Technology in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy; [email protected] (M.C.); [email protected] (M.S.) 4 Institute of Molecular Cell and Systems Biology, University of Glasgow, Glasgow G12 8QQ, UK; [email protected] * Correspondence: [email protected] Received: 26 September 2020; Accepted: 11 November 2020; Published: 14 November 2020 Abstract: Schizophrenia was first described by Emil Krapelin in the 19th century as one of the major mental illnesses causing disability worldwide. Since the introduction of chlorpromazine in 1952, strategies aimed at modifying the activity of dopamine receptors have played a major role for the treatment of schizophrenia. The introduction of atypical antipsychotics with clozapine broadened the range of potential targets for the treatment of this psychiatric disease, as they also modify the activity of the serotoninergic receptors. Interestingly, all marketed drugs for schizophrenia bind to the orthosteric binding pocket of the receptor as competitive antagonists or partial agonists.
    [Show full text]
  • The P2Y12 Receptor Regulates Microglial Activation by Extracellular Nucleotides
    ARTICLES The P2Y12 receptor regulates microglial activation by extracellular nucleotides Sharon E Haynes1, Gunther Hollopeter1,4, Guang Yang2, Dana Kurpius3, Michael E Dailey3, Wen-Biao Gan2 & David Julius1 Microglia are primary immune sentinels of the CNS. Following injury, these cells migrate or extend processes toward sites of tissue damage. CNS injury is accompanied by release of nucleotides, serving as signals for microglial activation or chemotaxis. Microglia express several purinoceptors, including a Gi-coupled subtype that has been implicated in ATP- and ADP-mediated migration in vitro. Here we show that microglia from mice lacking Gi-coupled P2Y12 receptors exhibit normal baseline motility but are unable to polarize, migrate or extend processes toward nucleotides in vitro or in vivo. Microglia in P2ry12–/– mice show significantly diminished directional branch extension toward sites of cortical damage in the living mouse. Moreover, P2Y12 http://www.nature.com/natureneuroscience expression is robust in the ‘resting’ state, but dramatically reduced after microglial activation. These results imply that P2Y12 is a primary site at which nucleotides act to induce microglial chemotaxis at early stages of the response to local CNS injury. In the spinal cord and brain, microglia migrate or project cellular candidate for mediating morphological responses of microglia to processes toward sites of mechanical injury or tissue damage1–3,where extracellular nucleotides. 4,5 they clear debris and release neurotrophic or neurotoxic agents .As The P2Y12 receptor was initially identified on platelets, where it such, microglial activation, or lack thereof, has been proposed to regulates their conversion from the inactive to active state during the influence degenerative and regenerative processes in the brain and clotting process12,14,15.
    [Show full text]
  • A Brief Review on Resistance to P2Y12 Receptor Antagonism in Coronary Artery Disease Ellen M
    Warlo et al. Thrombosis Journal (2019) 17:11 https://doi.org/10.1186/s12959-019-0197-5 REVIEW Open Access A brief review on resistance to P2Y12 receptor antagonism in coronary artery disease Ellen M. K. Warlo1,2,3* , Harald Arnesen1,2,3 and Ingebjørg Seljeflot1,2,3 Abstract Background: Platelet inhibition is important for patients with coronary artery disease. When dual antiplatelet therapy (DAPT) is required, a P2Y12-antagonist is usually recommended in addition to standard aspirin therapy. The most used P2Y12-antagonists are clopidogrel, prasugrel and ticagrelor. Despite DAPT, some patients experience adverse cardiovascular events, and insufficient platelet inhibition has been suggested as a possible cause. In the present review we have performed a literature search on prevalence, mechanisms and clinical implications of resistance to P2Y12 inhibitors. Methods: The PubMed database was searched for relevant papers and 11 meta-analyses were included. P2Y12 resistance is measured by stimulating platelets with ADP ex vivo and the most used assays are vasodilator stimulated phosphoprotein (VASP), Multiplate, VerifyNow (VN) and light transmission aggregometry (LTA). Discussion/conclusion: The frequency of high platelet reactivity (HPR) during clopidogrel therapy is predicted to be 30%. Genetic polymorphisms and drug-drug interactions are discussed to explain a significant part of this inter-individual variation. HPR during prasugrel and ticagrelor treatment is estimated to be 3–15% and 0–3%, respectively. This lower frequency is explained by less complicated and more efficient generation of the active metabolite compared to clopidogrel. Meta-analyses do show a positive effect of adjusting standard clopidogrel treatment based on platelet function testing.
    [Show full text]
  • P2Y12 Receptor Blockade Synergizes Strongly with Nitric Oxide And
    British Journal of Clinical DOI:10.1111/bcp.12826 Pharmacology Correspondence Professor Timothy D. Warner, PhD, The P2Y12 receptor blockade William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Charterhouse Square, London, synergizes strongly with nitric EC1M 6BQ, UK. Tel.: + 44 20 7882 2100 Fax: + 44 20 7882 8252 oxide and prostacyclin to E-mail: [email protected] ---------------------------------------------------- inhibit platelet activation *These authors contributed equally to the manuscript and their names appear in alphabetical order. Melissa V. Chan,1* Rebecca B. M. Knowles,1* -------------------------------------------------------- Martina H. Lundberg,1 Arthur T. Tucker,1 Nura A. Mohamed,2,3 Keywords 1,3 1 3 blood platelets, endothelium, Nicholas S. Kirkby, Paul C. J. Armstrong, Jane A. Mitchell & epoprostenol, nitric oxide, purinergic P2Y 1 Timothy D. Warner receptor antagonists ---------------------------------------------------- 1The William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Received Queen Mary University of London, London, UK, 2Qatar Foundation Research and Development 13 August 2015 Division, Doha, Qatar and 3National Heart & Lung Institute, Imperial College London, London, UK Accepted 5 November 2015 Accepted Article Published Online 11 November 2015 WHAT IS ALREADY KNOWN ABOUT AIMS THIS SUBJECT In vivo platelet function is a product of intrinsic platelet reactivity, • Platelet function is a product of intrinsic modifiable by dual antiplatelet therapy (DAPT), and the extrinsic platelet reactivity. inhibitory endothelial mediators, nitric oxide (NO) and prostacyclin • This can be modified by dual anti-platelet (PGI2), that are powerfully potentiated by P2Y12 receptor blockade. This fl implies that for individual patients endothelial mediator production is therapy(DAPT),butalsobythein uence of an important determinant of DAPT effectiveness.
    [Show full text]
  • New Tools for Studying Microglia in the Mouse and Human CNS
    New tools for studying microglia in the mouse and human CNS Mariko L. Bennetta,1,F.ChrisBennetta,b, Shane A. Liddelowa,c, Bahareh Ajamid, Jennifer L. Zamaniana, Nathaniel B. Fernhoffe,f,g,h, Sara B. Mulinyawea, Christopher J. Bohlena, Aykezar Adila, Andrew Tuckera, Irving L. Weissmane,f,g,h, Edward F. Changi, Gordon Lij, Gerald A. Grantj, Melanie G. Hayden Gephartj, and Ben A. Barresa,1 aDepartment of Neurobiology, Stanford University School of Medicine, Stanford, CA 94305; bDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305; cDepartment of Pharmacology and Therapeutics, University of Melbourne, Melbourne, VIC, Australia, 3010; dDepartment of Neurology, Stanford University School of Medicine, Stanford, CA 94305; eInstitute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305; fLudwig Center for Cancer Stem Cell Research and Medicine, Stanford University School of Medicine, Stanford, CA 94305; gStanford Cancer Institute, Stanford University School of Medicine, Stanford, CA 94305; hDepartment of Pathology, Stanford University School of Medicine, Stanford, CA 94305; iUniversity of California, San Francisco Epilepsy Center, University of California, San Francisco, CA 94143; and jDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA 94305 Contributed by Ben A. Barres, January 12, 2016 (sent for review November 8, 2015; reviewed by Roman J. Giger and Beth Stevens) The specific function of microglia, the tissue resident macrophages and well-validated antibodies to known antigens yet exist to of the brain and spinal cord, has been difficult to ascertain because specifically and stably identify microglia. of a lack of tools to distinguish microglia from other immune cells, Therefore, we sought a molecular marker that would allow for thereby limiting specific immunostaining, purification, and manipu- the identification, isolation, and study of microglia across many lation.
    [Show full text]