PMID- 27663735 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 113 IP - 45 DP - 2016 Nov 8 TI - Neurotensin stimulates sortilin and mTOR in human microglia inhibitable by methoxyluteolin, a potential therapeutic target for autism. PG - E7049-E7058 LID - 10.1073/pnas.1604992113 [doi] AB - We had reported elevated serum levels of the peptide neurotensin (NT) in children with autism spectrum disorders (ASD). Here, we show that NT stimulates primary human microglia, the resident immune cells of the brain, and the immortalized cell line of human microglia-SV40. NT (10 nM) increases the gene expression and release (P < 0.001) of the proinflammatory cytokine IL-1beta and chemokine (C-X-C motif) ligand 8 (CXCL8), chemokine (C-C motif) ligand 2 (CCL2), and CCL5 from human microglia. NT also stimulates proliferation (P < 0.05) of microglia-SV40. Microglia express only the receptor 3 (NTR3)/sortilin and not the NTR1 or NTR2. The use of siRNA to target sortilin reduces (P < 0.001) the NT-stimulated cytokine and chemokine gene expression and release from human microglia. Stimulation with NT (10 nM) increases the gene expression of sortilin (P < 0.0001) and causes the receptor to be translocated from the cytoplasm to the cell surface, and to be secreted extracellularly. Our findings also show increased levels of sortilin (P < 0.0001) in the serum from children with ASD (n = 36), compared with healthy controls (n = 20). NT stimulation of microglia-SV40 causes activation of the mammalian target of rapamycin (mTOR) signaling kinase, as shown by phosphorylation of its substrates and inhibition of these responses by drugs that prevent mTOR activation. NT-stimulated responses are inhibited by the flavonoid methoxyluteolin (0.1-1 muM). The data provide a link between sortilin and the pathological findings of microglia and inflammation of the brain in ASD. Thus, inhibition of this pathway using methoxyluteolin could provide an effective treatment of ASD. FAU - Patel, Arti B AU - Patel AB AD - Molecular Immunopharmacology and Drug Discovery Laboratory, Department of Integrative Physiology and Pathobiology, Tufts University School of Medicine, Boston, MA 02111. AD - Graduate Program in Cell, Molecular, and Developmental Biology, Sackler School of Graduate Biomedical Sciences, Tufts University, Boston, MA 02111. FAU - Tsilioni, Irene AU - Tsilioni I AD - Molecular Immunopharmacology and Drug Discovery Laboratory, Department of Integrative Physiology and Pathobiology, Tufts University School of Medicine, Boston, MA 02111. FAU - Leeman, Susan E AU - Leeman SE AUID- ORCID: 0000-0003-2875-1394 AD - Department of Pharmacology, Boston University School of Medicine, Boston, MA 02118; theoharis.theoharides@tufts.edu sleeman@bu.edu. FAU - Theoharides, Theoharis C AU - Theoharides TC AD - Molecular Immunopharmacology and Drug Discovery Laboratory, Department of Integrative Physiology and Pathobiology, Tufts University School of Medicine, Boston, MA 02111; theoharis.theoharides@tufts.edu sleeman@bu.edu. AD - Graduate Program in Cell, Molecular, and Developmental Biology, Sackler School of Graduate Biomedical Sciences, Tufts University, Boston, MA 02111. AD - Department of Internal Medicine, Tufts University School of Medicine and Tufts Medical Center, Boston, MA 02111. AD - Department of Psychiatry, Tufts University School of Medicine and Tufts Medical Center, Boston, MA 02111. LA - eng PT - Journal Article DEP - 20160923 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 EIN - Proc Natl Acad Sci U S A. 2016 Nov 1;:. PMID: 27803332 PMC - PMC5111711 OTO - NOTNLM OT - autism spectrum disorders OT - human microglia OT - mTOR OT - methoxyluteolin OT - sortilin COIS- Conflict of interest statement: T.C.T. has been awarded, under an agreement with Tufts University, the following patents: US 9,050,275 - Methods of Screening for and Treating Autism Spectrum Disorders and Compositions for Same and US 9,176,146 - Methods of Treating Autism Spectrum Disorders and Compositions for Same. A Provisional Patent Application was also filed by Tufts University as US 62/396,546 - Compositions and Methods of Autism Treatment. T.C.T. is also the Scientific Director of Algonot, LLC (Sarasota, FL) that has developed the flavonoid-containing trademarked dietary supplement NeuroProtek, for which Tufts receives royalties. No portion of the work described in this paper was funded by Algonot. EDAT- 2016/11/03 06:00 MHDA- 2016/11/03 06:01 PMCR- 2017/05/08 CRDT- 2016/09/25 06:00 PHST- 2016/11/03 06:00 [pubmed] PHST- 2016/11/03 06:01 [medline] PHST- 2016/09/25 06:00 [entrez] PHST- 2017/05/08 00:00 [pmc-release] AID - 1604992113 [pii] AID - 201604992 [pii] AID - 10.1073/pnas.1604992113 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2016 Nov 8;113(45):E7049-E7058. doi: 10.1073/pnas.1604992113. Epub 2016 Sep 23.