PMID- 34675988 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220427 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2021 DP - 2021 TI - Inhibition of the Immunoproteasome Subunit LMP7 Ameliorates Cerebral White Matter Demyelination Possibly via TGFbeta/Smad Signaling. PG - 6426225 LID - 10.1155/2021/6426225 [doi] LID - 6426225 AB - OBJECTIVES: Chronic cerebral hypoperfusion induces white matter ischemic injury and cognitive impairment, whereas the mechanism remains unclear. Immunoproteasomes have been implicated in the pathogenesis of acute ischemia stroke and multiple sclerosis. However, the expression and role of immunoproteasomes in the brain of chronic cerebral hypoperfusion remain to be clarified. METHODS: Chronic white matter ischemic injury mice models were induced by bilateral carotid artery stenosis (BCAS). A selective immunoproteasome subunit low-molecular-mass peptide-7 (LMP7) inhibitor PR957 was administered to mice. Cognitive function, white matter integrity, and potential pathways were assessed after BCAS. RESULTS: The present study found that chronic cerebral hypoperfusion following BCAS induced cerebral white matter demyelination and cognitive impairment, accompanied with elevated expression of the immunoproteasomes LMP2 and LMP7, activation of astrocytes and microglia, and increased production of inflammatory cytokines (e.g., interleukin-1beta (IL-1beta), tumor necrosis factor-alpha (TNF-alpha), IL-10, transforming growth factor-beta1 (TGFbeta1), and insulin-like growth factor-1 (IGF-1)). However, inhibition of LMP7 with the specific proteasome inhibitor PR957 significantly mitigated the histological damage of the white matter, suppressed inflammatory response, and paralleled by an improvement of cognitive function. Furthermore, treatment of PR957 significantly upregulated the level of TGFbeta1, the total expression level, and the phosphorylation level of Smad2/3 and promoted brain remyelination. Surprisingly, PR957 alone had no effects on the neuroinflammation response and the activation of TGFbeta/Smad signaling in the sham-operated (BCAS-nonoperated) mice. CONCLUSIONS: The possible mechanism underlying this was attributed to that the immunoproteasome regulates TGFbeta/Smad signaling-mediated neuroinflammation and oligodendrocyte remyelination. CI - Copyright (c) 2021 Xingyong Chen et al. FAU - Chen, Xingyong AU - Chen X AUID- ORCID: 0000-0001-7364-5414 AD - Department of Neurology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou 350001, China. FAU - Yao, Nannan AU - Yao N AUID- ORCID: 0000-0001-6169-7233 AD - Department of Neurology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou 350001, China. FAU - Lin, Zejing AU - Lin Z AUID- ORCID: 0000-0002-8870-7072 AD - Department of Neurology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou 350001, China. FAU - Wang, Yinzhou AU - Wang Y AUID- ORCID: 0000-0002-9595-2244 AD - Department of Neurology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou 350001, China. AD - Fujian Academy of Medical Science, Fuzhou 350001, China. LA - eng PT - Journal Article DEP - 20211012 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC8526201 COIS- The authors declare no conflicts of interest. EDAT- 2021/10/23 06:00 MHDA- 2021/10/23 06:01 PMCR- 2021/10/12 CRDT- 2021/10/22 06:49 PHST- 2021/06/06 00:00 [received] PHST- 2021/08/12 00:00 [revised] PHST- 2021/09/13 00:00 [accepted] PHST- 2021/10/22 06:49 [entrez] PHST- 2021/10/23 06:00 [pubmed] PHST- 2021/10/23 06:01 [medline] PHST- 2021/10/12 00:00 [pmc-release] AID - 10.1155/2021/6426225 [doi] PST - epublish SO - Evid Based Complement Alternat Med. 2021 Oct 12;2021:6426225. doi: 10.1155/2021/6426225. eCollection 2021.