Nicotinic Mitigation of Neuroinflammation and Oxidative Stress After Chronic Sleep Deprivation

Sleep deprivation negatively influences all aspects of health. Oxidative stress and inflammatory responses induced by sleep deprivation participate in its adverse effects but the regulatory mechanisms to counteract them remain poorly understood. In mice subjected to sleep deprivation for 7 days, we found activation of microglia and astrocyte accompanied by down-regulation of α7 nicotinic acetylcholine receptor (α7-nAChR) and reduced activation of downstream PI3K/AKT/GSK-3β. These changes occurred with an increase of pro-inflammatory factors, together with reduced levels of anti-inflammatory factors, transcriptor Nrf-2, and anti-oxidant enzyme HO-1. Administration of an α7-nAChR agonist PHA-543613 induced activation of PI3K/AKT/GSK-3β, and reversed changes in pro-inflammatory and anti-inflammatory factors, Nrf-2 and HO-1. These results suggest that stimulation of α7-nAChR reduce neuroinflammation and oxidative stress after chronic sleep deprivation.


INTRODUCTION
Sleep deprivation triggers an array of inflammatory responses (1). In the CNS, emerging evidence suggests that sleep deprivation activates astrocytes and microglia, leading to increased levels of pro-inflammatory factors and neural injury (2,3). In addition, sleep deprivation represents an oxidative challenge to the brain. Although both neuroinflammation and oxidative stress are key contributors to adverse effects of sleep deprivation, little is known about the counter-regulatory mechanisms to mitigate these factors.
The α7 nicotinic acetylcholine receptors (α7-nAChR) is a crucial player in the regulation of immune responses and oxidative stress in the CNS and periphery (4). More than a traditional ligand-gated ion channel, α7-nAChR is involved in the processes of learning, memory consolidation, movement, and attention (5,6). Stimulation of α7-nAChR is linked to the activation of multiple intracellular signaling pathways (7)(8)(9). In the downstream of α7-nAChR, activation of PI3K/AKT inhibits the glycogen synthase kinase-3β (GSK-3β) (10,11), which induces the expression of transcriptor Nrf-2 and antioxidant enzyme HO-1 and inhibits the release of pro-inflammatory cytokines (12)(13)(14). However, the role of α7-nAChR and its downstream signaling pathway remain elusive in the context of sleep deprivation.
In periphery, macrophages are the inflammatory cells, while α7-nAChR on the macrophages plays a critical role in the inflammatory response. Activation of macrophages can produce a variety of inflammatory factors such as TNF-α, IL-1β, IL-6, and HMGB etc., which may penetrate into the central nervous system through the damaged blood-brain barrier and cause neuroinflammation (15,16). Increasing evidence revealed that systemic inflammation can influence the progression of several diseases like multiple sclerosis (MS), Alzheimer's disease (AD), Parkinson's disease (PD), and postoperative cognitive dysfunction (POCD) (17)(18)(19). A cohort clinical study showed that 5 nights of sleep restriction increased the production of proinflammatory cytokines including IL-1β, IL-6, and IL-17 in peripheral blood, it indicating that sleep deprivation may cause systemic inflammation (20). None the while in the sleep deprivation model, whether inflammatory cytokines released in peripheral blood influence the central nervous system through the blood-brain barrier remains unclear.
In this study, we investigated the influences of sleep deprivation for 7 days on the expression α7-nAChR and the activity of its downstream PI3K/AKT/GSK-3β pathway in neuroglia in mice hippocampus and examined the effects of a selective α7-nAChR agonist PHA-543613 on sleep deprivation-induced inflammation and oxidative stress. In addition, we analyzed the systemic inflammatory response and the change of the blood-brain barrier induced by sleep deprivation, to investigate the effects of systemic inflammation on neuroinflammation.

Animals
This study was carried out in accordance with the NIH Guide for the Care and Use of Laboratory Animals and the Ethics Committee of Animal Experiments of Tianjin Medical University. The protocol was approved by the Ethics Committee of Animal Experiments of Tianjin Medical University. Male C57BL/6 mice, 8-10 weeks old, were used. The mice were randomly assigned into each experimental group. All mice were housed in pathogen-free conditions of the vivarium facilities and all surgeries were performed with animals under anesthesia. Reporting of this study complies with the Animal Research: Reporting in vivo Experiments (ARRIVE) guidelines.

Sleep Deprivation
Sleep deprivation was achieved using modified multiple platforms method as our previous study (21,22). The water box is characterized as 50 cm in length, a width of 30 cm, and a height 30 cm. Eight rounded platforms were evenly placed in the water box, with a diameter of 3 cm, a height of 6 cm, and an interval between the platforms of 7 cm. Only six mice were in the containers at a time, so that they could move without restriction. The water level was controlled to just below the platform for a depth of 1 cm and was maintained at a temperature of 22 ± 2 • C. Enough food and water were placed in the top of the box, so the mice could get to it without difficulty.
Before sleep deprivation, mice were placed in the modified multiple platform water box for 2 h every day, for 3 consecutive days to adapt to the environment. Sleep deprivation began at 9:00 a.m., after which the mice were taken out of the deprivation boxes from 17:00 to 21:00 every day, and placed in cages and given free access to food and water for 4 h. Sleep deprivation lasted for a total of 7 days, and the water in the box was replaced every day.

Experimental Groups and Drug Administration
Animals were divided into three groups randomly: Cage control Group (CC group); chronic sleep deprivation for 7 days (SD group); intraperitoneal (i.p.) administration of α7-nAChR agonist PHA-543613 after chronic sleep deprivation for 7 days (SD + PHA-543613 group). The circadian system regulates many physiological functions including inflammatory responses. Plenty of researches proved that circadian clocks persist in immune cells including microglia (23)(24)(25), and clock genes are involved in regulating immunological activities. Thus, animals were fed under standard illumination parameters (12h light/dark cycle) to avoid the influence of different circadian rhythms on the neuroinflammatory response of microglia and astrocytes.
PHA-543613 (Sigma-Aldrich), a potent, high-affinity and selective a7-nAChR agonist, it is characterized by rapid brain penetration (26). Based on previous studies (26)(27)(28), PHA-543613 was administrated at 6 mg/kg by intraperitoneal injection immediately 6 h after chronic sleep deprivation, and continued for 3 consecutive days until the experiment terminated. The saline vehicle was administrated at 6 mg/kg by intraperitoneal injection in the CC group. All animals were operated on at 9 a.m.

Behavioral Testing
Spatial learning and memory was assessed by morris water maze (MWM) test (29). Briefly, the experimental apparatus consisted of a round water tank (150 cm wide and 50 cm high) filled with water (25 • C) and surrounded by visual cues around the tank. An invisible platform (15 cm wide and 35 cm high) was placed 1 cm below the surface of the water. The spatial learning and memory ability of mice were evaluated by the number of times of platform, time in target quadrant, and average swimming speed. Data collection was automated by a video image motion analyzer.
Mice were tested in different quadrants four times a day. In each trial, the mice were randomly released into the water from one of the four quadrants with their face toward the wall of the maze. The location of the platform remained fixed during the acquisition phase and the rats were allowed to swim for 60 s to find the invisible platform. After the animal found the platform, it was allowed to remain there for 20-30 s and then returned to the cage to wait another 20-30 s before the start of the next trial. The time spent to find the invisible platform were calculated and analyzed. The mice trained at 8:30 a.m. daily after sleep deprivation. After the fourth trials, the animals were kept warm for an hour and then put back in a sleep deprivation box. After sleep deprivation of 7 days, a probe phase was performed to assess spatial memory retention. In the probe test, the platform was removed and each mouse was allowed to swim for 60 s. The time and distance spent in the target quadrant and the number of crossing in the target quadrant were analyzed as a criterion for spatial memory retention. In this test, the ability of animals to escape latency to a visible platform was evaluated.

Immunofluorescence and Cell Counting
After behavioral testing, the mice were anesthetized with chloral hydrate (30 mg/kg, i.p.) and transaortically perfused with cold PBS. The brains were removed and postfixed in 4% paraformaldehyde overnight at 4 • C. Then brains were dehydrated through 15 and 30% sucrose. After successful dehydration, brains were embedded in OCT. Immunofluorescence was performed on 8-mm frozen sections of the hippocampus. After the slides were brought to room temperature for 30 min, the tissue sections were fixed in 4% paraformaldehyde for 15 min. The tissue sections were FIGURE 1 | Down-regulated α7-nAChR expression in mice hippocampus after chronic sleep deprivation. (A) Schematic diagram depicting the experimental procedures. Before sleep deprivation, the mice in SD group was adapted to the environment in the modified multiple platforms for 7 days, 2 h per day. All mice were housed with 12 h light/dark cycles during the experiment and were operated on after sleep deprivation at 9 a.m. (B,C) Western blots of α7-nAChR in hippocampus, compared to control group, chronic sleep deprivation for 7 days significantly decreased expression of protein α7-nAChR in hippocampus (*p < 0.05). (D) Chronic sleep deprivation for 7 days significantly decreased mRNA expression of α7-nAChR in hippocampus. (E-G) Immunofluorescence staining of α7-nAChR and quantitation of α7-nAChR with glail cells. Less α7-nAChR/GFAP+ and α7-nAChR/IBA+ cells were observed in SD group compared with CC group. The scale bar represents 50 mm. The results are expressed as mean ± SEM,*P < 0.05, **P < 0.01, vs. control group. CC, Cage control; SD, sleep deprivation. permeabilized in 0.3% Triton X 100 for 30 min and then blocked with 5% bovine serum albumin (Sigma-Aldrich) for 30 min at 37 • C and the sections were exposed to the primary antibodies overnight at 4 • C. The next day they were washed in PBS and then incubated for 60 min at room temperature with species-appropriate fluorochrome-conjugated secondary antibodies. The primary antibodies used were goat anti-Iba-1 (1:500; Abcam, Cambridge, United Kingdom), rabbit anti-GFAP (1:1,000, Abcam, Cambridge, United Kingdom), rat anti α7-nAChR (1:100, Santa Cruz Biotechnology), rabbit anti-Albumin (1:100, ABclonal, China). The mean number of cells stained positive was calculated from 3 randomly selected microscopic fields, both in the penumbra of each section, and 3 consecutive sections were analyzed for each brain section. Data are expressed as mean number of cells per visual field, counted under high magnification (3200).

Real-Time RT-PCR
Total RNA was extracted from hippocampal tissues with Trizol. The concentration of RNA was quantified by ultraviolet spectrophotometry at 260/280 nm. Total RNA was reverse-

Western Blot
Hippocampus tissue was removed from each group and was homogenized by sonication in ristocetin-induced platelet aggregation buffer containing protease and phosphatase inhibitors (Complete Protease Inhibitor Cocktail and PhosStop Phosphatase Inhibitor Cocktail; both from Roche Diagnostics). Protein concentration was assessed with BCA Assay Kit (Solarbio Life Science, Beijing, China), and 10-20 µg protein was loaded per lane. Equal amounts proteins were separated on 10% Tris-glycine gradient gels (Bio-Rad) at 80 V and the voltage was then raised to 120 V. The proteins were transferred onto PVDF membranes for 1.5 h at 4 • C with a current of 100 V. The membranes were blocked for 2 h at room temperature in 5% non-fat dry milk powder dissolved in buffer, incubated with primary antibody overnight at 4 • C. The primary antibodies used were rat anti-α7-nAChR (1:200 Santa Cruz Biotechnology)rabbit anti-p-AKT(1:1,000, Cell Signal Technology, America), rabbit anti-AKT (1:1,000, Cell Signal Technology, America), rabbit anti-p-GSK3β (1:1,000, Cell Signal technology, America), rabbit anti-GSK (1:1,000, Cell Signal technology, America), rabbit anti-Nrf2 (1:2,000, Abcam, Cambridge, United Kingdom), rabbit anti-HO-1 (1:1,000, Abcam, Cambridge, United Kingdom), mouse anti-GAPDH (1:2,000, TransGen Biotech Co., Beijing, China), mouse antiβ-action (1:5,000, TransGen Biotech Co., Beijing, China). Next day, the membranes were washed 3 times for 10 min each at room temperature, incubated with a horseradish peroxidasecoupled secondary antibody (1:5,000; TransGen Biotech Co., Beijing, China) for 1 h, and washed 3 times for 10 min each at room temperature. The membrane was scanned on an Odyssey Infrared Imaging System (Bio-Rad). The optical densities of target protein bands were measured and normalized to the corresponding b-actin bands. Samples were run in triplicate or quadruplicate.

ELISA for Cytokine Profile
Blood was collected by cardiac puncture under deep isoflurane anesthesia and then centrifuged at 2,000 g for 10 min at 4 • C. Plasma cytokines were stored at 80 • C for further analysis. Levels of TNF-α, IL-1β, IL-6 were measured using commercially available enzyme-linked immunosorbent assay (ELISA) kits from Abcam (Cambridge, United Kingdom). The sensitivities of the assays were <9.1 pg/ml for TNF-α, <1 pg/ml for IL-1β, <11.3 pg/ml for IL-6.

Statistical Analysis
Data were presented as mean ± SEM. One-way analysis of variance (ANOVA) with post-hoc tests to compare among the three groups. Data with a non-parametric distribution were analyzed with the Mann-Whitney test. A P < 0.05 was considered significant. SPSS for Windows version 17.0 software (SPSS, Inc., Chicago, IL, USA) was used for analysis.

Reduced Expression of α7-nAChR in Mouse Hippocampus After Chronic Sleep Deprivation
Sleep deprivation was achieved using modified multiple platforms method (Figure 1A). Western blot and RT-PCR were used to determine the expression of α7-nAChR after chronic sleep deprivation for 7 days. As shown in Figures 1B,C, the protein expressions of α7-nAChR after sleep deprivation were decreased compared to the control group in the hippocampus. The mRNA expressions of α7-nAChR after sleep deprivation were decreased compared to the control group in the hippocampus (Figure 1D). Immunofluorescence analysis revealed that α7-nAChR expression was significantly down-regulated in glial cells after sleep deprivation (Figure 1E). α7-nAChRs expressing of GFAP+ astrocyte cell after chronic sleep deprivation was also decreased (Figure 1F), but α7-nAChR s expressing of IBA+ microglia cells was not significantly different between the both groups ( Figure 1G).
Suppressed PI3K/AKT/GSK-3β Pathway in Mouse Hippocampus After Chronic Sleep Deprivation PI3K/AKT/GSK-3β is an important downstream pathway of α7-nAChR in the hippocampus. To assess whether α7-nAChR regulate PI3K/AKT/GSK-3β after chronic sleep deprivation, we examined the expression of p-AKT, p-GSK-3β after chronic sleep deprivation with Western blot. Sleep deprivation for 7 days induced decreased expression of protein p-AKT and increased expression of protein p-GSK-3β in the hippocampus. But the expression of AKT and GSK-3β had no change (Figures 2A-D). Above results suggested chronic sleep deprivation for 7 days inhibited PI3K/AKT/GSK-3β pathway.

Stimulation of α7-nAChR Alleviated Reduced Neuroinflammation and Oxidative Stress After Chronic Sleep Deprivation
Nrf-2 and HO-1 are the major anti-oxidant enzymes and play an important role in antioxidant stress. Sleep deprivation activates glial cells, which release proinflammatory and anti-inflammatory cytokines. To assess whether α7-nAChR regulate the anti-oxidant system and inflammatory response via PI3K/AKT/GSK-3β, the expression of Nrf-2, HO-1, and inflammatory, anti-inflammatory cytokines were also assessed. We found a significant decrease in the expression of Nrf-2, HO-1 after chronic sleep deprivation. However, after PHA-543613 treatment, the expression of Nrf-2, HO-1 increased (Figures 4A,B). In addition, chronic sleep deprivation promoted the release of pro-inflammatory cytokines and inhibited release of anti-inflammatory cytokines. As Figures 4C,D showed, PHA-543613 attenuated the release of TNF-α, MCP-1 and promoted the release of CD206, TGFβ. However, we did not find a decrease of IL-1β, IFN-γ, and Frontiers in Immunology | www.frontiersin.org FIGURE 3 | Agonist of α7-nAChR up-regulated expression of α7-nAChR on glial cells and activated PI3K/AKT/GSK-3β in hippocampus. (A) Schematic diagram depicting the experimental procedures. Before sleep deprivation, the mice in SD group was adapted to the environment in the modified multiple platforms for 7 days, 2 h per day. After sleep deprivation 7 days, PHA-543613 or salin was administrated at 6 mg/kg by intraperitoneal injection immediately 6 h after chronic sleep deprivation, and it was given 3 consecutive days until the experiment ended. All mice were housed with 12 h light/dark cycles during the experiment and were operated on after sleep deprivation at 9 a.m. (B,C) Immunofluorescent staining show counts of α7-nAChR/GFAP+ cells and α7-nAChR/IBA+ cells in the hippocampus after PHA-543613 treatment in chronic sleep deprivation. After administration of PHA-543613 for 3 consecutive days, a significant increase in α7-nAChR/GFAP+ cells was observed, the α7-nAChR/IBA+ cells were also increased, but it had no significant difference. (D,E) Western blot show the expression of p-AKT, p-GSK-3β. The expression of p-AKT, p-GSK-3β were increased after PHA-543613 treatment for 3 consecutive days. Data are expressed as means ± SEM,*P < 0.05, **P < 0.01, vs. control group, # P < 0.05, ## P < 0.01, vs. SD + PHA-543613 group. CC, Cage control; SD, sleep deprivation; SD + PHA, intraperitoneal (i.p.) administration of α7-nAChR agonist PHA-543613 (6 mg/kg) after chronic sleep deprivation for 7 days. an increase of Arg-1, YM-1, which we think may be related to the fact that, some glial cells are still unactivated although PHA-543613 has been treated for the SD mice. This result suggests that α7-nAChR regulate anti-oxidant system and inflammatory response via PI3K/AKT/GSK-3β pathway in chronic sleep deprivation, and activating α7-nAChR via PHA-543613 reduces inflammatory cytokines and promotes antioxidant enzyme in some degree.

Sleep Deprivation Mediates Peripheral Inflammatory, BBB Disruption, and No More Macrophages Infiltration in the Hippocampus
In periphery, macrophages are inflammatory cells, α7-nAChR on the macrophages plays a critical role in the inflammatory response. We selectively assessed the integrity of the BBB, Real time PCR was used to reveal the production of proinflammatory and anti-inflammatory cytokines. After chronic sleep deprivation, the releases of proinflammatory cytokine were increased and the anti-inflammatory cytokine were decreased. However, after PHA-543613 treatment, the release of pro-inflammatory was decreased and the anti-inflammatory cytokines was increased. Data are expressed as means ± SEM.*P < 0.05, **P < 0.01, vs. control group, # P < 0.05, ## P < 0.01, vs. SD + PHA-543613 group.
system inflammation and the macrophages following sleep deprivation. We assessed the integrity of the BBB by measuring albumin deposition after sleep deprivation. BBB disruption did not occur under physiological conditions (see Figures 5A,B). Following chronic sleep deprivation 7 days, there was significant albumin deposition confined to the hippocampus. PHA-543613 treatment reduced the accumulation of albumin in the hippocampus (Figures 5A,B). To investigate the effect of peripheral inflammatory response on hippocampus after sleep deprivation, ELISA and immunofluorescence labeling was applied. As shown in Figures 5C,D, there was no significance in the numbers of macrophages among three groups, but the release of peripheral inflammatory factor TNF-α, IL-1, IL-6 was increased, activation of the α-nAChR by PHA-543613 can alleviate the systemic inflammation ( Figure 5E).

PHA-543613 Treatment Prevented Cognitive Decline After Sleep Deprivation
We explored the effects of cholinergic modulation on cognitive decline assessing hippocampal-dependent memory function using the morris water maze and noted that sleep deprivation caused memory impairment. The escape latency, the time in the target quadrant and the frequency of crossing platforms were longer than the control group. Conversely, PHA-543613 treatment ameliorated memory impairment (Figure 6).

DISCUSSION
This study provides novel evidence that stimulation of α7-nAChR alleviates neuroinflammation, oxidative stress and FIGURE 5 | Sleep deprivation mediates peripheral inflammatory, BBB disruption and no more macrophages infiltration in hippocampus. Imfluorescence micrographs of brain cryosections showing the distribution of albumin and macrophages in the hippocampus of mice. Red labeling represents albumin extravasation as a marker of BBB damage and the CCR2 as a marker of macrophages. (A,B) Compared to control group, sleep deprivation increased the expression of albumin in the hippocampus. After PHA-543613 treatment, the albumin deposition in hippocampus was decreased compared to the sleep deprivation. (C,D) Conversely, there were no more macrophages in the hippocampus after sleep deprivation than control group. (E) The release of peripheral inflammatory factor TNF-α, IL-1β, IL-6 was increased after sleep deprivation, activation of the α-nAChR by PHA-543613 reduced the release of TNF-α, IL-1β, IL-6. Data are expressed as means ± SEM. *P < 0.05, **P < 0.01, vs. control group, # P < 0.05, ## P < 0.01, vs. SD + PHA-543613 group.
cognitive decline after chronic sleep deprivation. As documented here, sleep deprivation for 7 days induced downregulation of α7-nAChR in microglia and astrocytes, together with the inhibited PI3K/AKT/GSK-3β pathway. PHA-543613 treatment induced the upregulation of α7-nAChR and activation of PI3K/AKT/GSK-3β. The hippocampal inflammation, oxidative stress, and behavioral responses was attenuated following PHA-543613 treatment. These results suggest α7-nAChR as a relevant biomarker in the hippocampus for inflammation and oxidative stress after chronic sleep deprivation. Stimulation of α7-nAChR may provide benefit against adverse effects induced by sleep deprivation.
In the central nervous system, α7-nAChR is mainly distributed in neurons (30,31). More and more studies have found the expression of α7-nAChR on the surfaces of astrocytes (32) and microglia (33,34), T cells (35), B cells (36), and monocytes (37,38). Hippocampal cells are dominated by neurons, while microglia and astrocytes are main immune inflammatory cells in the brain, which have multiple capabilities including antigen presentation and production of pro-inflammatory or anti-inflammatory factors, etc. (39)(40)(41). Chronic sleep deprivation activates microglia and astrocyte (3,42), so microglia and astrocytes can be potential targets to restrict brain inflammation and oxidative stress after sleep deprivation.
α7-nAChR-dependent pathways are critically involved in several CNS disorders, including schizophrenia, depression, anxiety, stroke, Alzheimer's disease, and Parkinson disease (43,44), and increasingly studies highlight the importance of a cholinergic reflex in resolving the inflammatory pathogenesis of FIGURE 6 | Effects of cholinergic modulation on memory function following sleep deprivation. Water morris maze was used to test the learning and memory function of mice. (A,B) The escape latency of mice in the three groups decreased gradually and compared with CC group, the escape latency significant increased in SD group, the PHA-543613 treatment reduced the escape latency at the end of experiment. (C-E) Compared with the CC group, sleep deprivation decreased the frequency of crossing the platform, and shorten the time in the target quadrant. Following the PHA-543613 treatment, the frequency of crossing platforms and the time in the target quadrant was prolonged compared to the SD group. There was no significance in swimming speed among the groups. Data are expressed as means ± SEM. *P < 0.05, **P < 0.01, vs. control group, # P < 0.05, ## P < 0.01, vs. SD + PHA-543613 group.
several diseases including rheumatoid arthritis (20) and colitis (45). Stimulation of the α7 nicotinic acetylcholine receptor protects against neuroinflammation and improved hippocampal dependent memory dysfunction, through the modulation of NF-κB activation in monocytes and regulation of the oxidative stress response through NADPH signaling (46). However, how α7-nAChR changes and takes effect after sleep deprivation in central nervous system remains unknown.
In our study, we found that α7-nAChR occurred in both microglia and astrocytes. After chronic sleep deprivation, the expression of α7-nAChR in microglia and astrocytes were reduced, and the pro-inflammatory factors were increased, while the anti-inflammatory factors and antioxidant enzymes were reduced. α7-nAChR agonist PHA-543613 can alter microglia and astrocytes response and attenuates inflammatory injury and enhances anti-inflammatory factors and antioxidant enzymes. This results support our hypothesis that targeting α7-nAChR may provide protection against sleep deprivation. To understand the possible mechanisms by which α7-nAChR might regulate inflammatory response and oxidative stress, we further examined the state of PI3K/AKT/GSK-3β signaling pathway. The results demonstrate that chronic sleep deprivation inhibited PI3K/AKT/GSK-3β signaling pathway which can be reversed by α7-nAChR agonist PHA-543613. Therefore, α7-nAChR may inhibit inflammation and oxidative stress via the modulation of microglia and astrocyte α7-nAChR/PI3K/AKT/GSK-3β pathway.
Sleep deprivation induces the production of proinflammatory cytokines in peripheral blood, which could act on peripheral macrophages to activate NF-KB or Toll-like receptors, enhancing the release of pro-inflammatory cytokines like TNF-α, HMGB, IL-6. TNF-α can compromise endothelial function and permeabilize the BBB (15). In this study, we found that the systemic TNF-α and IL-1β, IL-6 were increased and the BBB disrupt following sleep deprivation. Macrophages though, was slightly found in the brain, which was conflict with some studies, and need to be confirmed with living cell imaging in the future.
Cholinergic signaling, in particularα7 nAChR-dependent PI3K/AKT/GSK-3β pathway are critically involved in several disorders, including schizophrenia, stroke, Alzheimer's disease, myocardial ischemia reperfusion and experimental autoimmune encephalomyelitis and can provide protection against inflammatory injury (27,(47)(48)(49)(50)(51)(52). We showed that PHA-543613 treatment significantly reduced the production of pro-inflammatory factors, increased the release of antiinflammatory factors and antioxidant enzymes after chronic sleep deprivation. The morris water maze data demonstrated worsening of cognition after chronic sleep deprivation, while PHA-543613 treatment prevented the cognitive decline, therefore raising the possibility that cholinergic dysfunction is a risk factor for the development of cognitive decline after chronic sleep deprivation by interfering with resolution of the neuroinflammatory response.
Our study also showed that PHA-543613 also significantly increased the expression of antioxidant enzymes Nrf-2 and HO-1 after chronic sleep deprivation. Nrf-2 and HO-1 are the main antioxidant enzymes, which can inhibit oxidative stress. Animal experiments have proved that both of Nrf-2 and HO-1 have anti-inflammatory effects, inhibiting the release of inflammatory factors such as TNF-α, IL-1β, and MIP-1, and playing an important role in resisting oxidative stress (53)(54)(55). Whether the increased expression of Nrf-2 and HO-1 after chronic sleep deprivation is further involved in inhibiting the release of inflammatory factors and promoting the release of anti-inflammatory factors remains to be further studied.
In summary, this is the first study to report the role of α7-nAChR in the modulation of inflammatory response and oxidative stress in chronic sleep deprivation model. Our data reveal that α7-nAChR attenuates cognitive decline and neuroinflammation and oxidative stress through PI3/AKT/GSK-3β pathway. The findings broaden the neuroinflammatory mechanisms in sleep deprivation and are conducive to the therapy of brain injury aroused from sleep deprivation.

DATA AVAILABILITY STATEMENT
All datasets generated for this study are included in the article/supplementary material.

ETHICS STATEMENT
This study was carried out in accordance with the NIH Guide for the Care and Use of Laboratory Animals and the Ethics Committee of Animal Experiments of Tianjin Medical University. The protocol was approved by the Ethics Committee of Animal Experiments of Tianjin Medical University.

AUTHOR CONTRIBUTIONS
WW, RX, and YW conceived and designed the study. RX and YW designed and performed the experiments, analyzed, and interpreted data. WW, RX, and YW wrote and revised the manuscript. XS, XZ, and WG participated in the data acquisition, analysis, and interpretation. All authors had critically revised and approved the final version of the manuscript.

FUNDING
This work was supported in part by National Natural Science Foundation of China (81471220) and Tianjin Science and Technology Planning Project (17ZXMFSY00180).