Abstract
Lipopolysaccharide (LPS) and high-mobility group box 1 (HMGB1) are Toll-like receptor (TLR4) agonists that activate proinflammatory neuroimmune signaling linked to loss of basal forebrain cholinergic neurons (BFCNs) and cognitive deficits. Loss of choline acetyltransferase immunoreactive (ChAT + IR) BFCNs is generally interpreted as cell death, but recent in vivo studies find anti-inflammatory interventions restore adolescent ethanol exposure-induced persistent loss of adult ChAT + IR neurons and cognitive deficits, suggesting proinflammatory signaling-induced reversible gene repression of ChAT in BFCNs. Using an ex vivo Wistar rat basal forebrain slice culture (FSC) model to investigate TLR4 involvement in repression of the BFCN phenotype, we report that direct TLR4 activation with LPS decreases expression of multiple BFCN markers in the absence of observable neuronal loss or cell death. Inhibition of HMGB1 blunts while inhibition of TLR4 blocks the LPS-induced loss of ChAT + IR neurons. TLR4 activation induces the transcriptional repressor RE1-silencing transcription factor (REST) and the methyltransferase G9a while increasing repressive histone 3 lysine 9 dimethylation and REST occupancy at cholinergic gene promoters. G9a inhibitors both prevent and reverse the LPS-induced loss of ChAT + IR whereas siRNA inhibition of REST blocks the LPS-induced loss of ChAT + IR BFCNs. These data suggest in vivo HMGB1-TLR4 signaling in BFCNs leads to a reversible loss of the cholinergic neuron phenotype through epigenetic gene repressive mechanisms.
Introduction
Basal forebrain cholinergic neurons (BFCNs) provide extensive innervation to the hippocampus and cortex (), and are critically involved in cognition and brain function (). Loss of BFCNs and somal shrinkage of the remaining BFCNs are features of several neurodegenerative disorders, including Alzheimer’s disease (AD) and alcohol use disorder (AUD) (; ), and likely contribute to the cognitive dysfunction associated with these disorders (Vogels et al., 1990; ; ). BFCN loss in AD and AUD (; ) is accompanied by increases of Toll-like receptor 4 (TLR4) and the endogenous TLR ligand HMGB1 (; Vetreno et al., 2013; ). HMGB1 binds to and activates TLR4 and other receptors, leading to nuclear translocation of NFκB, contributing to complex proinflammatory signaling (). In a rodent adolescent intermittent ethanol (AIE) model of human adolescent binge drinking, alcohol decreases BFCNs and increases forebrain expression of HMGB1, TLR4, and downstream activated pNFκB p65 that persists into adulthood (). In vivo, BFCNs express TLR4 and activated pNFκB p65, suggesting that these neurons can respond to TLR4 agonists and other neuroimmune signals (). Systemic administration of the TLR4 ligand LPS induces lasting upregulation of NFκB target genes (e.g., TNFα, CCL2 [MCP-1], IL-1β) (, ) in brain and decreases BFCNs (). However, systemic LPS exposure also induces peripheral cytokines (e.g., TNFα) that can drive neuroinflammation and progressive neurodegeneration (), confounding interpretation of direct HMGB1-TLR4 neuroimmune involvement in the loss of BFCNs.
Cholinergic neurons develop early, but continue to mature through youth and adolescence into adult BFCNs that express cholinergic lineage transcription factors and other markers, such as ChAT, VAChT (SLC18A3), the choline transporter (ChT, SLC5A7), and the NGF receptor tropomyosin receptor kinase A (TrkA). Loss of ChAT + IR and other cholinergic neuron markers is generally considered analogous to cell death of BFCNs; however, fimbria-fornix lesion-induced loss of ChAT + IR BFCNs can be restored post-lesion by intraventricular infusions of NGF (). Recent studies find AIE exposure causes a persistent increase in adult basal forebrain HMGB1-TLR4 neuroimmune gene expression and a long-lasting loss of ChAT + IR BFCNs that is prevented and reversed by anti-inflammatory drug treatment and exercise (; ). Loss of BFCNs markers in vivo is accompanied by increased occupancy of the transcriptional repressive marker histone 3 lysine 9 dimethylation (H3K9me2) at Chat and Trka gene promoters in the basal forebrain (Wang et al., 2008; ) that can be reversed (; ). Together, these data suggest that proinflammatory signaling involving HMGB1-TLR4 signaling may reduce BFCNs through repressive epigenetic gene silencing mechanisms that can be reversed.
Emerging studies suggest neuroimmune induction can elicit chromatin remodeling and gene transcription regulation in brain through epigenetic modifications (; ; Wolstenholme et al., 2017; ). Epigenetic transcriptional regulation involves histone acetylation and methylation, which can enhance or repress gene transcription without changing the underlying DNA sequence, resulting in a specific phenotype (; ; ). In the current study, we used an ex vivo basal forebrain slice culture (FSC) model, which maintains the cellular milieu conducive for BFCN development, to overcome in vivo systemic confounds to test the hypothesis that neuroimmune activation causes epigenetic repression of the BFCN phenotype. Using the FSC model, we directly link HMGB1-TLR4 neuroimmune signaling with induction of REST-G9a-H3K9me2 transcriptional silencing markers on cholinergic phenotype genes that culminates in epigenetic repression of ChAT and other cholinergic genes. These data reveal that HMGB1-TLR4 neuroimmune activation induces a novel neuroplastic process involving epigenetic gene repression, resulting in the loss of the BFCN phenotype.
Materials and methods
Animals
For in vivo LPS studies, Wistar rats were bred and reared at the University of North Carolina at Chapel Hill. On the day following birth (P1), litters remained with their dams in standard clear plastic tubs with shavings until the time of weaning on P21. Subjects were housed in a temperature- (20°C) and humidity-controlled vivarium on a 12/12 h light/dark cycle (light onset at 7:00 A.M.), and provided ad libitum access to food and water. This study was conducted in an AAALAC-accredited facility in strict accordance with NIH regulations for the care and use of animals in research. Experimental procedures reported in this study are approved by the Institutional Animal Care and Use Committee of the University of North Carolina at Chapel Hill.
In vivo lipopolysaccharide treatment
To determine if systemic administration of the proinflammatory TLR4 ligand LPS would alter ChAT + IR BFCNs in vivo, rats (n = 8/group) received either a single injection of LPS (1.0 mg/kg, i.p. in sterile 0.9% saline; Escherichia coli, serotype 0111:B4; Sigma-Aldrich, Cat. #L3024) or a comparable volume of vehicle on P79. Subjects were sacrificed on P80 and brain tissue collected for analysis (Figure 1A).
FIGURE 1
In vivo perfusion and brain tissue preparation
Subjects were anesthetized with a lethal dose of sodium pentobarbital (100 mg/kg, i.p.) and transcardially perfused with 0.1 M PBS followed by 4.0% PFA. Brains were excised and post-fixed in 4.0% PFA for 24 h at 4°C followed by 4 days fixation in 30% sucrose solution. Coronal sections were cut (40 μm) on a sliding microtome (MICROM HM450; Thermo Scientific, Austin, TX, United States) and sections sequentially collected into well plates and stored at −20°C in a cryoprotectant solution (30% glycol/30% ethylene glycol in PBS). Free-floating basal forebrain tissue samples [every 6th section; approximate Bregma: 1.60–0.20 mm based on the atlas of ] were used.
Ex vivo organotypic forebrain slice culture model
For ex vivo slice culture studies, P8 Wistar rat pups from Charles River Laboratory (Wilmington, MA, United States) were used based on prior studies (). FSCs were prepared as described previously (Weis et al., 2001; Zou and Crews, 2012, 2014; Zou et al., 2012) with slight modification. Briefly, neonate (P8) rats were decapitated, brain excised, and coronal slices sectioned with a McIlwain mechanical tissue chopper at a thickness of 375 μm. Basal forebrain slices were dissected in Gey’s buffer (Sigma-Aldrich, St. Louis, MO, United States) and two slices containing the entire basal forebrain from each animal were placed onto a 30 mm diameter membrane tissue insert. Individual tissue inserts were cultured in six well well-plates with medium containing 75% glutamate-free MEM with 25 mM HEPES and Hank’s salts supplemented with 25% heat-inactivated horse serum, 5.5 g/L glucose, 2.0 mM L-glutamine, and 100 μg/mL nerve growth factor (NGF; Sigma-Aldrich, Cat. #N2513) in a humidified 5.0% CO2 incubator at 36.5°C. FSCs were maintained in culture for 12 days with NGF, which is critical for establishing BFCNs (Supplementary Figures 1A–C). It is well-established that slices become thinner during 12 days of incubation (Weis et al., 2001; ), which is a sign of healthy cultures, and slices that did not become thinner, or wells containing dead or contaminated slices were immediately removed from experiments. Basal forebrain slices in culture for 12 days ex vivo (DEV) were used for experiments, and drug treatments performed in the absence of NGF as FSCs survive up to an additional 12 DEV in the absence of continued NGF (Weis et al., 2001; Supplementary Figure 1D).
Ex vivo forebrain slice culture lipopolysaccharide and drug treatments
For LPS experiments, FSCs were treated with the TLR4 ligand LPS (100 ng/mL; E. coli, serotype 0111:B4; Sigma-Aldrich, Cat. #L3024) in media for 6–48 h. All drug treatments were performed in NGF-free medium after 12 DEV. In some experiments, disulfide HMGB1 [HMGBiotech, Cat. #HM-121; 0.1 μg/mL []), glycyrrhizin (Sigma-Aldrich, Cat. #G2137; 100 μM (Zou and Crews, 2014)], LPS-RS [InvivoGen, San Diego, CA, United States, Cat. #tlrl-prslps; 100 ng/mL (Zou and Crews, 2014)], or G9a inhibitors (BIX-01294 [Selleckchem, Houston, TX, United States, Cat. #S8006; 5.0 μM], UNC0642 [Santa Cruz, Dallas, TX, United States, Cat. #sc397059; 1.0 μM]) were used as described in the “Results” section (n = 3–6 wells/group per experiment). For knockdown of REST, a Silencer Select REST siRNA cocktail and Silencer Select scrambled negative control siRNA (Ambion, Grand Island, NY, United States, Cat. #s136124 [100 nM], #s136125 [100 nM]; #s136126 [100 nM]; negative control siRNA, Cat. #4390843) was used based on the protocol for transfection as previously described (Zou et al., 2012; Zou and Crews, 2014). Briefly, the transfection mixture was added to the media at a final concentration of 100 nM of each siRNA + 8.0 μL Lipofectamine 2000 (Invitrogen, Carlsbad, CA, United States) in Gibco Opti-MEM Reduced Serum Medium to a total volume of 1.1 mL (550 μL on top of slices and 550 μL at the bottom of the slice culture). Negative controls were treated with the same medium containing the scrambled negative control siRNA. After transfection for 24 h, siRNA-containing medium was replaced with regular medium without NGF and the slices cultured for 24 h in the absence or presence of LPS (100 ng/mL). At the end of all experiments, slices were collected from tissue inserts for analysis. Two brain slices containing the basal forebrain from each animal were cultured in each well with multiple wells used in each experiment as described in the figure captions.
For immunohistochemistry (IHC) studies, membrane tissue inserts were collected from each well (n = 3–6 wells/group), fixed in a solution of 4.0% PFA and 5.0% sucrose in 0.1 M PBS (pH 7.4) for 24 h, and stored in 0.1 M PBS. For RNA (n = 4–6 wells/group) and DNA (n = 6–10 wells/group) extraction, membrane tissue inserts containing FSCs were rinsed in cold 0.1 M PBS, removed from membrane tissue inserts, and stored at −80°C.
Assessment of neuronal cell death
Uptake of the fluorescent exclusion dye propidium iodide (PI) was used for determination of neuronal cell death as previously described (; ). Briefly, PI was added to the culture medium at the beginning of LPS treatment at a concentration of 5.0 μg/mL and PI fluorescent images captured at 6, 24, and 48 h relative to CONs at 24 h. PI intercalates into the DNA of non-viable cells but cannot enter viable cells as it is excluded by the plasma membrane providing a measure of cell death (). This method is well characterized for accurately measuring neuronal cell death in organotypic slice culture (Zou and Crews, 2005). PI fluorescent immunoreactive cells were imaged using AxioVision 3.1 software and quantified by an experimenter blind to condition using ImageJ software.
Immunohistochemistry
Free-floating basal forebrain tissue was washed in 0.1 M PBS, incubated in 0.6% H2O2 to inhibit endogenous peroxidases, and blocked with normal serum (MP Biomedicals, Solon, OH, United States). Sections were incubated in a primary antibody solution containing blocking solution and goat anti-ChAT (Millipore, Temecula, CA, United States, Cat. #AB144P, RRID:AB_2079751), mouse anti-TLR4 (Abcam, Cat. #ab22048, RRID:AB_446735), or mouse anti-NeuN (Millipore, Cat. #MAB377, RRID:AB_2298772) for 24 h at 4°C. Sections were washed with PBS, incubated for 1 h in a biotinylated secondary antibody (Vector Laboratories, Burlingame, CA, United States), and incubated for 1 h in ABC solution (Vectastain ABC Kit; Vector Laboratories). The chromogen nickel-enhanced DAB (Sigma-Aldrich) was used to visualize immunoreactivity. Tissue was mounted onto slides, dehydrated, and cover slipped. Negative controls for non-specific binding were conducted on separate sections employing the above-mentioned procedures, omitting the primary antibody.
Microscopic quantification and image analysis
Across experiments, BioQuant Nova Advanced Image Analysis software (R&M Biometric, Nashville, TN, United States) was used for image capture and quantification of IHC. Representative images were captured using an Olympus BX50 microscope and Sony DXC-390 video camera linked to a computer. For each measure, the microscope, camera, and software were background-corrected and normalized to preset light levels to ensure fidelity of data acquisition. Microscopic quantification, which was performed by experimenters blind to treatment conditions, was conducted in the medial septum and diagonal band (). A modified unbiased stereological quantification method was used to quantify ChAT + IR, TLR4 + IR, and NeuN + IR cells in the basal forebrain. We previously reported that comparison of traditional unbiased stereological methodology with our modified unbiased stereological approach yielded nearly identical values for heterogeneously distributed cell populations (). The outlined regions of interest were determined and data expressed as cells/mm2. ChAT + IR somal size was assessed using BioQuant Nova Advanced Image Analysis software (R&M Biometric).
Fluorescent immunohistochemistry and microscopy
Free-floating FSC sections were processed similar to previously reported methods (; ). To assess cholinergic neuron marker colocalization, sections were incubated for 48 h at 4°C in a primary antibody cocktail containing goat anti-ChAT (Millipore), rabbit anti-TrkA (Millipore, Cat. #06-574, RRID:AB_11213262), and mouse anti-nerve growth factor receptor (NGFR; Millipore, Cat. #MAB365, RRID:AB_2152788). To assess ChAT colocalization with phosphorylated (activated) NF-κB p65, FSC sections were incubated for 48 h at 4°C in a primary antibody cocktail containing goat anti-ChAT (Millipore) and rabbit anti-pNF-κB p65 (phospho S536; Abcam, Cat. #ab86299, RRID:AB_1925243). Sections were then washed in TBS and incubated for 2 h at room temperature in the secondary antibody cocktail (Invitrogen; rabbit Alexa Fluor 594 [Cat. #A21207, RRID:AB_141637], mouse Alexa Fluor 488 [Cat. #A21202, RRID:AB_141607], and goat Alexa Fluor 350 [Cat. #A21081, RRID:AB_2535738]). Tissue was mounted onto slides and cover slipped using Prolong Gold Anti-Fade mounting media (Life Technologies, Grand Island, NY, United States). Immunofluorescent images were obtained using a DS-RiZ scope (Nikon Inc., Melville, NY, United States), and colocalization and pNF-κB p65 + IR cells quantified using NIS Elements AR46 (Nikon Inc.).
ELISA
At the conclusion of LPS treatment for 24 h in the FSC, media was collected and used for detection of HMGB1 release. HMGB1 ELISA was performed according to the manufacturer’s protocol (IBL International, Hamburg, Germany [Cat. #ST51011]).
RNA extraction and reverse transcription PCR
Across experiments, total mRNA was extracted from FSC samples by homogenization in TRI reagent (Sigma-Aldrich) following the single-step method of RNA isolation () as previously described (; ; ). Briefly, total RNA was extracted from individual FSC wells by homogenization in TRI reagent (Sigma-Aldrich). RNA quality and concentration was determined using a NanoDrop 1000 (Thermo Fisher Scientific, Austin, TX, United States). Total RNA was reverse transcribed as previously described (). RTPCR reactions were run on a Bio-Rad CFX system (Bio-Rad, Hercules, CA, United States) and primer sequences are presented in Table 1. SYBER Green PCR Master Mix (Life Technologies, Carlsbad, CA, United States) was used for RTPCR. RTPCR was run with an initial activation for 10 min at 95°C, followed by 40 cycles of denaturation (95°C, 15 s), annealing/extension (57–58°C, 1 min), and melt curve. Differences in primer extension between groups are expressed as cycle time (Ct) values normalized to a housekeeping gene (i.e., β actin or 18S), and relative differences between groups calculated and expressed as the percent difference relative to controls.
TABLE 1
| Primer | Forward | Reverse |
| Ache | GACTGCCTTTATCTTAA TGTG | CGGCTGATGAGAGATT CATTG |
| Acly | CAGCAGGACAGCGTC TTTTTC | GGGATCTTGGACTTG GGACT |
| Ccl2 | CTGGGCCTGTTGTTCA CAGTTGC | CTACAGAAGTGCTTG AGGTGGTTG |
| Cd11b | CTGGTACATCGAGAC TTCTC | TTGGTCTCTGTCTGAG CCTT |
| Cdyl | GCTGTTAATGGAAAA GGTACATCTC | CTCACACTGAAACGC AACCG |
| Chat | GCCCAACCAAGCCA AGCAAT | AAATGTCTTTGCGG GTGCCG |
| Cht | CATCACAGAACCTCACT CACAC | GCAAGAGGCTGAAACA TTTGGG |
| G9a | CTCCGGTCCCTTGT CTCC | CTATGAGAGGTGTCC CCCAA |
| Gbx1 | GCCAAGTGGAAGCGAA TCAAG | CTCTGGCCGAATACTC ATGC |
| Gbx2 | CACTTGAGGGAACCCG TGTC | AAACCGCAGTGTTCT TGGGT |
| Gfap | AATGACTATCGCCGCC AACT | CGAGTGCCTCCTGGTA ACTC |
| Glt1 | GGACTGGCTGCTGG ATAGA | ATGGTAAGAATGGATGC AGGGG |
| Gs | CGGGTGTACTTGTGGT GAGG | GGGTGAACTCCCCTT CCCTA |
| Iba1 | GGCAATGGAGATATCG ATA | AGAATCATTCTCAAGA TGGC |
| Il1β | GAAACAGCAATGGTCG GGAC | AAGACACGGGTTCCA TGGTG |
| Il6 | CTGGTCTTCTGGAGTT CCGTT | GGTCTTGGTCCTTAG CCACTC |
| Isl1 | TCCCTATGTGTTGGT TGCGG | AGCAGGTACAGCTT TCGTCC |
| Ldb1 | CATGCGAGTCTTTGT GCGG | GTGGGTACATGGGAGT TGGG |
| Lhx8 | GCCTTGGTAGAGGAGAA GGTC | TGGCTGGCTTTGGATGA TTGA |
| Neun | CCCACCACTCTCTT GTCCGT | GGGCCGATGGTATGAT GGTAG |
| Ngfr | GCTGCTGATTCTAGG GATGTC | CAGTCTCCTCGTCC TGGTAGT |
| Rest | ACTACACGGCACACC TGAAG | GAGGTTTAGGCCCGT TGTGA |
| S100B | GAGAGAGGGTGACAA GCACAA | GGCCATAAACTCCT GGAAGTC |
| Tnfα | ATGTGGAACTGGCA GAGGAG | ACGAGCAGGAATGAG AAGAAG |
| Trka | CCATATCAAGCGCCAG GACA | GCAGTTTTGCATCA GGTCCG |
| Vacht | AGGCCACATCGTTCACTCTC | GGCGGTTCATCAAGCAACAC |
| β actin | CTACAATGAGCTGCG TGTGGC | CAGGTCCAGACGCAGGA TGGC |
| 18s | CGGGGAATCAGGGTT CGATT | TCGGGAGTGGGTAAT TTGCG |
List of primer sequences for RTPCR analysis.
Chromatin immunoprecipitation
The procedure used was similar to methods reported previously (; ; ). Briefly, FSCs were homogenized, fixed in 1.0% methanol-free formaldehyde, quenched in 1.0 M glycine, lysed with lysis buffer (1.0% [v/v] SDS, 10 mM EDTA, 50 mM Tris-HCl [pH 8.0]), and chromatin sheared to fragments of <1,000 bp on a Covaris ME220. Input DNA fractions were removed from the sheared chromatin to be processed separately and the remaining sheared chromatin was incubated overnight at 4°C with an antibody against H3K9me2 (Abcam, Cat. #ab1220, RRID:AB_449854) or REST (Millipore, Cat. #17-641, RRID:AB_1977463). Protein A Dynabeads (Thermo Fisher Scientific, Austin, TX, United States) were added and rotated at 4°C for 1 h followed by five washes in ChIP wash buffer. Both immunoprecipitated DNA and input DNA were then eluted in 10% (w/v) Chelex by boiling at 95°C for 10 min followed by centrifugation. The resulting DNA was quantified using qPCR with SSOAdvanced Universal SYBR Green Supermix (Bio-Rad, Berkeley, CA, United States) using primers for promoter and promoter CpG islands at Chat, Trka, and Lhx8 genes (Table 2). The ΔΔCt method was used to determine fold change relative to control and was normalized to the Input DNA fraction.
TABLE 2
| Primer | Forward | Reverse | Chromosome, sequence region |
| Chat promoter | ACTTGATTGCTGCCTCTCTC | GGGATGGTGGAAGATACAGAAG | Chr 16, 7717766–7717785 |
| Chat CpG promoter | TGCATCTGGAGCTCAAATCGT | GGGGATAGTGGTGACGTTGT | Chr 16, 7717354–7717374 |
| Trka promoter | CCTCACCGTGCACTTTACCT | AGGGTCTGGAGAGCGTACAT | Chr 2, 173254387–173254406 |
| Trka CpG promoter | TCAAGCAAGGCTCCGAACAG | CACAGGGTGGCGCTAGAAG | Chr 2, 173254107–173254126 |
| Lhx8 promoter | ATCGGAGGCGGTGTATGTTC | TGGGCCTGGTTCGGATTAAG | Chr 2, 243270737–243270756 |
List of primer sequences for ChIP analysis.
Statistical analysis
Statistical analysis was performed using GraphPad Prism 8 (San Diego, CA, United States). Two-tailed Student’s t-tests were used to assess RTPCR, IHC, and ChIP data unless otherwise reported. Levene’s Test for Equality of Variances was performed for each analysis. When reported in the Section “Results,” Welch’s t-tests were used to assess data with unequal variances. All time course and dose response data was assessed using one-way ANOVA with Tukey’s HSD. Blockade studies were analyzed using 2 × 2 ANOVAs with post hoc analyses performed using Tukey’s HSD where appropriate. If significant interactions were not observed, follow-up t-tests were performed to determine blockade. All values are reported as mean ± SEM, and significance defined as p < 0.05.
Results
Lipopolysaccharide -TLR4 activation contributes to loss of basal forebrain cholinergic neurons and somal shrinkages of ChAT + IR neurons
Loss of BFCNs and proinflammatory TLR4 neuroimmune induction are features of several neurodegenerative disorders, including AD and AUD (; ; ; ). To investigate mechanisms regulating BFCN responses to proinflammatory signaling, we assessed whether TLR4 neuroimmune activation with LPS contributes to the loss of BFCNs in vivo and in ex vivo FSC. Development of BFCNs in the FSC model is dependent on NGF, with cultured cholinergic neurons co-expressing ChAT, TrkA and the NGF receptor, similar to development of BFCNs in vivo (Supplementary Figure 1E) (; ). Systemic treatment of Wistar rats with LPS (1.0 mg/kg, 24 h) decreased ChAT + IR cells (t[14] = 2.2, p < 0.05) and reduced somal size of the remaining ChAT+ neurons (t[14] = 6.6, p < 0.01), relative to CONs (Figures 1B–D), similar to previous in vivo studies finding persistent ChAT loss following LPS lasting at least 10 days (). Ex vivo FSC LPS (100 ng/mL, 24 h [Figure 1A]) treatment caused a 32% (±2%) reduction of ChAT + IR neurons (t[6] = 3.8, p < 0.01) relative to vehicle-treated FSCs. Similar to the in vivo LPS-induced somal shrinkage, direct LPS-TLR4 activation caused a 26% (±2%) reduction in somal size of the remaining ChAT + IR cholinergic neurons (t[6] = 4.4, p < 0.01) relative to vehicle-treated FSCs (Figures 1E–G). Although loss and shrinkage of BFCNs could be interpreted as cell death and autophagy, no changes in NeuN + IR neurons or the cell death marker PI were found across a 6–48 h time course (Figures 1H,I). These data suggest that ex vivo LPS reduces ChAT + IR BFCNs without causing observable cell death or loss of NeuN + neurons. LPS treatment of BFCNs within the FSC model reveals that direct TLR4 activation can decrease expression of ChAT + IR cholinergic neurons independent of systemic responses and loss of neurons.
Cholinergic neurons form through a developmentally regulated, time lineage-specific sequence of induction of transcription factors that create and maintain the BFCN phenotype. Cholinergic neuronal phenotype is identified by expression of the ACh-synthesizing enzyme ChAT as well as numerous genes involved in the synthesis and packaging of ACh into synaptic vesicles for release. Assessment of cholinergic phenotype genes in the FSC model following direct LPS-TLR4 activation revealed decreased levels of Acyl (31% [±6%]; t(9) = 5.1, p < 0.01), Chat (59% [±6%]; t(9) = 3.6, p < 0.01), Vacht (58% [±3%]; t(5.7) = 4.7, p < 0.01, Welch’s t-test), Ache (43% [±3%]; t(9) = 4.4, p < 0.01), Cht (57% [±8%]; t(9) = 4.6, p < 0.01), and Trka (53% [±2%]; t(5.3) = 4.4, p < 0.01, Welch’s t-test) relative to vehicle-treated FSCs (Figure 2A). We also observed reduced mRNA expression of the cholinergic lineage transcription factor Lhx8 (70% [±3%]; t(5.7) = 6.0, p < 0.01, Welch’s t-test) as well as other cholinergic lineage-specifying transcription factor genes (Isl1 [62% (±5%); t(9) = 4.5, p < 0.01], Ldb1 [37% (±4%); t(9) = 5.6, p < 0.01], Gbx1 [67% (±6%); t(5.9) = 3.4, p < 0.05, Welch’s t-test], Gbx2 [78% (±2%); t(5.4) = 6.5, p < 0.01, Welch’s t-test]), relative to vehicle-treated FSCs (Figure 2B). The observed reduction of cholinergic phenotype and lineage genes occur in the absence of changes in expression of the neuronal gene Neun (Figure 2C) similar to our NeuN + IR data. Lhx8 is a key developmental transcription factor in BFCNs, triggering induction of other lineage-specific transcription factors and cholinergic phenotype genes (Figure 2D). However, as would be expected, LPS increased proinflammatory cytokine/chemokine mRNAs (Supplementary Figure 2A) and microglial Iba1 and Cdllb while decreasing expression of some astroglial genes (Supplementary Figure 2B), consistent with LPS activation of glia. These data reveal that direct LPS-TLR4 activation in the basal forebrain decreases expression of cholinergic neuron-specific phenotype genes and cholinergic lineage transcription factors without altering NeuN expression.
FIGURE 2
Lipopolysaccharide-TLR4 activation induces neuroimmune signaling in the basal forebrain contributing to the loss of basal forebrain cholinergic neurons
HMGB1 is an endogenous agonist at TLR4 and is released from neurons and glia, consistent with HMGB1 activating TLR4 induction of NFκB transcription. In brain, HMGB1 is released by glutamate excitation, HDAC inhibitors, alcohol, seizure, and LPS stimulation as well as cell death (Zou and Crews, 2014, 2015; Walker et al., 2017). We assessed HMGB1 release in FSC media following LPS application and found that LPS increased media levels of HMGB1 by approximately 2.5-fold [t(6) = 11.9, p < 0.01] relative to vehicle-treated FSCs (Figure 3A). The disulfide form of HMGB1 directly binds to TLR4 (Yang et al., 2015). We applied disulfide HMGB1 (0.1 μg/mL; 24 h) to FSC and observed reduced populations of ChAT + IR BFCNs (37% [±7%]; t(6) = 2.9, p < 0.05) relative to vehicle-treated FSCs (Figure 3B) and similar to LPS (Figure 1E). TLR4 agonists are known to induce TLR4, and treatment of FSC with LPS led to an approximate 1.5-fold increase of TLR4 + IR cells [t(6) = 2.8, p < 0.05] relative to vehicle-treated FSCs (Figure 3C). Previous studies have found ChAT + IR BFCNs express TLR4 (). HMGB1 and LPS binding to TLR4 activates NF-κB (; ; ; ) and transcriptionally activated pNF-κB p65 + IR is associated with increased transcription of neuroimmune genes, as has been reported in the rat basal forebrain (; ; ). Application of LPS to FSC increased pNF-κB p65 + IR cells approximately 2.5-fold [t(3.5) = 8.4, p < 0.01, Welch’s t-test] relative to vehicle-treated FSCs (Figure 3D). Interestingly, direct TLR4 activation in the FSC model with LPS led to a 3.3-fold increase of ChAT + BFCNs that co-expressed activated pNF-κB p65 + IR [t(4.4) = 4.4, p < 0.01] relative to vehicle-treated FSCs (Figure 3E). These findings are consistent with HMGB1-TLR4-NFκB signaling within BFCNs contributing to loss of ChAT and other cholinergic neuron phenotype-specific genes.
FIGURE 3
To further examine the role of HMGB1-TLR4 neuroimmune signaling in the loss of cholinergic neurons, we assessed the effects of the HMGB1 inhibitor glycyrrhizin (100 μM) and the TLR4 antagonist LPS-RS (100 ng/mL) on FSC ChAT + BFCN LPS responses (Figure 3F). In these experiments, LPS-TLR4 activation decreased Chat mRNA levels 54% (±10%) [t(6) = 2.9, p < 0.05], while the HMGB1 antagonist glycyrrhizin blocked the loss of Chat [t(6) = 2.6, p < 0.05; Figure 3G], consistent with LPS-released HMGB1 contributing to TLR4 activation and loss of ChAT. In the TLR4 antagonist LPS-RS study, LPS alone caused a 43% (±5%) reduction of ChAT + IR neurons (Tukey’s HSD: p < 0.01) that was blocked by LPS-RS (Tukey’s HSD; p < 0.01; Figure 3H), consistent with TLR4 signaling reducing ChAT expression. Together, these findings support that HMGB1-TLR4 neuroimmune signaling, perhaps in ChAT + IR neurons as well as glia, contribute to the loss of BFCNs.
Lipopolysaccharide-TLR4 activation in basal forebrain increases gene repression markers on key cholinergic phenotype genes
Emerging studies find that methylation of H3K9 and the RE1-silencing transcription factor (REST) suppress gene transcription, but also regulate transcription of neuronal phenotype genes during development, likely reflecting a mechanism of neuroplasticity. We investigated epigenetic gene repressive marker occupancy at cholinergic gene promoters and promoter CpG islands found near promoter transcription start sites to provide insight into LPS-TLR4-induced gene repression (Figure 4E). We report that H3K9me2 occupancy at the CpG island located within the Chat gene was increased approximately 1.7-fold in LPS-treated FSCs (t[12] = 2.2, p < 0.05; Figure 4A), but no change was observed at the Chat promoter or Lhx8 promoter. Similarly, LPS-TLR4 activation induced an approximate twofold increase of H3K9me2 occupancy at the Trka promoter (t[6.6] = 2.5, p < 0.05, Welch’s t-test; Figure 4B), but not at the Trka promoter CpG island. Thus, LPS-TLR4 activation increases H3K9me2 occupancy at the Chat promoter CpG island and the Trka promoter consistent with repression of key enzyme and NGF trophic receptor of the cholinergic neuronal phenotype.
FIGURE 4
Initially known as neuron-restrictive silencer element, REST is a key transcription gene known to suppress repressor element-1 (RE1)-containing neuronal genes in non-neuronal cells and to orchestrate development of immature circuit-integrated neurons to maturity. The Chat and Lhx8 genes contain the RE1 sequence that binds REST, and REST is known to regulated the expression of Chat and other cholinergic genes (). LPS-TLR4 activation increased REST occupancy at the Chat promoter CpG island approximately 10-fold (t[5.2] = 4.1, p < 0.01, Welch’s t-test, Figure 4C). Although Trka does not contain the REST RE1 binding site, we did observe an approximate threefold increase of REST occupancy at the cholinergic lineage gene Lhx8 promoter (t[5.6] = 2.5, p < 0.05, Welch’s t-test; Figure 4D). Thus, LPS-TLR4 activation in the basal forebrain increases REST occupancy at Chat and Lhx8 promoter regions as well as H3K9me2 occupancy at promoter regions of the Chat and Trka cholinergic phenotype genes consistent with gene repression altering neuronal phenotype.
The histone methyltransferase G9a is recruited by REST, which represses gene transcription through H3K9 dimethylation (; ). In our FSC model, LPS-TLR4 activation induced an approximate 1.7-fold increase of Rest (t[7] = 6.7, p < 0.01), a 1.4-fold increase of the REST/G9a co-repressor Cdyl (t[7] = 3.1, p < 0.05), and a 1.8-fold increase of G9a (t[7] = 2.6, p < 0.05) relative to vehicle-treated FSCs (Figure 5A). We next determined if inhibition of G9a blocks LPS-induced loss of ChAT + IR neurons in the FSC model (Figure 5B). In this experiment, LPS alone reduced ChAT + IR BFCNs by 45% (±6%; Tukey’s HSD: p < 0.01), and the loss of ChAT + IR was blocked by co-administration of the G9a methyltransferase inhibitor BIX-01294 (5.0 μM; Tukey’s HSD: p < 0.05; Figure 5C). Since these findings suggest the LPS-induced reduction of ChAT + IR involves the methyltransferase G9a, we next assessed if this loss was reversible in the FSC model (Figure 5B). FSCs were treated with LPS for 24 h as before to allow for loss of ChAT + IR; then, after LPS treatment, another G9a methyltransferase inhibitor, UNC0642 (1.0 μM), was added to cultures for 24 h following removal of LPS. We found the loss of ChAT + IR BFCNs persisted after LPS removal for 24 h, and UNC0642 restored the loss of ChAT + IR (Tukey’s HSD: p < 0.01; Figure 5D), consistent with reversible repression of ChAT expression and not neuronal loss. To assess the role of REST, FSCs were treated with a REST siRNA cocktail (Figure 5E) that was found to decrease Rest expression (Figure 5F). Rest knockdown with siRNA blocked the LPS-induced loss of ChAT + IR BFCNs (Tukey’s HSD: p < 0.05; Figure 5G). Taken together, these data support LPS-TLR4 induction of REST and the methyltransferase G9a as contributing to increases in H3K9me2 and REST occupancy at cholinergic gene promoters that repress the cholinergic phenotype.
FIGURE 5
Discussion
The current findings extend our in vivo studies reporting loss of ChAT + IR BFCNs and epigenetic repression of cholinergic genes through HMGB1-TLR4 signaling (
FIGURE 6

Schematic depicting the proposed neuroimmune-epigenetic mechanism underlying epigenetic repression of the cholinergic neuron phenotype. (Left) In naïve basal forebrain, healthy basal forebrain cholinergic neurons (BFCNs) express the ACh-synthesizing enzyme ChAT, the high-affinity NGF receptor tropomyosin receptor kinase A (TrkA), the LIM/homeobox protein 8 (Lhx8), and other cholinergic phenotype and lineage genes. (Top) Photomicrographs of naïve ChAT + IR neurons in the basal forebrain slice culture (FSC) model. (Bottom) Schematic depicting a ChAT + IR BFCN in orange. The Chat and Lhx8 gene promoters contain the consensus 21-base-pair DNA binding sequence RE1 (
The somal shrinkage and loss of ChAT phenotype in BFCNs may represent a protective mechanism or an initial phase of degeneration. REST repression of mature neuronal genes during development has been suggested to protect immature neurons, allowing for growth and development of axons and dendrites before REST is removed allowing expression of mature neuronal and synaptic genes (Zhao et al., 2017). In the adult brain, neuronal REST is low although it increases with age and stressful insults, suggesting it may be neuroprotective (
The LPS is a TLR4 agonist that through cytosolic phosphorylation cascades activates NFκB transcription, most commonly through NFκB p50/pNF-κB p65 (i.e., RelA). Although TLRs are generally associated with microglia, TLR4 is widely expressed across brain cell types. For example, microglial depletion in brain using PLX reduces Iba-1, CD11b, CSFR1, and many other microglial genes, but does not significantly reduce brain expression of TLR4 (Walter and Crews, 2017). We report here that in FSC, LPS treatment increased pNFκB p65 + IR within ChAT + IR BFCNs. This is consistent with our previous in vivo finding of ChAT + IR co-expression with TLR4+ and pNFκB p65 + IR (
Treatment of rats with LPS or AIE persistently increases forebrain expression of HMGB1, TLR4, and other proinflammatory genes while reducing expression of ChAT, TrkA, VAChT, and other cholinergic phenotype genes. Reductions of BFCNs in these models is paralleled by impaired behavioral flexibility as determined by reversal learning assessments using the Morris water maze (
In summary, LPS and disulfide HMGB1 TLR4 agonists in a FSC model reduce ChAT + IR, somal size of the remaining ChAT + BFCNs, and expression of cholinergic lineage and phenotype genes without evidence of cell death or neuron loss, similar to in vivo studies. The transcriptional repressor Rest, the methyltransferase G9a, and the REST/G9a co-repressor Cdyl are induced by TLR4 activation with LPS that is accompanied by increased occupancy of repressive gene markers H3K9me2 and REST at promoter regions of the Chat, Trka, and Lhx8. G9a inhibitors during LPS exposure prevent, and after LPS exposure reverse, the loss of ChAT + IR BFCNs. REST siRNA knockdown similarly blocks the LPS-induced loss of ChAT. Together, these data suggest the HMGB1-TLR4 neuroimmune activation in basal forebrain reduces and shrinks cholinergic neurons through a persistent repression of cholinergic genes that is reversible. These reversible mechanisms of cholinergic neuron loss and cognitive deficits may provide new targets for treatment of cognitive impairments.
Statements
Data availability statement
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation, to any qualified researcher.
Ethics statement
This animal study was reviewed and approved by Institutional Animal Care and Use Committee of the University of North Carolina at Chapel Hill.
Author contributions
RV and FC were responsible for the study concept and design and drafted the manuscript. RV was responsible for the data preparation and analysis. Both authors were involved in manuscript editing and have approved the final version for publication.
Funding
This work was financially supported by grants from the NIH/NIAAA AA025713 (RV), the NIH/NIA AG072894 (RV), the Neurobiology of Adolescent Drinking in Adulthood (NADIA) consortium (AA020024 and AA020023 to FC), and the Bowles Center for Alcohol Studies (AA011605 to FC).
Acknowledgments
We thank Jennie Vaughn for assistance with editing the manuscript.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fnmol.2022.992627/full#supplementary-material
References
1
AbrajanoJ. J.QureshiI. A.GokhanS.ZhengD.BergmanA.MehlerM. F. (2009). REST and CoREST modulate neuronal subtype specification, maturation and maintenance.PLoS One4:e7936. 10.1371/journal.pone.0007936
2
AucottH.LundbergJ.SaloH.KlevenvallL.DambergP.OttossonL.et al (2018). Neuroinflammation in response to intracerebral injections of different HMGB1 redox isoforms.J. Innate Immun.10215–227. 10.1159/000487056
3
BallasN.GrunseichC.LuD. D.SpehJ. C.MandelG. (2005). Rest and its corepressors mediate plasticity of neuronal gene chromatin throughout neurogenesis.Cell121645–657. 10.1016/j.cell.2005.03.013
4
BergerS. L.KouzaridesT.ShiekhattarR.ShilatifardA. (2009). An operational definition of epigenetics.Genes Dev.23781–783.
5
BlakeM. G.BocciaM. M. (2018). Basal forebrain cholinergic system and memory.Curr. Top. Behav. Neurosci.37253–273.
6
ChastainL. G.SarkarD. K. (2017). Alcohol effects on the epigenome in the germline: Role in the inheritance of alcohol-related pathology.Alcohol6053–66. 10.1016/j.alcohol.2016.12.007
7
ChavakisT.BierhausA.NawrothP. P. (2004). RAGE (receptor for advanced glycation end products): A central player in the inflammatory response.Microbes Infect.61219–1225.
8
ChenX.El GazzarM.YozaB. K.MccallC. E. (2009). The NF-kappaB factor RelB and histone H3 lysine methyltransferase G9a directly interact to generate epigenetic silencing in endotoxin tolerance.J. Biol. Chem.28427857–27865.
9
ChoH. H.CargninF.KimY.LeeB.KwonR. J.NamH.et al (2014). Isl1 directly controls a cholinergic neuronal identity in the developing forebrain and spinal cord by forming cell type-specific complexes.PLoS Genet.10:e1004280. 10.1371/journal.pgen.1004280
10
ChomczynskiP.SacchiN. (2006). The single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction: Twenty-something years on.Nat. Protoc.1581–585. 10.1038/nprot.2006.83
11
ColemanL. G.Jr.ZouJ.CrewsF. T. (2017). Microglial-derived miRNA let-7 and Hmgb1 contribute to ethanol-induced neurotoxicity via TLR7.J. Neuroinflammation14:22. 10.1186/s12974-017-0799-4
12
CrewsF. T.FisherR. P.ChloeD.VetrenoR. P. (2021). Loss of basal forebrain cholinergic neurons following adolescent binge ethanol exposure: Recovery with the cholinesterase inhibitor galantamine.Front. Behav. Neurosci.15:652494. 10.3389/fnbeh.2021.652494
13
CrewsF. T.NixonK.WilkieM. E. (2004). Exercise reverses ethanol inhibition of neural stem cell proliferation.Alcohol3363–71. 10.1016/j.alcohol.2004.04.005
14
CrewsF. T.QinL.SheedyD.VetrenoR. P.ZouJ. (2013). High mobility group box 1/Toll-like receptor danger signaling increases brain neuroimmune activation in alcohol dependence.Biol. Psychiatry73602–612. 10.1016/j.biopsych.2012.09.030
15
De RosaE.DesmondJ. E.AndersonA. K.PfefferbaumA.SullivanE. V. (2004). The human basal forebrain integrates the old and the new.Neuron41825–837. 10.1016/s0896-6273(04)00080-7
16
DresselhausE. C.MeffertM. K. (2019). Cellular specificity of NF-kappaB function in the nervous system.Front. Immunol.10:1043. 10.3389/fimmu.2019.01043
17
EhrlichD.PirchlM.HumpelC. (2012). Ethanol transiently suppresses choline-acetyltransferase in basal nucleus of Meynert slices.Brain Res.145935–42. 10.1016/j.brainres.2012.04.020
18
FaganA. M.GarberM.BarbacidM.Silos-SantiagoI.HoltzmanD. M. (1997). A role for TrkA during maturation of striatal and basal forebrain cholinergic neurons in vivo.J. Neurosci.177644–7654. 10.1523/JNEUROSCI.17-20-07644.1997
19
FernandesJ.AridaR. M.Gomez-PinillaF. (2017). Physical exercise as an epigenetic modulator of brain plasticity and cognition.Neurosci. Biobehav. Rev.80443–456.
20
FragkouliA.HearnC.ErringtonM.CookeS.GrigoriouM.BlissT.et al (2005). Loss of forebrain cholinergic neurons and impairment in spatial learning and memory in LHX7-deficient mice.Eur. J. Neurosci.212923–2938. 10.1111/j.1460-9568.2005.04141.x
21
FragkouliA.Van WijkN. V.LopesR.KessarisN.PachnisV. (2009). LIM homeodomain transcription factor-dependent specification of bipotential MGE progenitors into cholinergic and GABAergic striatal interneurons.Development1363841–3851. 10.1242/dev.038083
22
HaggT.Fass-HolmesB.VahlsingH. L.ManthorpeM.ConnerJ. M.VaronS. (1989). Nerve growth factor (NGF) reverses axotomy-induced decreases in choline acetyltransferase, NGF receptor and size of medial septum cholinergic neurons.Brain Res.50529–38. 10.1016/0006-8993(89)90112-1
23
HaggT.ManthorpeM.VahlsingH. L.VaronS. (1988). Delayed treatment with nerve growth factor reverses the apparent loss of cholinergic neurons after acute brain damage.Exp. Neurol.101303–312. 10.1016/0014-4886(88)90013-1
24
HeftiF. (1986). Nerve growth factor promotes survival of septal cholinergic neurons after fimbrial transections.J. Neurosci.62155–2162.
25
HershL. B.ShimojoM. (2003). Regulation of cholinergic gene expression by the neuron restrictive silencer factor/repressor element-1 silencing transcription factor.Life Sci.722021–2028.
26
HershL. B.KongC. F.SampsonC.MuesG.LiY. P.FisherA.et al (1993). Comparison of the promoter region of the human and porcine choline acetyltransferase genes: Localization of an important enhancer region.J. Neurochem.61306–314. 10.1111/j.1471-4159.1993.tb03569.x
27
HumpelC. (2015). Organotypic brain slice cultures: A review.Neuroscience30586–98.
28
KaltschmidtB.KaltschmidtC. (2009). NF-kappaB in the nervous system.Cold Spring Harb. Perspect. Biol.1:a001271.
29
KouzaridesT. (2007). Chromatin modifications and their function.Cell128693–705.
30
KyzarE. J.ZhangH.SakharkarA. J.PandeyS. C. (2017). Adolescent alcohol exposure alters lysine demethylase 1 (LSD1) expression and histone methylation in the amygdala during adulthood.Addict. Biol.221191–1204. 10.1111/adb.12404
31
LehericyS.HirschE. C.Cervera-PierotP.HershL. B.BakchineS.PietteF.et al (1993). Heterogeneity and selectivity of the degeneration of cholinergic neurons in the basal forebrain of patients with Alzheimer’s disease.J. Comp. Neurol.33015–31.
32
LiuT.ZhangL.JooD.SunS. C. (2017). NF-kappaB signaling in inflammation.Signal. Transduct. Target. Ther.2:17023.
33
LiuW.VetrenoR. P.CrewsF. T. (2020). Hippocampal TNF-death receptors, caspase cell death cascades, and IL-8 in alcohol use disorder.Mol. Psychiatry262254–2262. 10.1038/s41380-020-0698-4
34
LuT.AronL.ZulloJ.PanY.KimH.ChenY.et al (2014). Rest and stress resistance in ageing and Alzheimer’s disease.Nature507448–454.
35
Lucidi-PhillipiC. A.ClaryD. O.ReichardtL. F.GageF. H. (1996). TrkA activation is sufficient to rescue axotomized cholinergic neurons.Neuron16653–663. 10.1016/s0896-6273(00)80084-7
36
MachtV.ElchertN.CrewsF. (2020). Adolescent alcohol exposure produces protracted cognitive-behavioral impairments in adult male and female rats.Brain Sci.10:785. 10.3390/brainsci10110785
37
MayfieldJ.FergusonL.HarrisR. A. (2013). Neuroimmune signaling: A key component of alcohol abuse.Curr. Opin. Neurobiol.23513–520.
38
MesulamM. M.MufsonE. J.WainerB. H.LeveyA. I. (1983). Central cholinergic pathways in the rat: An overview based on an alternative nomenclature (Ch1-Ch6).Neuroscience101185–1201. 10.1016/0306-4522(83)90108-2
39
MollicaL.De MarchisF.SpitaleriA.DallacostaC.PennacchiniD.ZamaiM.et al (2007). Glycyrrhizin binds to high-mobility group box 1 protein and inhibits its cytokine activities.Chem. Biol.14431–441.
40
MontesinosJ.PascualM.Rodriguez-AriasM.MinarroJ.GuerriC. (2016). Involvement of TLR4 in the long-term epigenetic changes, rewarding and anxiety effects induced by intermittent ethanol treatment in adolescence.Brain Behav. Immun.53159–171. 10.1016/j.bbi.2015.12.006
41
MoriT.YuxingZ.TakakiH.TakeuchiM.IsekiK.HaginoS.et al (2004). The LIM homeobox gene, L3/Lhx8, is necessary for proper development of basal forebrain cholinergic neurons.Eur. J. Neurosci.193129–3141. 10.1111/j.0953-816X.2004.03415.x
42
MufsonE. J.CountsS. E.PerezS. E.GinsbergS. D. (2008). Cholinergic system during the progression of Alzheimer’s disease: Therapeutic implications.Expert Rev. Neurother.81703–1718.
43
MulliganP.WestbrookT. F.OttingerM.PavlovaN.ChangB.MaciaE.et al (2008). CDYL bridges REST and histone methyltransferases for gene repression and suppression of cellular transformation.Mol. Cell32718–726. 10.1016/j.molcel.2008.10.025
44
NestlerE. J.LuscherC. (2019). The molecular basis of drug addiction: Linking epigenetic to synaptic and circuit mechanisms.Neuron10248–59.
45
PaudelY. N.AngelopoulouE.PiperiC.OthmanI.AamirK.ShaikhM. F. (2020). Impact of HMGB1, RAGE, and TLR4 in Alzheimer’s Disease (AD): From risk factors to therapeutic targeting.Cells9:383. 10.3390/cells9020383
46
PaxinosG.WatsonC. (1998). The Rat Brain In Stereotaxic Coordinates.San Diego, CA: Academic Press.
47
PuH.ZhaiP.GurneyM. (1993). Enhancer, silencer, and growth factor responsive regulatory sequences in the promoter for the mouse choline acetyltransferase gene.Mol. Cell. Neurosci.4131–142. 10.1006/mcne.1993.1017
48
QinL.HeJ.HanesR. N.PluzarevO.HongJ. S.CrewsF. T. (2008). Increased systemic and brain cytokine production and neuroinflammation by endotoxin following ethanol treatment.J. Neuroinflammation5:10. 10.1186/1742-2094-5-10
49
QinL.WuX.BlockM. L.LiuY.BreeseG. R.HongJ. S.et al (2007). Systemic LPS causes chronic neuroinflammation and progressive neurodegeneration.Glia55453–462.
50
RoopraA.QaziR.SchoenikeB.DaleyT. J.MorrisonJ. F. (2004). Localized domains of G9a-mediated histone methylation are required for silencing of neuronal genes.Mol. Cell14727–738. 10.1016/j.molcel.2004.05.026
51
RudolphJ. G.LemastersJ. J.CrewsF. T. (1997). Use of a multiwell fluorescence scanner with propidium iodide to assess NMDA mediated excitotoxicity in rat cortical neuronal cultures.Neurosci. Lett.221149–152. 10.1016/s0304-3940(96)13313-9
52
ShimojoM.HershL. B. (2004). Regulation of the cholinergic gene locus by the repressor element-1 silencing transcription factor/neuron restrictive silencer factor (REST/NRSF).Life Sci.742213–2225.
53
ThielG.EkiciM.RosslerO. G. (2015). RE-1 silencing transcription factor (REST): A regulator of neuronal development and neuronal/endocrine function.Cell Tissue Res.35999–109. 10.1007/s00441-014-1963-0
54
Tobon-VelascoJ. C.CuevasE.Torres-RamosM. A. (2014). Receptor for AGEs (Rage) as mediator of NF-kB pathway activation in neuroinflammation and oxidative stress.CNS Neurol. Disord. Drug Targets131615–1626. 10.2174/1871527313666140806144831
55
TomiokaT.ShimazakiT.YamauchiT.OkiT.OhgohM.OkanoH. (2014). LIM homeobox 8 (Lhx8) is a key regulator of the cholinergic neuronal function via a tropomyosin receptor kinase A (TrkA)-mediated positive feedback loop.J. Biol. Chem.2891000–1010. 10.1074/jbc.M113.494385
56
VenereauE.CasalgrandiM.SchiraldiM.AntoineD. J.CattaneoA.De MarchisF.et al (2012). Mutually exclusive redox forms of HMGB1 promote cell recruitment or proinflammatory cytokine release.J. Exp. Med.2091519–1528.
57
VetrenoR. P.CrewsF. T. (2012). Adolescent binge drinking increases expression of the danger signal receptor agonist HMGB1 and Toll-like receptors in the adult prefrontal cortex.Neuroscience226475–488. 10.1016/j.neuroscience.2012.08.046
58
VetrenoR. P.CrewsF. T. (2015). Binge ethanol exposure during adolescence leads to a persistent loss of neurogenesis in the dorsal and ventral hippocampus that is associated with impaired adult cognitive functioning.Front. Neurosci.9:35. 10.3389/fnins.2015.00035
59
VetrenoR. P.CrewsF. T. (2018). Adolescent binge ethanol-induced loss of basal forebrain cholinergic neurons and neuroimmune activation are prevented by exercise and indomethacin.PLoS One13:e0204500. 10.1371/journal.pone.0204500
60
VetrenoR. P.BohnsackJ. P.KusumoH.LiuW.PandeyS. C.CrewsF. T. (2019). Neuroimmune and epigenetic involvement in adolescent binge ethanol-induced loss of basal forebrain cholinergic neurons: Restoration with voluntary exercise.Addict. Biol.25:e12731. 10.1111/adb.12731
61
VetrenoR. P.BroadwaterM.LiuW.SpearL. P.CrewsF. T. (2014). Adolescent, but not adult, binge ethanol exposure leads to persistent global reductions of choline acetyltransferase expressing neurons in brain.PLoS One9:e113421. 10.1371/journal.pone.0113421
62
VetrenoR. P.LawrimoreC. J.RowseyP. J.CrewsF. T. (2018). Persistent adult neuroimmune activation and loss of hippocampal neurogenesis following adolescent ethanol exposure: Blockade by exercise and the anti-inflammatory drug indomethacin.Front. Neurosci.12:200. 10.3389/fnins.2018.00200
63
VetrenoR. P.QinL.CrewsF. T. (2013). Increased receptor for advanced glycation end product expression in the human alcoholic prefrontal cortex is linked to adolescent drinking.Neurobiol. Dis.5952–62. 10.1016/j.nbd.2013.07.002
64
VogelsO. J.BroereC. A.Ter LaakH. J.Ten DonkelaarH. J.NieuwenhuysR.SchulteB. P. (1990). Cell loss and shrinkage in the nucleus basalis Meynert complex in Alzheimer’s disease.Neurobiol. Aging113–13. 10.1016/0197-4580(90)90056-6
65
WalkerL. E.FrigerioF.RavizzaT.RicciE.TseK.JenkinsR. E.et al (2017). Molecular isoforms of high-mobility group box 1 are mechanistic biomarkers for epilepsy.J. Clin. Invest.1272118–2132.
66
WalterT. J.CrewsF. T. (2017). Microglial depletion alters the brain neuroimmune response to acute binge ethanol withdrawal.J. Neuroinflammation14:86. 10.1186/s12974-017-0856-z
67
WangZ.ZangC.RosenfeldJ. A.SchonesD. E.BarskiA.CuddapahS.et al (2008). Combinatorial patterns of histone acetylations and methylations in the human genome.Nat. Genet.40897–903.
68
WeisC.MarksteinerJ.HumpelC. (2001). Nerve growth factor and glial cell line-derived neurotrophic factor restore the cholinergic neuronal phenotype in organotypic brain slices of the basal nucleus of Meynert.Neuroscience102129–138. 10.1016/s0306-4522(00)00452-8
69
WolstenholmeJ. T.MahmoodT.HarrisG. M.AbbasS.MilesM. F. (2017). Intermittent ethanol during adolescence leads to lasting behavioral changes in adulthood and alters gene expression and histone methylation in the PFC.Front. Mol. Neurosci.10:307. 10.3389/fnmol.2017.00307
70
YangH.WangH.JuZ.RagabA. A.LundbackP.LongW.et al (2015). MD-2 is required for disulfide Hmgb1-dependent Tlr4 signaling.J. Exp. Med.2125–14. 10.1084/jem.20141318
71
ZhaoY.FlandinP.VogtD.BloodA.HermeszE.WestphalH.et al (2014). Ldb1 is essential for development of Nkx2.1 lineage derived Gabaergic and cholinergic neurons in the telencephalon.Dev. Biol.38594–106. 10.1016/j.ydbio.2013.10.010
72
ZhaoY.MarinO.HermeszE.PowellA.FlamesN.PalkovitsM.et al (2003). The LIM-homeobox gene Lhx8 is required for the development of many cholinergic neurons in the mouse forebrain.Proc. Natl. Acad. Sci. U.S.A.1009005–9010. 10.1073/pnas.1537759100
73
ZhaoY.ZhuM.YuY.QiuL.ZhangY.HeL.et al (2017). Brain rest/Nrsf is not only a silent repressor but also an active protector.Mol. Neurobiol.54541–550.
74
ZouJ. Y.CrewsF. T. (2005). TNF alpha potentiates glutamate neurotoxicity by inhibiting glutamate uptake in organotypic brain slice cultures: Neuroprotection by NF kappa B inhibition.Brain Res.103411–24. 10.1016/j.brainres.2004.11.014
75
ZouJ. Y.CrewsF. T. (2014). Release of neuronal HMGB1 by ethanol through decreased HDAC activity activates brain neuroimmune signaling.PLoS One9:e87915. 10.1371/journal.pone.0087915
76
ZouJ.CrewsF. T. (2012). Inflammasome-Il-1beta signaling mediates ethanol inhibition of hippocampal neurogenesis.Front. Neurosci.6:77. 10.3389/fnins.2012.00077
77
ZouJ.CrewsF. T. (2015). Glutamate/NMDA excitotoxicity and HMGB1-TLR4 neuroimmune toxicity converge as components of neurodegeneration.AIMS Nol. Sci.277–100.
78
ZouJ.VetrenoR. P.CrewsF. T. (2012). ATP-P2X7 receptor signaling controls basal and Tnfalpha-stimulated glial cell proliferation.Glia60661–673. 10.1002/glia.22302
Summary
Keywords
epigenetic, basal forebrain cholinergic neuron, choline acetyltransferase, neuroimmune, acetylcholine, methyltransferase, neuronal plasticity
Citation
Crews FT and Vetreno RP (2022) Cholinergic REST-G9a gene repression through HMGB1-TLR4 neuroimmune signaling regulates basal forebrain cholinergic neuron phenotype. Front. Mol. Neurosci. 15:992627. doi: 10.3389/fnmol.2022.992627
Received
12 July 2022
Accepted
04 August 2022
Published
22 August 2022
Volume
15 - 2022
Edited by
Björn Spittau, Bielefeld University, Germany
Reviewed by
Qiumin Le, Fudan University, China; Vidhya Kumaresan, Boston University, United States
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*Correspondence: Ryan P. Vetreno, rvetreno@email.unc.edu
This article was submitted to Neuroplasticity and Development, a section of the journal Frontiers in Molecular Neuroscience
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