Indoleamine-2,3-Dioxygenase 1 Deficiency Suppresses Seizures in Epilepsy

Background: Indoleamine-2,3-dioxygenase 1 (IDO1) is the initial and rate-limiting enzyme in the metabolism of tryptophan (TRP) to kynurenine (KYN). IDO1-dependent neurotoxic KYN metabolism plays a crucial role in the pathogenesis of many neurodegenerative disorders. However, the function of IDO1 in...

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Main Authors: Ning Deng, Jiao Hu, Yu Hong, Yuewen Ding, Yifan Xiong, Zhiyong Wu, Wei Xie
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-02-01
Series:Frontiers in Cellular Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fncel.2021.638854/full
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author Ning Deng
Jiao Hu
Yu Hong
Yu Hong
Yuewen Ding
Yuewen Ding
Yifan Xiong
Zhiyong Wu
Zhiyong Wu
Wei Xie
Wei Xie
author_facet Ning Deng
Jiao Hu
Yu Hong
Yu Hong
Yuewen Ding
Yuewen Ding
Yifan Xiong
Zhiyong Wu
Zhiyong Wu
Wei Xie
Wei Xie
author_sort Ning Deng
collection DOAJ
description Background: Indoleamine-2,3-dioxygenase 1 (IDO1) is the initial and rate-limiting enzyme in the metabolism of tryptophan (TRP) to kynurenine (KYN). IDO1-dependent neurotoxic KYN metabolism plays a crucial role in the pathogenesis of many neurodegenerative disorders. However, the function of IDO1 in epilepsy is still unclear.Objective: In this study, we investigated whether IDO1 deficiency could affect epilepsy in a lithium-pilocarpine-induced model.Methods: Patients with epilepsy and controls were enrolled. Male C57BL/6 mice and IDO1 knockout (KO, IDO1−/−) mice were subjected to intraperitoneal injection of lithium and pilocarpine to induce epilepsy. The levels of IDO1 and concentrations of TRP and KYN in patients with epilepsy and epileptic mice were evaluated by enzyme-linked immunosorbent assay (ELISA) and liquid chromatography-mass spectrometry (LC-MS), respectively. Then, behavioral phenotypes related to epileptic seizures and neuronal damage were compared between KO and wild-type (WT) mice with lithium-pilocarpine-induced epilepsy. To explore the underlying pathways involved in the effects of IDO1 deficiency, the concentrations of kynurenic acid (KYNA) and quinolinic acid (QUIN), glial cell activation, the levels of major pro-inflammatory cytokines, and antioxidant enzyme activity were measured by LC-MS, immunohistochemistry, and ELISA.Results: In this study, IDO1 levels and the KYN/TRP ratio in the sera and cerebrospinal fluid (CSF) were increased in patients with epilepsy. Also, IDO1 levels, the KYN/TRP ratio, and the levels of pro-inflammatory cytokines in the sera and hippocampi were increased in mice during the acute phase and chronic phase after status epilepticus (SE). Furthermore, IDO1 was localized in microglial cells in epileptic mice. IDO1 deficiency delayed SE onset and attenuated the frequency, duration, and severity of spontaneous recurrent seizures (SRSs). Moreover, IDO1 deficiency improved neuronal survival. Additionally, IDO1−/− epileptic mice showed progressive declines in QUIN production, glial cell activation and pro-inflammatory cytokines levels, and enhanced antioxidant enzyme activity.Conclusions: IDO1 deletion suppressed seizures and alleviated neuronal damage by reducing the IDO1-dependent production of neurotoxic metabolites, which finally inhibited glial cell activation and pro-inflammatory cytokine production and improved antioxidant enzyme activity. Our study demonstrates that IDO1 may be involved in the pathogenesis of epilepsy and has the potential to be a therapeutic target for epilepsy treatment.
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spelling doaj.art-c5cd29209ef1441d9049cea84eade5132022-12-21T19:39:26ZengFrontiers Media S.A.Frontiers in Cellular Neuroscience1662-51022021-02-011510.3389/fncel.2021.638854638854Indoleamine-2,3-Dioxygenase 1 Deficiency Suppresses Seizures in EpilepsyNing Deng0Jiao Hu1Yu Hong2Yu Hong3Yuewen Ding4Yuewen Ding5Yifan Xiong6Zhiyong Wu7Zhiyong Wu8Wei Xie9Wei Xie10School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, ChinaSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, ChinaSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, ChinaSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaBackground: Indoleamine-2,3-dioxygenase 1 (IDO1) is the initial and rate-limiting enzyme in the metabolism of tryptophan (TRP) to kynurenine (KYN). IDO1-dependent neurotoxic KYN metabolism plays a crucial role in the pathogenesis of many neurodegenerative disorders. However, the function of IDO1 in epilepsy is still unclear.Objective: In this study, we investigated whether IDO1 deficiency could affect epilepsy in a lithium-pilocarpine-induced model.Methods: Patients with epilepsy and controls were enrolled. Male C57BL/6 mice and IDO1 knockout (KO, IDO1−/−) mice were subjected to intraperitoneal injection of lithium and pilocarpine to induce epilepsy. The levels of IDO1 and concentrations of TRP and KYN in patients with epilepsy and epileptic mice were evaluated by enzyme-linked immunosorbent assay (ELISA) and liquid chromatography-mass spectrometry (LC-MS), respectively. Then, behavioral phenotypes related to epileptic seizures and neuronal damage were compared between KO and wild-type (WT) mice with lithium-pilocarpine-induced epilepsy. To explore the underlying pathways involved in the effects of IDO1 deficiency, the concentrations of kynurenic acid (KYNA) and quinolinic acid (QUIN), glial cell activation, the levels of major pro-inflammatory cytokines, and antioxidant enzyme activity were measured by LC-MS, immunohistochemistry, and ELISA.Results: In this study, IDO1 levels and the KYN/TRP ratio in the sera and cerebrospinal fluid (CSF) were increased in patients with epilepsy. Also, IDO1 levels, the KYN/TRP ratio, and the levels of pro-inflammatory cytokines in the sera and hippocampi were increased in mice during the acute phase and chronic phase after status epilepticus (SE). Furthermore, IDO1 was localized in microglial cells in epileptic mice. IDO1 deficiency delayed SE onset and attenuated the frequency, duration, and severity of spontaneous recurrent seizures (SRSs). Moreover, IDO1 deficiency improved neuronal survival. Additionally, IDO1−/− epileptic mice showed progressive declines in QUIN production, glial cell activation and pro-inflammatory cytokines levels, and enhanced antioxidant enzyme activity.Conclusions: IDO1 deletion suppressed seizures and alleviated neuronal damage by reducing the IDO1-dependent production of neurotoxic metabolites, which finally inhibited glial cell activation and pro-inflammatory cytokine production and improved antioxidant enzyme activity. Our study demonstrates that IDO1 may be involved in the pathogenesis of epilepsy and has the potential to be a therapeutic target for epilepsy treatment.https://www.frontiersin.org/articles/10.3389/fncel.2021.638854/fullIDO1epilepsykynureninetryptophaninflammationoxidative stress
spellingShingle Ning Deng
Jiao Hu
Yu Hong
Yu Hong
Yuewen Ding
Yuewen Ding
Yifan Xiong
Zhiyong Wu
Zhiyong Wu
Wei Xie
Wei Xie
Indoleamine-2,3-Dioxygenase 1 Deficiency Suppresses Seizures in Epilepsy
Frontiers in Cellular Neuroscience
IDO1
epilepsy
kynurenine
tryptophan
inflammation
oxidative stress
title Indoleamine-2,3-Dioxygenase 1 Deficiency Suppresses Seizures in Epilepsy
title_full Indoleamine-2,3-Dioxygenase 1 Deficiency Suppresses Seizures in Epilepsy
title_fullStr Indoleamine-2,3-Dioxygenase 1 Deficiency Suppresses Seizures in Epilepsy
title_full_unstemmed Indoleamine-2,3-Dioxygenase 1 Deficiency Suppresses Seizures in Epilepsy
title_short Indoleamine-2,3-Dioxygenase 1 Deficiency Suppresses Seizures in Epilepsy
title_sort indoleamine 2 3 dioxygenase 1 deficiency suppresses seizures in epilepsy
topic IDO1
epilepsy
kynurenine
tryptophan
inflammation
oxidative stress
url https://www.frontiersin.org/articles/10.3389/fncel.2021.638854/full
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