Background
The role of peripheral tumor necrosis factor-α (TNFα) in inflammatory bowel disease (IBD) is well-established, but its central nervous system (CNS) effects are not understood. Thrombin, another mediator of inflammation in IBD, has been implicated in CNS vagal neuron apoptosis in the Dorsal Motor Nucleus of the Vagus (DMV). This study evaluates DMV TNFα exposure, characterizes effects of TNFα on DMV neurons, and identifies a relationship between DMV TNFα and thrombin in IBD.
Methods
2,4,6-trinitrobenzene sulfonic acid was administered via enema to induce colonic inflammation in rats. [TNFα] in serum, cerebrospinal fluid (CSF), and DMV tissues were determined by ELISA, and DMV TNFα expression by quantitative RT-PCR. TNFα was administered into the 4th intracerebral ventricle (4V) adjacent to the DMV, with and without blockade of TNF receptor I (TNFR1) and the thrombin receptor PAR1. Immunofluorescence was used to evaluate microglial activation (Cd11b) and prothrombin presence in DMV sections. Apoptosis was examined using TUNEL and activated caspase-3 immunofluorescence.
Results
IBD is associated with increased TNFα protein in serum, CSF, and DMV tissue; DMV TNFα transcription is also increased. TNFα (4V) caused a 54% increase in microglial activation, a 27% increase in DMV prothrombin protein, and a 31% increase in vagal neuron apoptosis by TUNEL. There was a 52% increase in activated caspase-3 immunofluorescence in TNFα-treated animals (p<0.05). All effects of 4V TNFα were prevented by TNFR1 blockade. TNFα-induced apoptosis was prevented by PAR1 blockade.
Conclusions
IBD is associated with DMV exposure to TNFα, causing excess DMV prothrombin and vagal apoptosis.