Clozapine Suppresses the Gene Expression and the Production of Cytokines and Up-Regulates Cyclooxygenase 2 mRNA in Human Astroglial Cells

Bibliographic Details
Title: Clozapine Suppresses the Gene Expression and the Production of Cytokines and Up-Regulates Cyclooxygenase 2 mRNA in Human Astroglial Cells
Authors: Yael Yuhas, Shai Ashkenazi, Eva Berent, Abraham Weizman
Source: Brain Sciences, Vol 12, Iss 12, p 1703 (2022)
Publisher Information: MDPI AG, 2022.
Publication Year: 2022
Collection: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
Subject Terms: schizophrenia, neuroinflammation, clozapine, immune system, proinflammatory cytokines, TNFα, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
More Details: Schizophrenia (SCZ) is a chronic neurodevelopmental psychotic disorder. The immune system and neuroinflammation seem to play a central role in the pathophysiology of SCZ. Clozapine is an effective atypical antipsychotic used for treatment-resistant SCZ. Life-threatening side effects, such as myocarditis, limit its use. We investigated the immunomodulatory effects of clozapine in an astroglial model of neuroinflammation. We thus assessed the effect of clozapine on the production of inflammatory mediators in human-derived astroglial (A172) cells, stimulated with a cytokine mix (TNFα, IL-1β, IFNγ). RT-PCR and ELISA analyses demonstrated that clozapine suppressed gene expression and production of TNFα, IL-1β and IL-8 and increased COX2 mRNA 24 h after stimulation. Clozapine inhibited Akt phosphorylation induced by the cytokine mix at 10 min and 40 min, as assessed by Western blot analysis with anti-pT308Akt antibody. Pretreatment with the Akt inhibitor MK-2206 increased COX2 gene expression in cytokine-stimulated cells, suggesting that Akt inhibition may be involved in COX2 gene expression upregulation. Clozapine may possess dual beneficial effects: inhibiting astroglial production of proinflammatory cytokines, thus attenuating neuroinflammation, and upregulating COX2 expression that may be relevant to improvement of neural functioning while accounting for some of its detrimental effects. Patients with TRS and neuroinflammatory markers may benefit particularly from clozapine treatment.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 12121703
2076-3425
Relation: https://www.mdpi.com/2076-3425/12/12/1703; https://doaj.org/toc/2076-3425
DOI: 10.3390/brainsci12121703
Access URL: https://doaj.org/article/7746039abcda48a9bfceeadc7df44901
Accession Number: edsdoj.7746039abcda48a9bfceeadc7df44901
Database: Directory of Open Access Journals
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More Details
ISSN:12121703
20763425
DOI:10.3390/brainsci12121703
Published in:Brain Sciences
Language:English