Abstract:
There is growing evidence showing that chronic liver diseases, often accompanied
by liver inflammation and fibrosis, are not limited to the liver, but comprise several
organs, especially the brain. Moreover, recent epidemiological studies revealed a strong
relationship between Parkinsonism and several liver diseases. In the present work, we
used a liver inflammation model, induced by carbon tetrachloride (CCl4). CCl4 is
metabolized by the hepatocytes to form the toxic trichloromethyl radical (CCl•3), which
disrupts the lipid metabolism in the liver. In this hepatic inflammation model, we
analyzed the pathological changes in midbrain neurons and microglia using
immunohistochemistry and 2-photon microscopy. CCl4 was given over three different
periods (36 hours, 4, and 9 weeks) to mimic both the acute and the chronic phases of
inflammation. The data revealed surprisingly early (36 hours after the first CCl4
injection) signs of microglial activation in both SNr and SNc but not in the VTA and
moderate but significant and selective loss of dopaminergic neurons in the SNc after
both 4- and 9-week-long CCl4 treatments. The latter, however, was not accompanied by
abnormalities in motor behaviour.
Together, these findings suggest that microglia, activated right at the beginning of
liver-mediated inflammation, might trigger/cause the loss of dopaminergic neurons in
SNc. The parkinsonian symptoms might be the consequence.