- Open Access
Forced turnover of aged microglia induces an intermediate phenotype but does not rebalance CNS environmental cues driving priming to immune challenge
- Shane M. O’Neil†1,
- Kristina G. Witcher†1,
- Daniel B. McKim1 and
- Jonathan P. Godbout1, 2, 3Email authorView ORCID ID profile
© The Author(s). 2018
- Received: 16 November 2018
- Accepted: 17 November 2018
- Published: 26 November 2018
Microglia are the resident innate immune cells of the central nervous system. Limited turnover throughout the lifespan leaves microglia susceptible to age-associated dysfunction. Indeed, we and others have reported microglia develop a pro-inflammatory or “primed” profile with age, characterized by increased expression of inflammatory mediators (e.g., MHC-II, CD68, IL-1β). Moreover, immune challenge with lipopolysaccharide (LPS) causes an exaggerated and prolonged neuroinflammatory response mediated by primed microglia in the aged brain. Recent studies show colony-stimulating factor 1 receptor (CSF1R) antagonism results in rapid depletion of microglia without significant complications. Therefore, we hypothesized that CSF1R antagonist-mediated depletion of microglia in the aged brain would result in repopulation with new and unprimed microglia. Here we provide novel evidence that microglia in the brain of adult (6–8 weeks old) and aged (16–18 months old) BALB/c mice were depleted following 3-week oral PLX5622 administration. When CSF1R antagonism was stopped, microglia repopulated equally in the adult and aged brain. Microglial depletion and repopulation reversed age-associated increases in microglial CD68+ lysosome enlargement and lipofuscin accumulation. Microglia-specific RNA sequencing revealed 511 differentially expressed genes with age. Of these, 117 genes were reversed by microglial repopulation (e.g., Apoe, Tgfb2, Socs3). Nevertheless, LPS challenge still induced an exaggerated microglial inflammatory response in the aged brain compared to adults. RNA sequencing of whole-brain tissue revealed an age-induced inflammatory signature, including reactive astrocytes, that was not restored by microglial depletion and repopulation. Furthermore, the microenvironment of the aged brain produced soluble factors that influenced developing microglia ex vivo and induced a profile primed to LPS challenge. Thus, the aged brain microenvironment promotes microglial priming despite repopulation of new microglia. Collectively, aged microglia proliferate and repopulate the brain, but these new cells still adopt a pro-inflammatory profile in the aged brain.
- CSF1R antagonist
Aging robustly affects the bidirectional communication between the brain and immune system [14, 35]. This essential communication involves microglia and astrocytes, which interpret inflammatory signals from the periphery and propagate them within the central nervous system (CNS) [17, 29, 44, 46]. Moreover, central inflammatory signaling is critical for normal physiological and behavioral responses to infection . With aging, this altered neuro-immune communication results in heightened risk of mortality and co-morbidity of depression or dementia [34, 36, 51, 53, 58]. For instance, acute bacterial infection in elderly patients often presents as acute cognitive impairment and altered mood [2, 19]. Moreover, these individuals are at an increased risk for progressive dementia and cognitive impairment even after the infection resolves . These data are consistent with rodent studies showing acute immune challenge triggers prolonged neuroinflammatory responses, altering affective behavior and cognition [17, 28]. For instance, immune challenge by lipopolysaccharide (LPS) or Escherichia coli in aged rodents induces elevated neuroinflammation, prolonged sickness behavior, and acute cognitive impairment, which are attributed to activation of microglia and astrocytes [5, 6, 26, 27, 73]. In humans, these infection-related neurological and psychiatric complications reduce both quality of life and life expectancy [51, 52, 62, 67, 69]. Therefore, understanding how aging impacts glial interactions in the brain and thereby leads to cognitive impairment is of paramount importance.
There is evidence that microglia and astrocytes develop a more pro-inflammatory or “primed” profile as a result of normal aging . For instance, microglia in the aged brain have increased expression of several inflammatory markers, including major histocompatibility complex (MHC) class II proteins, and adopt a de-ramified morphology with thicker processes [13, 24, 29, 32, 56, 61, 63, 64, 68]. Additionally, astrocytes in the aged brain have increased baseline levels of glial fibrillary acidic protein (GFAP) and vimentin, both of which indicate increased reactivity [15, 26, 42]. While the presence of these primed glia is insufficient to induce cognitive dysfunction, primed glia mediate exaggerated and prolonged neuroinflammatory responses to peripheral immune challenge. This hyper-inflammatory response in the CNS is not mirrored by the peripheral innate immune response, which is intact in aged animals [4, 12, 14, 26, 29, 73]. Indeed, when the CNS is stimulated directly with intracerebroventricular (i.c.v.) LPS or gp120, aged mice still exhibit an exaggerated and prolonged sickness responses [1, 31]. Thus, aged glia adopt a primed profile with age, leaving the elderly susceptible to hyper-inflammatory CNS reactions to acute peripheral stimuli.
Recent studies show that microglia can be depleted from the rodent CNS through colony-stimulating factor 1 receptor (CSF1R) antagonism without significant complications [20, 55]. Moreover, cessation of this antagonism results in rapid microglial repopulation. Rice et al. (2017) used this approach to promote microglial turnover following inducible hippocampal neuron death and found microglial depletion and repopulation following hippocampal lesion ameliorated chronic microgliosis, leukocyte infiltration, and inflammatory gene expression . Furthermore, this was associated with improved cognitive and behavioral recovery. Recently, Elmore et al. (2018) found that depletion and repopulation of microglia in aged mice restored age-associated changes in microglial morphology . This was associated with a reversal of age-associated hippocampal dendritic spine loss and cognitive decline. Thus, depletion and repopulation of microglia may present a therapeutic strategy for redirecting chronic microglia-mediated inflammation.
The purpose of this study was to determine the degree to which CSF1R antagonist-mediated depletion of microglia in the aged brain would result in repopulation with new and unprimed microglia. Here, we provide novel evidence that promoting forced turnover of aged microglia reduced intracellular accumulation of lipofuscin and restored lysosome size to adult levels. While repopulated microglia in the aged brain had an intermediate RNA signature compared to aged controls, they remained primed to peripheral immune challenge and were hyper-inflammatory when activated. Moreover, age-associated reactive astrogliosis persisted independent of microglial turnover and ex vivo data shows the aged CNS microenvironment promotes microglial priming in neonatal microglia.
Mice and PLX5622 administration
All procedures were performed in accordance with the National Institute of Health Guide for the Care and Use of Laboratory Animals and were approved by The Ohio State University Institutional Animal Care and Use Committee. PLX5622 was provided by Plexxikon (Berkeley, CA) and formulated in standard rodent chow by Research Diets (New Brunswick, NJ) at 1200 mg PLX5622/kg chow. Adult (6–8 weeks old) and aged (16–18 months old) male BALB/c mice from Charles River (Wilmington, MA) were provided vehicle or PLX5622 chow ad libitum for 21 d, after which PLX5622 treatment was withdrawn for 21 d to allow microglia to fully repopulate the CNS. Behavioral testing was performed immediately following this repopulation period.
Percoll-enrichment of microglia
Microglia were isolated from brain homogenates using a Percoll density gradient as previously described . In brief, mice were sacrificed by CO2 asphyxiation. Brains were collected after decapitation and homogenized in ice-cold phosphate-buffered saline (PBS) using a 10 mL Potter-Elvehjem tissue grinder (Wheaton) and the cell pellet resuspended in 70% isotonic Percoll (GE Healthcare). A discontinuous Percoll density gradient was layered and centrifuged at 2000×g for 20 min. Enriched microglia were collected from the interface between the 70 and 50% Percoll layers. Of the cells collected from this interface, > 80% of the cells were CD11b+/CD45low microglia.
Microglial lipofuscin detection by flow cytometry
Percoll-enriched microglia were incubated with anti-mouse CD11b-PE-Cyanine7 and CD45-PerCP-Cyanine5.5 antibodies (1:50; eBioscience). Expression was determined using a BD FACSCalibur cytometer. Microglia were identified by CD11b+/CD45low expression. Lipofuscin was detected at 488 nm excitation and 515–545 nm emission. Flow data were analyzed using FlowJo software (Tree Star).
NanoString nCounter analysis of mRNA copy number
Mice were sacrificed by CO2 asphyxiation and the hippocampus was dissected and snap frozen in liquid nitrogen (− 196 °C). Hippocampal RNA was isolated using the Tri-Reagent protocol (Sigma-Aldrich). RNA quality and integrity was determined using the Agilent 2200 TapeStation assay (Agilent Technologies). nCounter analysis (NanoString Technologies) was performed by the OSU Comprehensive Cancer Center (OSUCCC) Genomics Shared Resource facility (The Ohio State University, Columbus, OH) using the Mouse Inflammation v2 Panel for 248 inflammation-related mouse genes, 20 custom genes, and 6 internal reference controls. Copy numbers were normalized using DESeq2 Bioconductor package in R .
Immunohistochemistry for Iba1 and GFAP
Mice were sacrificed by CO2 asphyxiation and transcardially perfused with ice-cold PBS (pH 7.4) and 4% paraformaldehyde (PFA). Brains were collected and post-fixed in 4% PFA for 24 h, cryoprotected in 30% sucrose for 24 h, frozen using dry ice-cooled isopentane (− 78 °C), sectioned coronally at 30 μm on a Leica CM1800 cryostat, and stored in cryoprotectant (30% ethylene glycol, 30% polyethylene glycol, 40% 0.2 M phosphate buffer) for immunolabeling. Next, sections (Bregma - 1.5 mm) were washed in PBS, blocked (5% normal donkey serum, 0.1% Triton X-100, 1% bovine serum albumin in PBS) for 1 h, and incubated with rabbit anti-mouse Iba1 (1:1000; Wako Chemicals) or rabbit anti-mouse GFAP antibody (1:500; Abcam) overnight at 4 °C. Next, sections were washed in PBS and incubated with a fluorochrome-conjugated secondary antibody (Alexa Fluor 594 or Alexa Fluor 488). Sections were mounted on slides and cover-slipped with Fluoromount-G (Invitrogen). Slides were then imaged using a Leica DM5000 B epifluorescent microscope at 20X magnification and captured using a Leica DFC300 FX camera and imaging software. For each animal, 2–4 images were quantified and averaged, and these values were used to calculate the mean and standard error for each experimental group.
Immunohistochemistry for lipofuscin and CD68
To visualize microglia and neurons, sections (Bregma - 1.5 mm) were incubated with rabbit anti-Iba1 (1:1000; Wako) or rabbit anti-NeuN (1:1000; Millipore) primary antibody, respectively, followed by Alexa Fluor 647 donkey anti-rabbit IgG secondary antibody (1:500, Invitrogen). In order to visualize microglial lysosomes, sections were incubated with rabbit anti-Iba1 (1:1000; Wako) and rat anti-CD68 (1:500; Abcam) primary antibodies, Alexa Fluor 594 donkey anti-rabbit IgG and Alexa Fluor 647 donkey anti-rat IgG secondary antibodies (1:500, Invitrogen), and 0.1% Sudan Black B (Sigma-Aldrich) solution in 70% ethanol for 2 min prior to cover-slipping. Slides were then imaged using a Leica SP8 upright confocal microscope at 63X magnification and sequential optical sections captured using the Leica Application Suite X imaging software. Lipofuscin was imaged at 488 nm excitation and 495–545 nm emission. Sequential optical sections were analyzed using ImageJ software (NIH). For each animal, 2–4 images were quantified and averaged, and these values were used to calculate the mean and standard error for each experimental group.
RNA sequencing of sorted microglia and coronal brain section
Percoll-enriched microglia were sorted using a Becton-Dickinson FACSAria III cell sorter at the OSUCCC Analytical Cytometry facility. Microglia were identified by CD11b+/CD45low expression. Cells were pelleted and lysed in Arcturus PicoPure Extraction Buffer immediately after sorting. The Arcturus PicoPure RNA Isolation Kit (Applied Biosystems) was used to purify and concentrate total RNA from sorted microglia. During RNA isolation, samples were treated with on-column DNase digestion for 15 min at 23 °C to eliminate contaminating genomic DNA. A 1-mm coronal brain section was also collected from each brain and snap frozen in liquid nitrogen. RNA was isolated using the Tri-Reagent protocol (Sigma-Aldrich). RNA quality and integrity was determined using the Agilent 2200 TapeStation assay (Agilent Technologies). RNA-Seq was performed on sorted microglia and brain section (Bregma - 1.5 mm) RNA at the Hussman Institute for Human Genomics Sequencing Core Facility (University of Miami, Miami, FL). Briefly, RNA-Seq libraries were prepared using the Ovation SoLo RNA-Seq System with AnyDeplete rRNA to remove rRNA and other abundant transcripts according to the manufacturer’s recommendation (Nugen). RNA-Seq libraries were run on an Illumina NextSeq 500 sequencing instrument according to the protocols described by the manufacturer.
Differential gene expression and pathway analysis of microglial and whole-brain RNA sequencing
FASTQ files were aligned to the mouse mm10 genome using STAR Aligner . Raw counts were normalized and differentially expressed genes were determined using the DESeq2 Bioconductor package in R . Factors of unwanted variation were determined with RUVseq and included in the model for differential expression . P-values were adjusted for false discovery rate using the Benjamini-Hochberg procedure . To determine reversal of age effects by microglial repopulation, differentially expressed genes between Aged Control and Adult Control microglia (Padj < 0.05; absolute fold change > 1.5) and brain section (Padj < 0.05) samples were determined. Next, these genes were determined to be exacerbated (Aged Repopulation vs. Aged Control: P < 0.05; conserved directionality), partially reversed (Aged Repopulation vs. Aged Control: P < 0.05; Aged Repopulation vs. Adult Control: P < 0.05), or reversed (Aged Repopulation vs. Aged Control: P < 0.05; Aged Repopulation vs. Adult Control: P ≥ 0.05) by microglial repopulation. Pathway analysis was performed using Ingenuity Pathway Analysis (IPA; QIAGEN)  and Protein Analysis through Evolutionary Relationships (PANTHER) gene list analysis  on genes with baseMean > 10, Padj < 0.05, and absolute fold change > 1.5. Heat maps were generated and normalized by gene using ‘pheatmap’ in R. The normalized RNA sequencing data is supplied (Additional file 1).
Immune challenge with lipopolysaccharide
Adult and aged BALB/c mice received a single intraperitoneal (i.p.) injection of saline or Escherichia coli LPS (0.33 mg/kg; serotype 0127:B8; Sigma-Aldrich). This LPS dosage was selected because it elicits a pro-inflammatory cytokine response in the brain resulting in a transient sickness response in adult BALB/c mice without mortality in aged mice [8, 26, 72].
Social exploratory behavior
Social exploration was determined as a measure of sickness behavior as previously described . In brief, mice were injected (t = 0) intraperitoneally with saline or 0.33 mg/kg LPS. At t = 4 and 24 h, a novel male juvenile C57BL/6 mouse was introduced into the test subject’s home cage for 5 min. Behavior was recorded and the total duration of time the experimental subject engaged in social investigation of the juvenile (e.g. anogenital sniffing, trailing) was determined.
Gene expression by qPCR
RNA was isolated from a 1-mm coronal brain section (Bregma - 1.5 mm) using the Tri-Reagent protocol (Sigma-Aldrich). Reverse transcription was performed using the High Capacity cDNA Reverse Transcription Kit (Applied Biosystems) to produce cDNA. Quantitative real-time (q)-PCR was performed using the TaqMan Gene Expression Assay (Applied Biosystems). In brief, experimental cDNA was amplified using qPCR such that a target gene and reference gene (Gapdh) were amplified simultaneously using an oligonucleotide probe with a 5′ fluorescent reporter dye (FAM) and 3′ non-fluorescent quencher (NFQ). When Taq DNA polymerase synthesizes a new strand and reaches the TaqMan probe, the FAM is cleaved from the NFQ and increases the fluorescent intensity proportional to the amount of amplicon synthesized. Fluorescence was determined using a QuantStudio 3 or 5 Real-Time PCR System (Applied Biosystems). Data were analyzed using the comparative threshold cycle (ΔΔCT) method and results are expressed as fold change from a control group.
CNS-conditioned neonatal microglia culture
Adult (8–10 weeks old) and aged (20 months old) male BALB/c mice were sacrificed by CO2 asphyxiation and three 1-mm coronal brain sections (Bregma - 1, 2, and 3 mm) were collected from each mouse. These sections were placed three-per-well onto 0.4-μm nylon mesh inserts in 1.5 mL DMEM/F12 (Millipore) supplemented with 25% horse serum and incubated at 37 °C and 5% CO2. Media was refreshed after 3 h and conditioned media (CM) collected after another 24 h. CM was then supplemented with fresh DMEM/F12 containing 10% fetal bovine serum (FBS) at a 1:3 ratio. Control media received identical treatment without contact with brain tissue. Primary microglia cultures were established from the brain of neonatal mice as previously described . In brief, whole brains were isolated from neonatal (post-natal day 1–3) BALB/c mice and digested in 0.25% trypsin EDTA (Gibco) for 15 min at 37 °C. Samples were then pelleted and resuspended in growth medium (20% FBS, 100 U/mL penicillin, 100 U/mL streptomycin, 0.25 μg/mL amphotericin B, and 50 μg/mL gentamicin in DMEM/F12). Pellets were mechanically dissociated by pipetting and filtered through a 70-μm cell strainer. Mixed glia cultures were maintained at 37 °C and 5% CO2, and media was replenished every 3–4 days until confluency. Mixed glia cultures were then shaken at 150 rpm on a Forma Orbital Shaker (Thermo) at 37 °C for 3 h. Microglia were harvested from the confluent layer and plated at a density of 1 × 104 cells per well on a 96-well plate. Purity was assessed at > 98% using immunocytochemistry (Iba1+/DAPI+). After 48 h, microglia were washed twice with DMEM/F12, incubated in adult or aged CM for 24 h, and then stimulated with 1 μg/mL LPS. After 4 h, media was aspirated, and microglial RNA extracted using the RNeasy Plus Mini kit (QIAGEN). Parallel cultures were processed using the CellTiter 96 AQueous One Solution Cell Proliferation Assay (Promega) to determine cell viability in adult or aged CM.
Statistical analysis was performed using GraphPad Prism software (San Diego, CA) unless otherwise specified. To determine significant main effects and interactions between variables, two-way analysis of variance (ANOVA) was performed. Comparison between groups was performed using Student’s t-test and Bonferroni’s correction for multiple comparisons. A value of P < 0.05 was considered statistically significant. All data are presented as mean ± standard error of the mean (SEM).
CSF1R antagonism depleted microglia in adult and aged BALB/c mice
Microglia repopulated independent of age after CSF1R antagonist-mediated depletion
Microglial depletion and repopulation reversed CD68+ lysosome size and lipofuscin accumulation in the microglia of aged mice
Next, auto-fluorescence was assessed in microglia after depletion and repopulation. Representative histograms of auto-fluorescence detected in microglia (CD11b+/CD45low) enriched from the brains of adult and aged mice with or without forced turnover show different distributions of auto-fluorescence between groups (Fig. 3c). As expected, there was a significant main effect of age (F(1, 49) = 58.79, P < 0.0001) and repopulation (F(1, 49) = 20.56, P < 0.0001) on microglial auto-fluorescence (Fig. 3c). Furthermore, there was a significant interaction between age and repopulation (F(1, 49) = 8.14, P < 0.01). Post hoc analysis confirmed microglia from aged mice had higher auto-fluorescence compared to adult controls (P < 0.0001). Moreover, this age-associated increase was attenuated in aged mice subjected to microglial depletion and repopulation (P < 0.0001).
In a related study, lipofuscin volume was determined in cortical microglia after depletion and repopulation. Notably, there was robust lipofuscin auto-fluorescence in the cortex of aged mice, but minimal auto-fluorescence in the cortex of adult mice (Fig. 3e, f). There was a significant main effect of age (F(1, 32) = 47.41, P < 0.0001) and microglial repopulation (F(1, 32) = 8.35, P < 0.01) on microglial lipofuscin volume. Furthermore, there was a significant interaction between age and repopulation (F(1, 32) = 7.403, P < 0.05). Post hoc analysis confirmed microglial lipofuscin content was higher in aged mice compared to adult controls (P < 0.0001), and this age-associated lipofuscin accumulation in microglia was reduced by microglial depletion and repopulation (P < 0.01). There was also an age-associated increase in non-microglial lipofuscin (Fig. 3e). NeuN immunolabeling showed neuronal accumulation of lipofuscin with age (F(1, 32) = 41.48, P < 0.0001), but this was unaffected by microglial depletion and repopulation (Fig. 3g). Taken together, microglial depletion and repopulation reduced the level of lipofuscin in aged microglia, but not in neurons.
Depletion and repopulation of microglia partially reversed the microglial aging transcriptional signature
Differential expression analysis between Aged Control and Adult Control groups shows 511 genes significantly regulated by age (Padj < 0.05, absolute fold change > 1.5). Of these, expression of 455 genes was increased (Fig. 4c) while 56 were decreased (Fig. 4d). Following microglial repopulation, age-associated changes in 127 genes were reversed (117 increased, 10 decreased), such that expression in Aged Repopulation was no longer different from Adult Control. For instance, repopulation attenuated age-associated increases in A2m, Apoe, Bmp6, Olr1, Sorl1, and Tgfb2 expression. Microglial repopulation also reversed age-associated decreases in expression of Cdkn1a, Dennd2c, and Socs3. Next, gene expression between Aged Repopulation and Aged Control groups were compared to determine genes that were either partially reversed or exacerbated by repopulation (P < 0.05). Partially reversed genes showed expression closer to Adult Control, but were not fully restored. In contrast, exacerbated genes were further increased or decreased by repopulation. Age-associated differential expression of 58 genes (53 increased, 5 decreased), was partially reversed by microglial repopulation (Fig. 4c, d). The aged associated increase in Lyz2 and Tgfbr3, and decrease in Ccr1 and Tlr5, were partially reversed by microglial depletion and repopulation. Notably, expression of 19 genes (14 increased, 5 decreased) were exacerbated by microglial repopulation. For instance, age-associated increases in expression of Axl, Oas2, and Tnfsf8 were further increased by repopulation (Fig. 4c). Collectively, of the 511 genes differentially regulated by age, 127 were reversed by microglial depletion and repopulation, 53 were partially reversed, and 307 genes (271 increased and 36 decreased) remained unaffected. Genes unaffected by microglial depletion and repopulation included several inflammation-related genes (e.g., C3, Clec7a, Ifi44l, Il1b, Il1rn, Mrc1, Tlr8), indicating the age-associated inflammatory profile of microglia was unaffected by forced turnover. Overall, microglia exhibited a robust age-associated mRNA signature that was only partially influenced by forced turnover of microglia.
Differentially regulated pathways and gene ontologies in microglia were not affected by microglial depletion and repopulation
Next, PANTHER was used to determine the gene ontology (GO) designations for microglial genes significantly regulated by age with or without repopulation. Genes related to several biological processes (Fig. 5b) and molecular functions (Fig. 5c) were significantly altered by age. The most prevalent biological processes regulated by age in microglia were categorized as cellular process (GO:0009987), metabolic process (GO:0008152), response to stimulus (GO:0050896), biological adhesion (GO:0022610), and biological regulation (GO:0065007). Molecular functions of genes regulated by age included catalytic activity (GO:0003824), binding (GO:0005488), transporter activity (GO:0005215), and receptor activity (GO:0004872). The biological processes and molecular functions of genes regulated by age were unaffected by microglial depletion and repopulation. Taken together, these data indicate that microglial repopulation did not significantly alter the overall pathway-level or cellular systems-level effects of aging on microglial gene expression.
LPS-induced sickness behavior was prolonged in aged mice and unaffected by microglial depletion and repopulation
To characterize the neuroinflammatory transcriptional response to peripheral immune challenge, hippocampal mRNA was collected 24 h after LPS. RNA was analyzed using the Mouse Inflammation v2 nanoString gene array. PCA showed unsupervised clustering by LPS and age, but not by microglial repopulation (Fig. 6c). Next, LPS-induced changes in inflammatory gene expression were determined in adult and aged mice with or without microglial repopulation (Fig. 6d). Genes were classified as either exacerbated by age (increased by LPS in adults and further increased with age) or uniquely regulated by LPS in aged mice (increased by LPS in aged, but not adult, mice). LPS increased expression of 11 genes (e.g., C1qa, C1qb, C3ar1, Cfb, Il1b, Tyrobp) in the hippocampus of adult mice that were further exacerbated in aged mice. Of these, only expression of Ccl8 and Ifit2 were reversed by microglial repopulation. LPS increased expression of 32 genes (e.g., C3, Cd163, Mrc1, Myd88) in the hippocampus of aged mice that were not increased in adults. Three of these uniquely regulated genes were prevented by repopulation (Creb1, Daxx, Il12a). Taken together, aged mice had an exaggerated and more comprehensive response to innate immune challenge in the hippocampus compared to adult mice and this response was not reversed by microglial depletion and repopulation.
Age-associated changes in whole-brain transcription were unaffected by microglial repopulation
Differential expression analysis of whole-brain gene expression between Aged Control and Adult Control groups shows 409 genes significantly affected by age, with increased expression of 207 genes (Fig. 7b) and decreased expression of 202 genes (Fig. 7c). Moreover, these age-associated transcriptional changes persisted despite forced microglial turnover. Microglial repopulation reversed expression of 18 genes (5 increased, 13 decreased; e.g., Flnb, Ctcf, Gabra2, Gabrb1, Parp6, Snx). Only 3 genes were partially reversed, including Fnip2 (increased by age), Chl1, and Met (decreased by age). Age-associated decreases in Camk2n1, Camk4, and Camkk2 expression, and increase in H2-D1, were exacerbated by repopulation. Nonetheless, the majority of age-associated transcriptional changes in the brain were unaffected by microglial repopulation (382 total: 200 increased, 182 decreased). For example, age-associated increases in whole-brain mRNA expression of C1qa, Clec7a, Hif3a, Il33, and Smad9 persisted despite microglial repopulation (Fig. 7b). Similarly, age-associated decreases in expression of Grin3a, Negr1, Nrep, and Ntrk3 were unaffected by microglial repopulation (Fig. 7c). Notably, age-associated augmentation of astrocyte-related genes, including Gfap, S100b, and Vim, was unaffected by repopulation. Collectively, these data indicate that renewal of microglia following depletion and repopulation did not dramatically influence the whole-brain transcriptional responses to aging in mice.
Age-associated reactive astrogliosis was microglia-independent
In a similar study, adult and aged mice were subjected to microglial depletion and repopulation as above. RNA was isolated from a coronal brain section and the expression of genes indicative of reactive astrogliosis was determined (Fig. 8c-e). As expected, there was a significant increase in Gfap (F(1, 7) = 287.5, P < 0.0001), S100b (F(1, 7) = 39.68, P < 0.001), and Vim (F(1, 7) = 44.65, P < 0.001) expression in aged mice compared to adults. Moreover, this age-associated increase in mRNA expression was independent of microglial depletion and repopulation. Taken together, these data show that reactive astrogliosis persisted in the aged brain after microglial repopulation.
Aged brain-conditioned media induces a hyper-inflammatory LPS response in neonatal microglia ex vivo
Our primary objective was to test if age-associated microglial priming and hyperactivity to immune challenge is reversed by promoting microglial turnover by CSF1R antagonism. We depleted microglia from both adult and aged BALB/c mice and subsequently allowed new microglia to fully repopulate the brain. We provide novel evidence that forcing microglial turnover in aged mice reversed age-associated increases in intracellular lipofuscin accumulation and CD68+ lysosome size. Furthermore, microglia-specific RNA sequencing revealed a 511-gene signature differentiating aged microglia from adult microglia. Of these, expression of 127 genes was reversed by microglial repopulation. Despite this partial reversal of the aged microglial transcriptome, LPS challenge still elicited exaggerated sickness behavior and CNS inflammation in aged mice regardless of microglial repopulation. Thus, we provide novel evidence that the aged brain microenvironment may cause microglial priming. For instance, the whole-brain transcriptional signature of aging was unaffected by repopulation of microglia. Furthermore, soluble factors from the aged microenvironment prime neonatal microglia to LPS ex vivo. While there may be microglia-intrinsic aspects of aging that can be reversed by forced microglial turnover, the brain microenvironment re-establishes the pro-inflammatory and primed profile characteristic of aging.
An important finding is that microglia present after forced turnover in aged mice were different from those in aged controls. “New” microglia had reduced intracellular lipofuscin and smaller CD68+ lysosomes. A previous report showed aged microglia had increased lipofuscin burden and larger CD68+ lysosomes due to homeostatic clearance of myelin debris throughout the lifespan . Furthermore, previous reports indicate that microglial repopulation reverses the proportion of CD68+ microglia in aged mice . We extend these findings to show that, while all microglia contain CD68+ lysosomes, confocal microscopy revealed a restoration of age-associated CD68+ lysosome enlargement. Additionally, our findings indicate that the lipid-laden phenotype observed in aged microglia was reversed by microglial depletion and subsequent proliferation. It is important to highlight that these changes were observed with only 80–85% depletion of microglia. Collectively, these findings suggest that promoting microglial turnover restores age-related dysfunction in lysosomal structure and intracellular lipofuscin accumulation.
In addition to structural alterations in repopulated aged microglia, repopulated microglia had an intermediate RNA signature. For instance, of the 511 genes differentially expressed by age, 127 were reversed by repopulation. These include various scavenging receptors implicated in Alzheimer’s disease pathogenesis that were increased with age and reversed by microglial repopulation (e.g., A2m, Apoe, Olr1, Sorl1). TGF-β family ligands, Bmp6 and Tgfb, were increased with age and restored by microglial repopulation. Microglial repopulation also reversed age-associated decreases in expression in mRNA encoding suppressor of cytokine signaling-3 (Socs3), which inhibits inflammatory cytokine and chemokine production and may reflect a mechanism for elevated cytokine production in aged microglia. Age-associated differential expression of 58 genes (53 increased, 5 decreased) was partially reversed by microglial repopulation, such that expression moved towards adult control levels but remained significantly different. For instance, age-associated alterations in genes related to innate-immune sensing (Lyz2, Tlr5), chemokines (Ccr1), and cytokine signaling (Tgfbr3) were partially reversed. Collectively, these findings suggest that forced turnover of aged microglia was sufficient to restore lipofuscin accumulation and lysosome dysfunction, and to partially reverse the aged microglial transcriptional signature.
Despite the intermediate RNA profile described above, 307 of 511 differentially regulated genes with age were unaffected by microglial repopulation. Unaffected genes included the pro-inflammatory cytokine Il1b and the MHC class II component H2-Eb1, which are implicated in age-associated microglial priming [24, 29, 68]. Notably, genes associated with a conserved neurodegenerative microglial phenotype were altered with age and either exacerbated (Axl) or unaffected by microglial repopulation (Clec7a, Itgax) . Despite divergent aging signatures in human and mouse microglia, we found conserved genes (Cxcr4, Tnfaip2) were unaffected by repopulation . Despite partial or full reversal of 185 genes, pathway analysis showed little benefit of repopulation. For example, differential gene expression was consistent with age-associated increases in NF-κB signaling, production of NO/ROS by macrophages, and elevated IFNγ, IFNα, IL-1β and TNF signaling in microglia. This is consistent with previous reports of elevated baseline inflammation and ROS production in aged microglia . Furthermore, elevated STAT3 and increased cell motility/movement were previously described in mice and humans, respectively [25, 30]. Neither these pathways nor overall ontological classifications of genes regulated by age were influenced by microglial repopulation. These findings are consistent with PCA, suggesting there is an overall effect of age on transcription that is not fully reversed by repopulation. Collectively, microglial repopulation reverses age-associated increases in intracellular lipid accumulation, but incompletely restores the aged microglial transcriptome.
Intermediate restoration of the microglial mRNA profile in aged mice was insufficient to prevent age-associated exacerbation of sickness behavior or amplified neuroinflammation following peripheral LPS challenge. Aged mice, regardless of microglial repopulation, had prolonged and exaggerated sickness behavior following LPS challenge compared to adult controls. Analysis of RNA copy number in the hippocampus confirmed and extended previous findings that aged mice have exaggerated neuroinflammatory responses to LPS [29, 46]. Here, we extend the previous literature to differentiate the aged LPS response into two categories: genes increased by LPS in adult mice but exacerbated by aging and genes uniquely increased by LPS in aged mice but not in adults. Neither genes exacerbated nor uniquely regulated in aged mice following peripheral LPS were dramatically influenced by microglial repopulation. This is consistent with recent findings reported by Elmore et al. in which whole-brain inflammatory gene expression remained exaggerated in aged mice 6 h after peripheral LPS administration regardless of microglial repopulation. Notably, we found that numerous complement components (C1qa, C1qb, C3ar1, Cfb) and the inflammatory cytokine Il1b were exacerbated by age and unaffected by repopulation. Furthermore, the aged LPS response was more comprehensive than adult mice, and included genes related to extracellular remodeling (Mmp9), pathogen recognition (Tlr2, Tlr7), and interferon responsiveness (Ifit5). Of the 43 genes comprising the LPS signature in aged mice, only 5 were reversed by microglial repopulation. Thus, microglial repopulation was insufficient to reverse age-associated microglial priming to peripheral immune challenge.
Another relevant point of discussion is that the aged microenvironment was unaffected by microglial renewal and likely influences repopulating microglia. It is important to note that the inflammatory signature of the aged brain is conserved throughout the brain and across species . Thus, the persistence of an inflammatory/damaged microenvironment in the aged brain may explain why microglial repopulation in mice was insufficient to reverse age-associated exacerbation of sickness behavior and neuroinflammation following LPS challenge. In support of this, microglial depletion and repopulation reduced the level of lipofuscin in aged microglia, but not in the aged neurons. Thus, neurons remained lipid-laden in the aged brain, which is associated with elevated oxidative stress . Moreover, the aging mRNA signature in a coronal brain section (10% microglia) was unaffected by microglial depletion and repopulation. Genes related to astrocyte reactivity (Gfap, S100b, Vim), neurotrophic/growth factors (Negr1, Nrep, Ntrk3), cell death (Anxa4), neurotransmitter signaling (Grin3a, Glra2), and myelin (Mbp, Mobp) were all dysregulated with age and unaffected by microglial repopulation. It is important to highlight that these findings differ from a recent report that microglial repopulation restores age-associated dysregulation in genes associated with neuronal health . Elmore et al. found age-associated increases in whole-brain inflammatory gene expression was unaffected by microglial repopulation. This was in contrast to genes related to cytoskeletal rearrangement and synaptogenesis, which were restored with microglial renewal in aged C57BL/6 mice. Of the 820 transcripts regulated by age in whole-brain RNA between Elmore et al. and our dataset, only 29 are shared in both analyses. This may explain the discrepancies between our conclusions regarding the overall benefit of microglial repopulation with age. Nonetheless, we both observed that microglial repopulation was insufficient to prevent immune and inflammatory priming to peripheral LPS. We further characterized the microglia-specific transcriptome and found an intermediate expression profile, with restoration of some, but not all, inflammatory genes. We interpret these findings to suggest that some microglia-intrinsic aspects of microglial aging can be reversed by repopulation, but overall they become primed as they repopulate in the aged brain.
Microglial repopulation did not reverse evidence of age-induced astrogliosis, which may play a role in priming repopulating microglia. Elevated Gfap, S100b, and Vim expression is associated with reactive astrogliosis in the aged brain [11, 48, 50, 74], all of which were increased with age in whole-brain RNA regardless of mciroglial repopulation. Consistent with these results, we detected higher GFAP mRNA and protein expression in the hippocampus. Others report astrocytes in the aged brain have an mRNA profile associated with dysfunction (i.e., less supportive of growth, repair, and regulation) . This is relevant because recent evidence shows that microglia-astrocyte communication helps to resolve microglial activation after peripheral immune challenge [46, 48]. Furthermore, astrocytes dynamically respond to environmental cytokines, including IL-1, TNFα, and C1q, and this neurotoxic/inflammatory phenotype may persist independent of microglial repopulation . Here, we found neonatal microglia cultured with conditioned media from aged coronal brain sections had increased responsiveness to direct LPS stimulation and had higher levels of Il1b, Il6 and Tnf compared to those cultured with adult conditioned media, a response consistent with microglial priming [45, 47]. Thus, either the presence or absence of soluble factors from the aged brain causes microglia to be primed to LPS challenge. We do not, however, know which factor or factors are critical for this re-direction of the microglial LPS response. Collectively, these data indicate age-associated microglial priming is not intrinsic to microglia; rather, microglia develop a primed phenotype in response to elevated inflammation, oxidation, or damage present in the aged brain .
Despite persistence of immune priming, microglial turnover may have some benefits. Elmore et al. report microglial repopulation restored age-associated cognitive decline and synapse loss . Furthermore, the benefit of microglial repopulation may be more profound in contexts with spatially or temporally restricted injury, in contrast to advanced age where CNS damage is altered progressively throughout the brain. For example, microglial turnover following inducible hippocampal lesion and neuron death ameliorated chronic microgliosis, leukocyte infiltration, and inflammatory gene expression . These experiments were completed using adult and otherwise healthy mice. We also have data that forced microglial turnover in a model of stress (e.g., repeated social defeat) reversed microglial priming to LPS challenge ex vivo and in vivo . These data support the conclusion that whether forced turnover of microglia is sufficient to alter responses to subsequent stimuli is context-dependent. In the context of advanced age, our results indicate that the aged CNS microenvironment plays a major role in the development of the pro-inflammatory profile of microglia. This may have significant ramifications for therapeutic approaches looking to replace microglia in the aged, injured, or diseased brain. Based on our current findings, microenvironmental consequences of aging or disease are likely to influence the development of repopulating microglia towards their original compromised phenotype.
There may be specific functional benefits to microglial physiology with depletion and repopulation in the aged brain. As discussed, microglial repopulation reduced CD68 expression, cleared lipofuscin, and partially restored the microglial RNA signature. Because microglia have myriad proposed functions beyond host-defense, including support of neurodegeneration and dynamic phagocytosis of synapses, it is plausible there is a direct benefit of repopulation. We, however, did not systemically test each proposed function of microglia here. Rather, our goal was to determine if microglial priming and exacerbated immune reactivity to LPS challenge in aged mice could be reversed. Priming and immune reactivity in the microglia of aged mice was not reversed by forcing microglial turnover. Nonetheless, we provide significant findings that indicate the local microenvironment of microglia contributes strongly to their phenotype in the brain.
In summary, we provide original and compelling evidence that microglia can be removed and repopulated in the aged brain. As such, the lipid-laden aged phenotype was reversed by forced microglial turnover. This turnover also resulted in partial reversal of the aged microglia RNA signature. Nonetheless, priming and immune-reactive RNA signatures were still detected after repopulation of aged microglia. As a result, LPS challenge still induced an exaggerated microglial inflammatory response in the aged brain. To explain why these new microglia remain primed, we provide RNA sequencing of whole-brain tissue with clear evidence of “inflammaging” that was not restored by microglial turnover. Indeed, conditioned media generated from the brain of aged mice was sufficient to recreate the primed response in developing neonatal microglia ex vivo. Thus, we conclude that the forced renewal of microglia in the aged brain cannot overcome the environmental cues of the inflamed brain as they repopulate.
This research was supported by National Institute of Health grant R01-AG051902 to JPG. SMO was supported by an Ohio State University Fellowship. KGW was supported by National Institute of Dental and Craniofacial Research Training Grant T32-DE014320. The authors thank Plexxikon Inc. for the use of PLX5622. The authors also thank The Ohio State University Comprehensive Cancer Center’s Analytical Cytometry and Genomic Shared Resources (P30-CA016058) and the Center for Genome Technology at the University of Miami. This work was supported in part by an allocation of computing time from the Ohio Supercomputing Center.
This research was supported by National Institute of Health grant R01-AG051902 to JPG. SMO was supported by an Ohio State University Fellowship. KGW was supported by National Institute of Dental and Craniofacial Research Training Grant T32-DE014320.
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All data generated or analysed during this study are included in this published article [and its supplementary information files].
SMO, KGW, DBM, and JPG planned experiments and wrote the manuscript. SMO and KGW performed the experiments and analyzed the data. All authors read and approved the final manuscript.
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- Abraham J, Jang S, Godbout JP, Chen J, Kelley KW, Dantzer R, Johnson RW (2008) Aging sensitizes mice to behavioral deficits induced by central HIV-1 gp120. Neurobiol Aging 29:614–621. https://doi.org/10.1016/j.neurobiolaging.2006.11.002 View ArticlePubMedGoogle Scholar
- Ahmed S, Leurent B, Sampson EL (2014) Risk factors for incident delirium among older people in acute hospital medical units: a systematic review and meta-analysis. Age Ageing 43:326–333. https://doi.org/10.1093/ageing/afu022 View ArticlePubMedPubMed CentralGoogle Scholar
- Bardou I, Brothers HM, Kaercher RM, Hopp SC, Wenk GL (2013) Differential effects of duration and age on the consequences of neuroinflammation in the hippocampus. Neurobiol Aging 34:2293–2301. https://doi.org/10.1016/j.neurobiolaging.2013.03.034 View ArticlePubMedPubMed CentralGoogle Scholar
- Barrientos RM, Higgins EA, Biedenkapp JC, Sprunger DB, Wright-Hardesty KJ, Watkins LR, Rudy JW, Maier SF (2006) Peripheral infection and aging interact to impair hippocampal memory consolidation. Neurobiol Aging 27:723–732. https://doi.org/10.1016/j.neurobiolaging.2005.03.010 View ArticlePubMedGoogle Scholar
- Barrientos RM, Watkins LR, Rudy JW, Maier SF (2009) Characterization of the sickness response in young and aging rats following E. coli infection. Brain Behav Immun 23:450–454. https://doi.org/10.1016/j.bbi.2009.01.016 View ArticlePubMedPubMed CentralGoogle Scholar
- Barrientos RM, Frank MG, Watkins LR, Maier SF (2010) Memory impairments in healthy aging: role of aging-induced microglial sensitization. Aging and Disease 1:212–231PubMedPubMed CentralGoogle Scholar
- Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc 57:289–300Google Scholar
- Berg BM, Godbout JP, Kelley KW, Johnson RW (2004) Alpha-tocopherol attenuates lipopolysaccharide-induced sickness behavior in mice. Brain, Behavior, & Immunity 18:149–157. https://doi.org/10.1016/s0889-1591(03)00113-2 View ArticleGoogle Scholar
- Bilbo SD (2010) Early-life infection is a vulnerability factor for aging-related glial alterations and cognitive decline. Neurobiol Learn Mem 94:57–64. https://doi.org/10.1016/j.nlm.2010.04.001 View ArticlePubMedPubMed CentralGoogle Scholar
- Brunk UT, Terman A (2002) Lipofuscin: mechanisms of age-related accumulation and influence on cell function. Free Radic Biol Med 33:611–619. https://doi.org/10.1016/S0891-5849(02)00959-0 View ArticlePubMedGoogle Scholar
- Cerutti SM, Chadi G (2000) S100 immunoreactivity is increased in reactive astrocytes of the visual pathways following a mechanical lesion of the rat occipital cortex. Cell Biol Int 24:35–49. https://doi.org/10.1006/cbir.1999.0451 View ArticlePubMedGoogle Scholar
- Chelvarajan RL, Liu Y, Popa D, Getchell ML, Getchell TV, Stromberg AJ, Bondada S (2006) Molecular basis of age-associated cytokine dysregulation in LPS-stimulated macrophages. J Leukoc Biol 79:1314–1327. https://doi.org/10.1189/jlb.0106024 View ArticlePubMedGoogle Scholar
- Choi JH, Lee CH, Hwang IK, Won MH, Seong JK, Yoon YS, Lee CH, Lee IS (2007) Age-related changes in ionized calcium-binding adapter molecule 1 immunoreactivity and protein level in the gerbil hippocampal CA1 region. J Vet Med Sci 69:1131–1136. https://doi.org/10.1292/jvms.69.1131 View ArticlePubMedGoogle Scholar
- Corona AW, Fenn AM, Godbout JP (2012) Cognitive and behavioral consequences of impaired Immunoregulation in aging. J NeuroImmune Pharmacol 7:7–23. https://doi.org/10.1007/s11481-011-9313-4 View ArticlePubMedGoogle Scholar
- Cotrina ML, Nedergaard M (2002) Astrocytes in the aging brain. J Neurosci Res 67:1–10. https://doi.org/10.1002/jnr.10121 View ArticlePubMedGoogle Scholar
- Dantzer R (2001) Cytokine-induced sickness behavior: mechanisms and implications. Ann N Y Acad Sci 933:222–234. https://doi.org/10.1111/j.1749-6632.2001.tb05827.x View ArticlePubMedGoogle Scholar
- Dantzer R, O'Connor JC, Freund GG, Johnson RW, Kelley KW (2008) From inflammation to sickness and depression: when the immune system subjugates the brain. Nat Rev Neurosci 9:46. https://doi.org/10.1038/nrn2297 View ArticlePubMedPubMed CentralGoogle Scholar
- Dobin A, Davis CA, Schlesinger F, Drenkow J, Zaleski C, Jha S, Batut P, Chaisson M, Gingeras TR (2013) STAR: ultrafast universal RNA-seq aligner. Bioinformatics 29:15–21 https://doi.org/10.1093/bioinformatics/bts635 View ArticleGoogle Scholar
- Dunn N, Mullee M, Perry VH, Holmes C (2005) Association between dementia and infectious disease: evidence from a case-control study. Alzheimer Dis Assoc Disord 19:91–94. https://doi.org/10.1097/01.wad.0000165511.52746.1f View ArticlePubMedGoogle Scholar
- Elmore MR, Najafi AR, Koike MA, Dagher NN, Spangenberg EE, Rice RA, Kitazawa M, Matusow B, Nguyen H, West BL, Green KN (2014) Colony-stimulating factor 1 receptor signaling is necessary for microglia viability, unmasking a microglia progenitor cell in the adult brain. Neuron 82:380–397. https://doi.org/10.1016/j.neuron.2014.02.040 View ArticlePubMedPubMed CentralGoogle Scholar
- Elmore MRP, Hohsfield LA, Kramar EA, Soreq L, Lee RJ, Pham ST, Najafi AR, Spangenberg EE, Wood MA, West BL, Green KN (2018) Replacement of microglia in the aged brain reverses cognitive, synaptic, and neuronal deficits in mice. Aging Cell e12832. https://doi.org/10.1111/acel.12832
- Fenn AM, Henry CJ, Huang Y, Dugan A, Godbout JP (2012) Lipopolysaccharide-induced interleukin (IL)-4 receptor-α expression and corresponding sensitivity to the M2 promoting effects of IL-4 are impaired in microglia of aged mice. Brain Behav Immun 26:766–777. https://doi.org/10.1016/j.bbi.2011.10.003 View ArticlePubMedGoogle Scholar
- Fenn AM, Gensel JC, Huang Y, Popovich PG, Lifshitz J, Godbout JP (2014) Immune activation promotes depression 1 month after diffuse brain injury: a role for primed microglia. Biol Psychiatry 76:575–584. https://doi.org/10.1016/j.biopsych.2013.10.014 View ArticlePubMedGoogle Scholar
- Frank MG, Barrientos RM, Biedenkapp JC, Rudy JW, Watkins LR, Maier SF (2006) mRNA up-regulation of MHC II and pivotal pro-inflammatory genes in normal brain aging. Neurobiol Aging 27:717–722. https://doi.org/10.1016/j.neurobiolaging.2005.03.013 View ArticlePubMedGoogle Scholar
- Galatro TF, Holtman IR, Lerario AM, Vainchtein ID, Brouwer N, Sola PR, Veras MM, Pereira TF, Leite REP, Möller T, Wes PD, Sogayar MC, Laman JD, den Dunnen W, Pasqualucci CA, Oba-Shinjo SM, Boddeke EWGM, Marie SKN, Eggen BJL (2017) Transcriptomic analysis of purified human cortical microglia reveals age-associated changes. Nat Neurosci 20:1162. https://doi.org/10.1038/nn.4597 View ArticlePubMedGoogle Scholar
- Godbout JP, Chen J, Abraham J, Richwine AF, Berg BM, Kelley KW, Johnson RW (2005) Exaggerated neuroinflammation and sickness behavior in aged mice following activation of the peripheral innate immune system. FASEB J 19:1329–1331. https://doi.org/10.1096/fj.05-3776fje View ArticlePubMedGoogle Scholar
- Godbout JP, Moreau M, Lestage J, Chen J, Sparkman NL, Connor JO, Castanon N, Kelley KW, Dantzer R, Johnson RW (2008) Aging exacerbates depressive-like behavior in mice in response to activation of the peripheral innate immune system. Neuropsychopharmacology 33:2341. https://doi.org/10.1038/sj.npp.1301649 View ArticlePubMedGoogle Scholar
- Haroon E, Raison CL, Miller AH (2011) Psychoneuroimmunology meets Neuropsychopharmacology: translational implications of the impact of inflammation on behavior. Neuropsychopharmacology 37:137. https://doi.org/10.1038/npp.2011.205 View ArticlePubMedPubMed CentralGoogle Scholar
- Henry CJ, Huang Y, Wynne AM, Godbout JP (2009) Peripheral lipopolysaccharide (LPS) challenge promotes microglial hyperactivity in aged mice that is associated with exaggerated induction of both pro-inflammatory IL-1β and anti-inflammatory IL-10 cytokines. Brain Behav Immun 23:309–317. https://doi.org/10.1016/j.bbi.2008.09.002 View ArticlePubMedGoogle Scholar
- Hickman SE, Kingery ND, Ohsumi TK, Borowsky ML, L-c W, Means TK, El Khoury J (2013) The microglial sensome revealed by direct RNA sequencing. Nat Neurosci 16:1896. https://doi.org/10.1038/nn.3554 View ArticlePubMedPubMed CentralGoogle Scholar
- Huang Y, Henry CJ, Dantzer R, Johnson RW, Godbout JP (2008) Exaggerated sickness behavior and brain proinflammatory cytokine expression in aged mice in response to intracerebroventricular lipopolysaccharide. Neurobiol Aging 29:1744–1753. https://doi.org/10.1016/j.neurobiolaging.2007.04.012 View ArticlePubMedGoogle Scholar
- Hwang IK, Lee CH, Li H, Yoo K-Y, Choi JH, Kim DW, Kim D-W, Suh H-W, Won M-H (2008) Comparison of ionized calcium-binding adapter molecule 1 immunoreactivity of the hippocampal dentate gyrus and CA1 region in adult and aged dogs. Neurochem Res 33:1309–1315. https://doi.org/10.1007/s11064-007-9584-6 View ArticlePubMedGoogle Scholar
- Iwashyna TJ, Ely E, Smith DM, Langa KM (2010) Long-term cognitive impairment and functional disability among survivors of severe sepsis. JAMA 304:1787–1794. https://doi.org/10.1001/jama.2010.1553 View ArticlePubMedPubMed CentralGoogle Scholar
- Jackson JC, Gordon SM, Hart RP, Hopkins RO, Ely EW (2004) The association between delirium and cognitive decline: a review of the empirical literature. Neuropsychol Rev 14:87–98. https://doi.org/10.1023/B:NERV.0000028080.39602.17 View ArticlePubMedGoogle Scholar
- Jurgens HA, Johnson RW (2012) Dysregulated neuronal-microglial cross-talk during aging, stress and inflammation. Exp Neurol 233:40–48. https://doi.org/10.1016/j.expneurol.2010.11.014 View ArticlePubMedGoogle Scholar
- Koenig HG, Meador KG, Cohen HJ, Blazer DG (1988) Depression in elderly hospitalized patients with medical illness. Arch Intern Med 148:1929–1936. https://doi.org/10.1001/archinte.1988.00380090031009 View ArticlePubMedGoogle Scholar
- Krämer A, Green J, Pollard J, Tugendreich S (2014) Causal analysis approaches in ingenuity pathway analysis. Bioinformatics 30:523–530 https://doi.org/10.1093/BIOINFORMATICS/BTT703 View ArticleGoogle Scholar
- Krasemann S, Madore C, Cialic R, Baufeld C, Calcagno N, El Fatimy R, Beckers L, O’Loughlin E, Xu Y, Fanek Z, Greco DJ, Smith ST, Tweet G, Humulock Z, Zrzavy T, Conde-Sanroman P, Gacias M, Weng Z, Chen H, Tjon E, Mazaheri F, Hartmann K, Madi A, Ulrich JD, Glatzel M, Worthmann A, Heeren J, Budnik B, Lemere C, Ikezu T, Heppner FL, Litvak V, Holtzman DM, Lassmann H, Weiner HL, Ochando J, Haass C, Butovsky O (2017) The TREM2-APOE pathway drives the transcriptional phenotype of dysfunctional microglia in neurodegenerative disease. Immunity 47:398–400. https://doi.org/10.1016/J.IMMUNI.2017.08.008 View ArticleGoogle Scholar
- Liddelow SA, Barres BA (2017) Reactive astrocytes: production, function, and therapeutic potential. Immunity 46:957–967. https://doi.org/10.1016/j.immuni.2017.06.006 View ArticlePubMedGoogle Scholar
- López-Otín C, Blasco MA, Partridge L, Serrano M, Kroemer G (2013) The hallmarks of aging. Cell 153:1194–1217. https://doi.org/10.1016/j.cell.2013.05.039 View ArticlePubMedPubMed CentralGoogle Scholar
- Love MI, Huber W, Anders S (2014) Moderated estimation of fold change and dispersion for RNA-seq data with DESeq2. Genome Biol 15. https://doi.org/10.1186/s13059-014-0550-8
- Morgan TE, Xie Z, Goldsmith S, Yoshida T, Lanzrein AS, Stone D, Rozovsky I, Perry G, Smith MA, Finch CE (1999) The mosaic of brain glial hyperactivity during normal ageing and its attenuation by food restriction. Neuroscience 89:687–699. https://doi.org/10.1016/S0306-4522(98)00334-0 View ArticlePubMedGoogle Scholar
- Muccigrosso MM, Ford J, Benner B, Moussa D, Burnsides C, Fenn AM, Popovich PG, Lifshitz J, Walker FR, Eiferman DS, Godbout JP (2016) Cognitive deficits develop 1month after diffuse brain injury and are exaggerated by microglia-associated reactivity to peripheral immune challenge. Brain Behav Immun 54:95–109. https://doi.org/10.1016/j.bbi.2016.01.009 View ArticlePubMedPubMed CentralGoogle Scholar
- Nguyen MD, Julien J-P, Rivest S (2002) Innate immunity: the missing link in neuroprotection and neurodegeneration? Nat Rev Neurosci 3:216–227. https://doi.org/10.1038/nrn752 View ArticlePubMedGoogle Scholar
- Norden DM, Godbout JP (2013) Microglia of the aged brain: primed to be activated and resistant to regulation. Neuropathol Appl Neurobiol 39:19–34. https://doi.org/10.1111/j.1365-2990.2012.01306.x View ArticlePubMedPubMed CentralGoogle Scholar
- Norden DM, Fenn AM, Dugan A, Godbout JP (2014) TGFβ produced by IL-10 redirected astrocytes attenuates microglial activation. Glia 62:881–895. https://doi.org/10.1002/glia.22647 View ArticlePubMedPubMed CentralGoogle Scholar
- Norden DM, Muccigrosso MM, Godbout JP (2015) Microglial priming and enhanced reactivity to secondary insult in aging, and traumatic CNS injury, and neurodegenerative disease. Neuropharmacology 96:29–41. https://doi.org/10.1016/j.neuropharm.2014.10.028 View ArticlePubMedGoogle Scholar
- Norden DM, Trojanowski PJ, Walker FR, Godbout JP (2016) Insensitivity of astrocytes to interleukin 10 signaling following peripheral immune challenge results in prolonged microglial activation in the aged brain. Neurobiol Aging 44:22–41. https://doi.org/10.1016/j.neurobiolaging.2016.04.014 View ArticlePubMedPubMed CentralGoogle Scholar
- Orellana AM, Vasconcelos AR, Leite JA, de Sa Lima L, Andreotti DZ, Munhoz CD, Kawamoto EM, Scavone C (2015) Age-related neuroinflammation and changes in AKT-GSK-3beta and WNT/ beta-CATENIN signaling in rat hippocampus. Aging 7:1094–1111. https://doi.org/10.18632/aging.100853 View ArticlePubMedPubMed CentralGoogle Scholar
- Pekny M, Pekna M (2004) Astrocyte intermediate filaments in CNS pathologies and regeneration. J Pathol 204:428–437. https://doi.org/10.1002/path.1645 View ArticlePubMedGoogle Scholar
- Penninx BW, Geerlings SW, Deeg DJ, van Eijk JT, van Tilburg W, Beekman AT (1999) Minor and major depression and the risk of death in older persons. Arch Gen Psychiatry 56:889–895View ArticleGoogle Scholar
- Penninx BW, Kritchevsky SB, Yaffe K, Newman AB, Simonsick EM, Rubin S, Ferrucci L, Harris T, Pahor M (2003) Inflammatory markers and depressed mood in older persons: results from the health, aging and body composition study. Biol Psychiatry 54:566–572View ArticleGoogle Scholar
- Popp J (2013) Delirium and cognitive decline: more than a coincidence. Curr Opin Neurol 26:634–639. https://doi.org/10.1097/wco.0000000000000030 View ArticlePubMedGoogle Scholar
- Porta EA (2002) Pigments in Aging: An Overview. Ann N Y Acad Sci 959:57–65. https://doi.org/10.1111/j.1749-6632.2002.tb02083.x View ArticlePubMedGoogle Scholar
- Rice RA, Pham J, Lee RJ, Najafi AR, West BL, Green KN (2017) Microglial repopulation resolves inflammation and promotes brain recovery after injury. Glia 65:931–944. https://doi.org/10.1002/glia.23135 View ArticlePubMedPubMed CentralGoogle Scholar
- Richwine AF, Parkin AO, Buchanan JB, Chen J, Markham JA, Juraska JM, Johnson RW (2008) Architectural changes to CA1 pyramidal neurons in adult and aged mice after peripheral immune stimulation. Psychoneuroendocrinology 33:1369–1377. https://doi.org/10.1016/j.psyneuen.2008.08.003 View ArticlePubMedGoogle Scholar
- Risso D, Ngai J, Speed TP, Dudoit S (2014) Normalization of RNA-seq data using factor analysis of control genes or samples. Nat Biotechnol 32:896–902. https://doi.org/10.1038/nbt.2931 View ArticlePubMedPubMed CentralGoogle Scholar
- Rockwood K, Cosway S, Carver D, Jarrett P, Stadnyk K, Fisk J (1999) The risk of dementia and death after delirium. Age Ageing 28:551–556View ArticleGoogle Scholar
- Rodriguez-Arellano JJ, Parpura V, Zorec R, Verkhratsky A (2015) Astrocytes in physiological aging and Alzheimer's disease. Neuroscience. https://doi.org/10.1016/j.neuroscience.2015.01.007 View ArticleGoogle Scholar
- Safaiyan S, Kannaiyan N, Snaidero N, Brioschi S, Biber K, Yona S, Edinger AL, Jung S, Rossner MJ, Simons M (2016) Age-related myelin degradation burdens the clearance function of microglia during aging. Nat Neurosci 19:995–998. https://doi.org/10.1038/nn.4325 View ArticleGoogle Scholar
- Schuitemaker A, van der Doef TF, Boellaard R, van der Flier WM, Yaqub M, Windhorst AD, Barkhof F, Jonker C, Kloet RW, Lammertsma AA, Scheltens P, van Berckel BNM (2012) Microglial activation in healthy aging. Neurobiol Aging 33:1067–1072. https://doi.org/10.1016/j.neurobiolaging.2010.09.016 View ArticlePubMedGoogle Scholar
- Snowden M, Steinman L, Frederick J (2008) Treating depression in older adults: challenges to implementing the recommendations of an expert panel. Prev Chronic Dis 5:A26PubMedGoogle Scholar
- Streit WJ, Sparks DL (1997) Activation of microglia in the brains of humans with heart disease and hypercholesterolemic rabbits. J Mol Med 75:130–138. https://doi.org/10.1007/s001090050097 View ArticlePubMedGoogle Scholar
- Streit WJ, Sammons NW, Kuhns AJ, Sparks DL (2004) Dystrophic microglia in the aging human brain. Glia 45:208–212. https://doi.org/10.1002/glia.10319 View ArticlePubMedGoogle Scholar
- Terman A, Brunk UT (2004) Lipofuscin. Int J Biochem Cell Biol 36:1400–1404. https://doi.org/10.1016/j.biocel.2003.08.009 View ArticlePubMedGoogle Scholar
- Thomas PD, Campbell MJ, Kejariwal A, Mi H, Karlak B, Daverman R, Diemer K, Muruganujan A, Narechania A (2003) PANTHER: a library of protein families and subfamilies indexed by function. Genome Res 13:2129–2141. https://doi.org/10.1101/gr.772403 View ArticlePubMedPubMed CentralGoogle Scholar
- Unützer J, Schoenbaum M, Katon WJ, Fan MY, Pincus HA, Hogan D, Taylor J (2009) Healthcare costs associated with depression in medically ill fee-for-service medicare participants. J Am Geriatr Soc 57:506–510. https://doi.org/10.1111/j.1532-5415.2008.02134.x View ArticlePubMedGoogle Scholar
- VanGuilder HD, Bixler GV, Brucklacher RM, Farley JA, Yan H, Warrington JP, Sonntag WE, Freeman WM (2011) Concurrent hippocampal induction of MHC II pathway components and glial activation with advanced aging is not correlated with cognitive impairment. J Neuroinflammation 8:138. https://doi.org/10.1186/1742-2094-8-138 View ArticlePubMedPubMed CentralGoogle Scholar
- Vasiliadis HM, Dionne PA, Préville M, Gentil L, Berbiche D, Latimer E (2013) The excess healthcare costs associated with depression and anxiety in elderly living in the community. Am J Geriatr Psychiatry 21:536–548. https://doi.org/10.1016/j.jagp.2012.12.016 View ArticlePubMedGoogle Scholar
- von Bernhardi R, Eugenin-von Bernhardi L, Eugenin J (2015) Microglial cell dysregulation in brain aging and neurodegeneration. Front Aging Neurosci 7:124. https://doi.org/10.3389/fnagi.2015.00124 View ArticlePubMedPubMed CentralGoogle Scholar
- Weber MD, McKim DB, Niraula A, Witcher KG, Yin W, Sobol CG, Wang Y, Sawicki CM, Sheridan JF, Godbout JP (2018) The influence of microglial elimination and repopulation on stress-sensitization induced by repeated social defeat. Biol Psychiatry. https://doi.org/10.1016/j.biopsych.2018.10.009. in press
- Wohleb ES, Fenn AM, Pacenta AM, Powell ND, Sheridan JF, Godbout JP (2012) Peripheral innate immune challenge exaggerated microglia activation, increased the number of inflammatory CNS macrophages, and prolonged social withdrawal in socially defeated mice. Psychoneuroendocrinology 37:1491–1505. https://doi.org/10.1016/j.psyneuen.2012.02.003 View ArticlePubMedPubMed CentralGoogle Scholar
- Wynne AM, Henry CJ, Huang Y, Cleland A, Godbout JP (2010) Protracted downregulation of CX3CR1 on microglia of aged mice after lipopolysaccharide challenge. Brain Behav Immun 24:1190–1201. https://doi.org/10.1016/j.bbi.2010.05.011 View ArticlePubMedPubMed CentralGoogle Scholar
- Zamanian JL, Xu L, Foo LC, Nouri N, Zhou L, Giffard RG, Barres BA (2012) Genomic analysis of reactive astrogliosis. J Neurosci 32:6391–6410. https://doi.org/10.1523/jneurosci.6221-11.2012 View ArticlePubMedPubMed CentralGoogle Scholar