Astrocytes are one of the most abundant glial cell types in the CNS and play a key role in maintaining its health and function[30]. When the CNS is injured, astrocytes undergo rapid changes in morphology and function, called reactive astrocytes[31, 32]. It has been suggested that TNF-α secreted by microglia plays a key role as paracrine signals in regulating the neuroprotective function of astrogliosis[33]. Meanwhile, microglia responses in traumatic brain injury (TBI) dynamically alter astrocyte responses to TBI. Among them, microglia-derived pro-inflammatory cytokines play a central role, which makes astrocytes reactive and acquire neuroprotective abilities[19]. LPS is known to have a strong effect on microglial activation and is well suited to study the expression of various inflammatory mediators. Therefore, in this study, we cultured astrocytes with conditioned medium from LPS-stimulated microglia for subsequent experimental studies. Our results showed that TNF-α expression in untreated TNC-1 astrocytes was very low, and when TNC-1 astrocytes were directly exposed to LPS stimulation, up-regulation of TNF-α expression was not evident. However, TNF-α expression was significantly increased after culturing astrocytes with conditioned medium from LPS-stimulated microglia. This confirms that microglia can induce the activation of astrocytes[18].
It is well documented that Gastrodin plays a certain role in brain protection, which can effectively reduce the activation of astrocytes after subarachnoid hemorrhage[34], and inhibit the excessive autophagy and apoptosis of astrocytes induced by LPS[35]. In addition, reactive astrocytes express certain levels of trophic factors, such as IGF-1[36] when brain injury occurs. Some studies have found that injection of IGF-1 can play a certain neuroprotective effect in cerebral ischemia and ischemia-reperfusion models[37, 38]. The present results have shown that the expression of BDNF, IGF-1 and TNF-α in TNC-1 astrocytes activated by microglia conditioned medium was significantly up-regulated when compared with the control group. However, in Gastrodin pretreatment cell gruop, the expression of BDNF and IGF-1 in TNC-1 astrocytes was further increased, but the expression of TNF-α was decreased. This indicates that Gastrodin can promote the activation of astrocytes and release of neurotrophic factors by them was mediated by microglia. However, the expression of inflammatory factors such as TNF-α was decreased, thereby confirming the anti-inflammatory propensity of Gastrodin.
The renin-angiotensin system (RAS) is an important humoral regulation system in the human body. It plays an important role in maintaining the relative stability of the internal environment in the human body. The different components of the RAS are expressed in many organs, notably the heart, kidneys, and brain[39].The local/paracrine renin-angiotensin system (RAS) plays a major role in inflammatory processes in the peripheral tissues and the brain[40]. In view of this, we had considered whether activated microglia-mediated release of inflammatory factors from astrocytes would be related to the renin-angiotensin system. AngII is an important effector peptide in the angiotensin system[41] and exerts vascular remodeling effects by promoting cell proliferation, fibrosis, oxidative stress and inflammation[42, 43]. Meanwhile, angiotensin II (Ang II) is the main effector of RAS, which has at least two receptor subtypes, called angiotensin II type 1 (AT1) and angiotensin II type 2 (AT2) receptors, but most of the classical effects are mediated by the Ang II type 1 receptor (AT1R)[44, 45]. Astrocytes are known to be the primary source of the precursor proteins angiotensinogen (ATO) and angiotensin II in the brain[40]. Studies have found that most of the synthesis of ATO in the brain is produced by astrocytes[46, 47]. At the same time, type 1 and type 2 Ang II receptors and two forms of angiotensin-converting enzyme were also found in astrocytes. Taken together, astrocytes possess a complete renin-angiotensin system[48–50].Our results have shown that ATO and AT1 expressions was significantly increased in astrocytes activated by microglia conditioned medium compared with the control group. However, the expression of both proteins was decreased after Gastrodin treatment. This suggests that Gastrodin can exert its anti-inflammatory effect by inhibiting the expression of ATO and AT1 in reactive astrocytes induced by activated microglia.
Additionally, studies have found that astrocytes expressed AT1 in the dentate gyrus after the lesion, and the number of infiltrating macrophages increased significantly after blocking AT1[51]. Ang II directly triggers apoptosis of dopaminergic neurons by activating AT1 receptors in the rat substantia nigra. Azilsartan, an inhibitor of AT1R, has been reported to ameliorate apoptosis of dopaminergic neurons and rescue characteristic Parkinson's disease behaviors in a rat model of Parkinson's disease (PD)[52]. Furthermore, mitochondria-dependent apoptosis signaling is also involved in Ang II-induced apoptosis of dopaminergic neurons[53]. SirT3, as a major protein deacetylase in mitochondria, is involved in the regulation of cellular redox, mitochondrial energy, biogenesis, kinetics, and apoptosis[54–57]. Our previous study found that Gastrodin can increase Sirt3 expression in activated microglia[8, 9]. We showed here that SirT3 expression in activated astrocytes induced by microglia conditioned medium followed the same trend. This suggests that Gastrodin can also promote the expression of SirT3 in astrocytes induced by activated microglia. In addition, it was reported that Ang II reduces SirT3 expression via AT1, whereas AT1 receptor antagonists upregulate SirT3.Overexpression of AT1 and AT2 in rat substantia nigra, dopaminergic neurons, and microglia was induced using a SirT3-specific inhibitor[58]. Additionally, studies have found that Azilsartan can attenuate oxidative damage in brain endothelial cells by modulating mitochondrial function and inflammatory responses in vitro[59]. Reducing Ang II and inhibiting AT1R can reduce the production of pro-inflammatory factors TNF-α and IL-1β[60]. The above studies have given some clues to the interrelation between the AT1 receptor and SirT3. To explore the relationship between AT1 and SirT3 in activated astrocytes as well as the effect of Gastrodin intervention, the expression of SirT3 along with TNF-α was detected after blocking AT1R with Azilsartan. We have shown that SirT3 expression was significantly increased in astrocytes activated by microglia conditioned medium, and that it was further increased after blocking AT1R. Meanwhile, TNF-α expression was significantly down-regulated after Azilsartan treatment. It is therefore suggested that AT1-SirT3 signaling pathway plays an important role in the inflammatory response of activated astrocytes. Ang II can inhibit the expression of SirT3 through AT1 receptor in activated astrocytes, and affect cell survival. Very strikingly, the combination of Azilsartan and Gastrodin can further down-regulate the expression of TNF-α, yet the expression of SirT3 remained unchanged. These results indicate that Gastrodin can up-regulate SirT3 protein by inhibiting AT1 and exert its neuroprotective effect.
Astrocytes can be divided into A1 type and A2 type according to different stimulatory factors[18, 61]. A1/A2 astrocytes with varying degrees of polarization are expressed in normal aging[62], acute brain injury[63], and neurodegenerative diseases such as Parkinson's disease (PD)[64] and Alzheimer's disease (AD)[61]. Transcriptome analysis of reactive astrocytes found that genes such as C3 and H2-D1 were preferentially expressed in LPS-induced A1-type reactive astrocytes, while S100 calcium binding protein A10 (S100A10), pentraxin-3 (PTX3) among others are preferentially expressed in MCAO-induced A2-type reactive astrocytes[65]. A1 astrocytes may secrete certain neurotoxins that kill a subset of neurons and mature oligodendrocytes. Conversely, A2 astrocytes appear to upregulate the expression of neurotrophic or anti-inflammatory factors that promote neuronal survival and growth and support repair function[66]. At the same time, it has been reported that A1-reactive astrocytes can be induced by cytokines secreted of activated M1-type microglia, which has a neurotoxic function[18]. Our results showed that the expression of C3 (A1 astrocytes marker) in the CM + LPS group was significantly higher than that of the control group, while the expression of S100A10 (A2 astrocytes marker) was significantly lower than that of the control group. This further supports that activated microglia can affect the phenotypic changes in reactive astrocytes. Another point to note was that the C3 expression was significantly decreased with Gastrodin treatment, whereas S100A10 expression was significantly increased. This lends further support to the notion that Gastrodin could promote the expression of A2-type reactive astrocytes and inhibit the expression of A1-type reactive astrocytes. Interestingly, in TNC-1 astrocytes treated with the conditioned medium from microglia stimulated with LPS, the expression of C3 and S100A10 was significantly reversed after Azilsartan treatment. Arising from the above results, it can be confidently concludecd that the phenotypes of reactive astrocytes are regulated by the AT1R. Meanwhile, the combination of Gastrodin and Azilsartan can further amplify the expression of S100A10 compared with CM + LPS + A group. Thus, Gastrodin can promote the polarization of astrocytes towards A2 phenotype through AT1R.