Microglial Calcium Release-Activated Calcium Channel Inhibition Improves Outcome from Experimental Traumatic Brain Injury and Microglia-Induced Neuronal Death

J Neurotrauma. 2019 Apr 1;36(7):996-1007. doi: 10.1089/neu.2018.5856. Epub 2018 Dec 4.

Abstract

Store-operated Ca2+ entry (SOCE) mediated by calcium release-activated calcium (CRAC) channels contributes to calcium signaling. The resulting intracellular calcium increases activate calcineurin, which in turn activates immune transcription factor nuclear factor of activated T cells (NFAT). Microglia contain CRAC channels, but little is known whether these channels play a role in acute brain insults. We studied a novel CRAC channel inhibitor to explore the therapeutic potential of this compound in microglia-mediated injury. Cultured microglial BV2 cells were activated by Toll-like receptor agonists or IFNγ. Some cultures were treated with a novel CRAC channel inhibitor (CM-EX-137). Western blots revealed the presence of CRAC channel proteins STIM1 and Orai1 in BV2 cells. CM-EX-137 decreased nitric oxide (NO) release and inducible nitric oxide synthase (iNOS) expression in activated microglia and reduced agonist-induced intracellular calcium accumulation in microglia, while suppressing inflammatory transcription factors nuclear factor kappa B (NF-κB) and nuclear factor of activated T cells (NFAT). Male C57/BL6 mice exposed to experimental brain trauma and treated with CM-EX-137 had decreased lesion size, brain hemorrhage, and improved neurological deficits with decreased microglial activation, iNOS and Orai1 and STIM1 levels. We suggest a novel anti-inflammatory approach for managing acute brain injury. Our observations also shed light on new calcium signaling pathways not described previously in brain injury models.

Keywords: calcium release-activated calcium channel; microglia; store-operated calcium entry; traumatic brain injury.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Brain / drug effects*
  • Brain / metabolism
  • Brain Injuries, Traumatic / metabolism*
  • Calcium / metabolism*
  • Calcium Channel Blockers / pharmacology*
  • Calcium Release Activated Calcium Channels / metabolism*
  • Calcium Signaling / physiology
  • Cell Line
  • Inflammation / metabolism
  • Interferon-gamma / pharmacology
  • Male
  • Mice
  • Microglia / drug effects*
  • Microglia / metabolism
  • NF-kappa B / metabolism
  • Nitric Oxide / metabolism
  • ORAI1 Protein / metabolism
  • Stromal Interaction Molecule 1 / metabolism

Substances

  • Calcium Channel Blockers
  • Calcium Release Activated Calcium Channels
  • NF-kappa B
  • ORAI1 Protein
  • Stromal Interaction Molecule 1
  • Nitric Oxide
  • Interferon-gamma
  • Calcium