Patients with high inflammatory tendency induced by malignant stimulation through imbalance of CD28 and CTLA-4 / PD-1 leading to dopamine neuron injury
Abstract Background Parkinson's Disease is a common neurodegenerative disease in elderly. Parkinson's Disease patients were supposed to have a higher risk of malignant transformation, however, actually the incidence of various cancers in Parkinson's Disease patients is significantly lower than common people.Parkinson's Disease patients are individuals with a high tendency of inflammation, whose peripheral immune represented in an activated state. The secretion of inflammatory factors in peripheral blood of Parkinson's Disease patients is significantly increased. We hypothesized that the hyperinflammatory predisposition of Parkinson's Disease patients is one of pathogenesis. Method: DBA/1 mice were used to simulate highly inflammatory individuals, and the carcinogen DEN was treated for malignant stimulation.HE staining was used to observe the formation of lung tumors.Apoptosis of neurons was observed by TUNEL staining.Immunohistochemical and Flow cytometrywere used to observed the expression of CD4, CD28, MHCII, CTLA-4 and PD-1. IBA-1 + iNOS was used to label M1 type microglias, and IBA-1 + Arg1 was used to label M2 type microglias by immunofluorescence. The contents of pro-inflammatory cytokines TNF-α, IL-1β and anti-inflammatory cytokines IL-10 and IL-4 in serum and brain tissues of mice in each group were detected by ELISA. Results DBA/1 mice with high inflammatory tendency showed continuous increasing of peripheral inflammation, promoting of intracranial inflammation, decreasing the tumor incidence and increasing the neurodegeneration under induction of malignant change.CD28 and CTLA-4/PD-1 reduced the T-cell-dominated inflammatory response, reduce intracerebral inflammatory response, protected the neurodegeneration, and increased the incidence of tumor.Combination of CTLA-4 and PD-1 blocker can over-activate T cells, worsen peripheral and intracranial inflammation, reduce the incidence of tumor, and cause damage to dopamine neurons, promotethe occurrence of neurodegeneration. Conclusions High inflammatory tendency induced by malignant stimulation through imbalance of CD28 and CTLA-4 / PD-1 leading to dopamine neuron injury.