Mechanism analysis of MPTP-induced Parkinson's disease-like pathology via the HPA axis–microglial glucocorticoid receptor pathway
Year: 2026
Type: article
Abstract: MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine) is a neurotoxicant widely used to model Parkinson's disease (PD). However, the mechanisms by which MPTP induces neuroinflammation and dopaminergic (DA) degeneration via the hypothalamic-pituitary-adrenal (HPA) axis remain incompletely understood. In this study, we established a mouse model of MPTP-induced neurotoxicity to investigate the associated pathological changes and underlying mechanisms. Behavioral assessments, Nissl staining, immunofluorescence, immunohistochemistry, ELISA, and Western blotting were employed. MPTP exposure significantly impaired motor coordination, reduced neuronal viability, and led to the loss of tyrosine hydroxylase (TH)-positive DA neurons in the substantia nigra (SN). MPTP also activated the HPA axis, as evidenced by elevated levels of corticotropin-releasing hormone (CRH), adrenocorticotropic hormone (ACTH), their respective receptors (CRHR, ACTHR), and glucocorticoids (GCs), along with reduced glucocorticoid receptor (GR) expression. Furthermore, MPTP promoted microglial activation and microglia-mediated neuroinflammation, characterized by upregulated expression of iNOS, TNF-α, IL-1β, and IL-6, and downregulated expression of Arg-1 and IL-10. Electroacupuncture (EA) intervention reversed these pathological changes. Notably, pharmacological activation of the HPA axis with Urocortin III counteracted the protective effects of EA, resulting in renewed DA neuron loss, reduced microglial GR expression, and exacerbated neuroinflammation. In summary, MPTP-induced PD is accompanied by HPA axis overactivation and downregulation of microglial GR signaling, suggesting that this pathway contributes to MPTP neurotoxicity. EA reversed these pathological changes. These findings provide new insights into the pathogenesis of environmental neurotoxin-induced PD.
Institutions: Shanxi University of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Indiana University Indianapolis, Indiana University School of Medicine, Indiana University – Purdue University Indianapolis, Fudan University, Huashan Hospital, Second Military Medical University
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,650
Awards: G1144520569, G1548495549
OpenAlex ID: W7204223022
