Literature DB >> 35228700

Long-term diazepam treatment enhances microglial spine engulfment and impairs cognitive performance via the mitochondrial 18 kDa translocator protein (TSPO).

Jochen Herms1,2,3, Mario M Dorostkar4,5, Yuan Shi6,7,8,9, Mochen Cui6,7,9, Katharina Ochs6,7, Matthias Brendel10, Felix L Strübing6,7, Nils Briel6,7,9, Florian Eckenweber10, Chengyu Zou6,7,11, Richard B Banati12,13, Guo-Jun Liu12,13, Ryan J Middleton12, Rainer Rupprecht14, Uwe Rudolph15, Hanns Ulrich Zeilhofer16,17, Gerhard Rammes18.   

Abstract

Benzodiazepines are widely administered drugs to treat anxiety and insomnia. In addition to tolerance development and abuse liability, their chronic use may cause cognitive impairment and increase the risk for dementia. However, the mechanism by which benzodiazepines might contribute to persistent cognitive decline remains unknown. Here we report that diazepam, a widely prescribed benzodiazepine, impairs the structural plasticity of dendritic spines, causing cognitive impairment in mice. Diazepam induces these deficits via the mitochondrial 18 kDa translocator protein (TSPO), rather than classical γ-aminobutyric acid type A receptors, which alters microglial morphology, and phagocytosis of synaptic material. Collectively, our findings demonstrate a mechanism by which TSPO ligands alter synaptic plasticity and, as a consequence, cause cognitive impairment.
© 2022. The Author(s), under exclusive licence to Springer Nature America, Inc.

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Year:  2022        PMID: 35228700     DOI: 10.1038/s41593-022-01013-9

Source DB:  PubMed          Journal:  Nat Neurosci        ISSN: 1097-6256            Impact factor:   28.771


  47 in total

Review 1.  Structural dynamics of dendritic spines in memory and cognition.

Authors:  Haruo Kasai; Masahiro Fukuda; Satoshi Watanabe; Akiko Hayashi-Takagi; Jun Noguchi
Journal:  Trends Neurosci       Date:  2010-03       Impact factor: 13.837

2.  Benzodiazepine Use and Risk of Developing Alzheimer's Disease: A Case-Control Study Based on Swiss Claims Data.

Authors:  Fabienne A Biétry; Alena M Pfeil; Oliver Reich; Matthias Schwenkglenks; Christoph R Meier
Journal:  CNS Drugs       Date:  2017-03       Impact factor: 5.749

3.  Benzodiazepine use and risk of dementia: evidence from the Caerphilly Prospective Study (CaPS).

Authors:  John Gallacher; Peter Elwood; Janet Pickering; Antony Bayer; Mark Fish; Yoav Ben-Shlomo
Journal:  J Epidemiol Community Health       Date:  2011-10-27       Impact factor: 3.710

Review 4.  Translocator protein (18kDa): new nomenclature for the peripheral-type benzodiazepine receptor based on its structure and molecular function.

Authors:  Vassilios Papadopoulos; Mario Baraldi; Tomás R Guilarte; Thomas B Knudsen; Jean-Jacques Lacapère; Peter Lindemann; Michael D Norenberg; David Nutt; Abraham Weizman; Ming-Rong Zhang; Moshe Gavish
Journal:  Trends Pharmacol Sci       Date:  2006-07-05       Impact factor: 14.819

5.  A Systematic Review and Meta-Analysis of the Risk of Dementia Associated with Benzodiazepine Use, After Controlling for Protopathic Bias.

Authors:  Ross Penninkilampi; Guy D Eslick
Journal:  CNS Drugs       Date:  2018-06       Impact factor: 5.749

6.  Cognitive effects of long-term benzodiazepine use: a meta-analysis.

Authors:  Melinda J Barker; Kenneth M Greenwood; Martin Jackson; Simon F Crowe
Journal:  CNS Drugs       Date:  2004       Impact factor: 5.749

7.  Diazepam impairs place learning in the Morris water maze.

Authors:  M P Arolfo; J D Brioni
Journal:  Behav Neural Biol       Date:  1991-01

Review 8.  Lost in translocation: the functions of the 18-kD translocator protein.

Authors:  Philipp Gut; Markus Zweckstetter; Richard B Banati
Journal:  Trends Endocrinol Metab       Date:  2015-05-28       Impact factor: 12.015

9.  Functional gains in energy and cell metabolism after TSPO gene insertion.

Authors:  Guo-Jun Liu; Ryan J Middleton; Winnie Wai-Ying Kam; David Y Chin; Claire R Hatty; Ronald H Y Chan; Richard B Banati
Journal:  Cell Cycle       Date:  2017-01-19       Impact factor: 4.534

10.  Benzodiazepine use and risk of incident dementia or cognitive decline: prospective population based study.

Authors:  Shelly L Gray; Sascha Dublin; Onchee Yu; Rod Walker; Melissa Anderson; Rebecca A Hubbard; Paul K Crane; Eric B Larson
Journal:  BMJ       Date:  2016-02-02
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  1 in total

Review 1.  Translocator protein (18kDa) TSPO: a new diagnostic or therapeutic target for stress-related disorders?

Authors:  Rainer Rupprecht; Christian H Wetzel; Mario Dorostkar; Jochen Herms; Nathalie L Albert; Jens Schwarzbach; Michael Schumacher; Inga D Neumann
Journal:  Mol Psychiatry       Date:  2022-04-20       Impact factor: 15.992

  1 in total

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