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Relationship: 3356
Title
LPS, increased leads to Increase, Inflammation
Upstream event
Downstream event
Key Event Relationship Overview
AOPs Referencing Relationship
| AOP Name | Adjacency | Weight of Evidence | Quantitative Understanding | Point of Contact | Author Status | OECD Status |
|---|---|---|---|---|---|---|
| Inhibition of neuropathy target esterase leading to delayed neuropathy via increased inflammation | adjacent | High | Brooke Bowe (send email) | Under development: Not open for comment. Do not cite |
Taxonomic Applicability
Sex Applicability
| Sex | Evidence |
|---|---|
| Unspecific |
Life Stage Applicability
Key Event Relationship Description
A concurrent mechanism for LPC-induced toxicity is believed to be via an increase in local inflammation which can be damaging to nervous tissues when it occurs at an excessive amount (Plemel, et al., 2018; McMurran, Zhao, & Franklin, 2019).
Evidence Collection Strategy
Literature reviews were conducted by searching through databases including PubMed and Google Scholar. Search terms included “organophosphates”, “OPIDN”, “OPIDP”, and “delayed neuropathy” used in combination with a variety of phrases such as “enzyme inhibition”, “demyelination”, “demyelinating lesions”, “weakness”, and “endogenous substrate.” After establishment of the general outline for the AOP, search terms broadened to commonly include the words “neuropathy target esterase”, “irreversible aging”, “lysolecithin”, “lysophosphatidylcholine”, “inflammation”, “chemokines”, “surfactant”, “membrane disruption”, “oligodendrocyte susceptibility”, and “oligodendrocyte death.” Exclusion criteria included publications that focused on nervous tissue damage that did not involve changes to oligodendrocytes or myelin considering that this pathway focused on a single mechanism of a larger overall AOP network, and the goal was to specifically focus on progression of demyelination causing delayed neuropathy. Additional resources were also identified in the references of publications explored during database searches and were used to further develop KEs.
Evidence Supporting this KER
LPC injections into mouse spinal cords have repeatedly led to a marked increase in CD4+ T cell, CD8+ T cell, neutrophil, monocyte/macrophage, and granulocyte levels compared to controls within 96 hours of exposure (Ousman & David, 2000; Plemel, et al., 2018; El Waly, Buttigieg, Karakus, Brustlein, & Debarbieux, 2020). Subsequent studies investigating the cause of this event have found that this elevation in leukocytes is a direct result of LPC’s upregulation in the expression of chemoattractant molecules. Spinal cord injections of LPC in mice rapidly resulted in increases of the chemokines MIP-1α, MCP-1, GM-CSF, and TNF-α in the nervous tissue. Further, antibodies blocking the expression of these molecules caused reductions in measured levels of activated macrophages, monocytes, T-cells, and neutrophils (Ousman & David, 2001). Together this data indicates that LPC’s upregulation in chemokines appears to be a key step in producing increased inflammation.
Biological Plausibility
Empirical Evidence
Uncertainties and Inconsistencies
Known modulating factors
Quantitative Understanding of the Linkage
Response-response Relationship
Time-scale
Known Feedforward/Feedback loops influencing this KER
Domain of Applicability
References
El Waly, B., Buttigieg, E., Karakus, C., Brustlein, S., & Debarbieux, F. (2020). Longitudinal Intravital Microscopy Reveals Axon Degeneration Concomitant With Inflammatory Cell Infiltration in an LPC Model of Demyelination. Frontiers in Cellular Neuroscience, 14, 165.
McMurran, C. E., Zhao, C., & Franklin, R. J. (2019). Toxin-Based Models to Investigate Demyelination and Remyelination. In D. A. Lyons, & L. Kegel, Oligodendrocytes: Methods and Protocols (pp. 377–396). Springer.
Ousman, S. S., & David, S. (2000). Lysophosphatidylcholine induces rapid recruitment and activation of macrophages in the adult mouse spinal cord. Glia, 30(1), 92-104.
Ousman, S. S., & David, S. (2001). MIP-1α, MCP-1, GM-CSF, and TNF-α Control the Immune Cell Response That Mediates Rapid Phagocytosis of Myelin from the Adult Mouse Spinal Cord. The Journal of Neuroscience, 21(13), 4649–4656.
Plemel, J. R., Michaels, N. J., Weishaupt, N., Caprariello, A. V., Keough, M. B., Rogers, J. A., . . . Yong, V. W. (2018). Mechanisms of lysophosphatidylcholine-induced demyelination: A primary lipid disrupting myelinopathy. Glia, 66(2), 327-347.