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The antipsychotic chlorpromazine reduces neuroinflammation by inhibiting microglial voltage‐gated potassium channels

Hee‐Yoon Lee, Young Lee, Chaelin Chung, Seo‐In Park, Hyo Jung Shin, Eun-hye Joe, Sung Joong Lee, Dong Woon Kim, Su‐Hyun Jo, Se‐Young Choi

2024Glia11 citationsDOIOpen Access PDF

Abstract

Neuroinflammation, the result of microglial activation, is associated with the pathogenesis of a wide range of psychiatric and neurological disorders. Recently, chlorpromazine (CPZ), a dopaminergic D2 receptor antagonist and schizophrenia therapy, was proposed to exert antiinflammatory effects in the central nervous system. Here, we report that the expression of Kv1.3 channel, which is abundant in T cells, is upregulated in microglia upon infection, and that CPZ specifically inhibits these channels to reduce neuroinflammation. In the mouse medial prefrontal cortex, we show that CPZ lessens Kv1.3 channel activity and reduces proinflammatory cytokine production. In mice treated with LPS, we found that CPZ was capable of alleviating both neuroinflammation and depression-like behavior. Our findings suggest that CPZ acts as a microglial Kv1.3 channel inhibitor and neuroinflammation modulator, thereby exerting therapeutic effects in neuroinflammatory psychiatric/neurological disorders.

Topics & Concepts

NeuroinflammationMicrogliaNeuroscienceProinflammatory cytokineDopaminergicPharmacologyNeurochemicalBiologyMedicineImmunologyDopamineInflammationNeuroinflammation and Neurodegeneration MechanismsTryptophan and brain disordersNeuroendocrine regulation and behavior