Lipopolysaccharides (LPS), known as endotoxins and lipoglycans, are the main part of the gram-negative bacteria outer membrane. LPS binds to the Toll-like receptors (TLRs) expressed by various types of cells in nervous system including neurons and glial cells and promotes the release of chemokines and pro-inflammatory factors such as tumor necrosis factor alpha (TNFα) and interlukin-1β (IL-1β) which ultimately induces neuroinflammation (
1-
3).
Preconditioning (PC) is a phenomenon in which different organs of the body like brain and heart will be protected against subsequent injurious damage by accommodating to low doses of harmful injuries. PC paradigms consist of low doses of endotoxins such as LPS, hypoxia, hypothermia, hyperthermia, anesthetics, 3-nitropropionic acid, etc.
The PC mitigates neuroinflammation which results in neuroprotection. For example, LPS preconditioning plays a key role in reducing inflammation-induced apoptosis in spinal cord injury that consequently leads to neuroprotection (
4). Although various mechanisms have been proposed for PC, the precise mechanism is unknown. Mitochondria as gate of cell death and survival, can play main role in PC mechanism (
5). Leading role of mitochondria in the PC mechanism has been mostly considered in heart, brain, and neurodegenerative disorders (
6,
7). Mitochondria produce adenosine tri-Phosphate (ATP) through electron transport chain (ETC) which are of particular importance to neurons (
8). Mitochondrial impairment and oxidative phosphorylation (OXPHOS) disruption are unequivocal causes of neurodegenerative diseases such as Alzheimer′s disease, Parkinson′s disease and Huntington disease (
9-
17). Inflammation impairs mitochondrial function that leads to mitochondrial DNA (mtDNA) deficiency, mitochondrial respiratory chain dysfunction and eventually cell death (
18-
20). Mitochondrial respiratory chain is central source of ROS generation and its dysfunction results in increment of ROS production which consequently causes oxidative stress, a robust stimulus for promoting inflammation (
21,
22). Therefore, mitochondrial dysfunction and excessive ROS production can lead to mitophagy and mitochondrial degradation (
23). It has been recently shown that LPS can stimulate autophagy and mitophagy through oxidative stress induction. Whereas, LPS-induced tolerance could increase protein level of mitochondrial CI and mitochondrial complex IV (CIV) in THP-1 cells (
24). The ETC, as a collection of proteins embedded in the inner mitochondrial membrane, is organized into five grand complexes named I to V. Passage of electrons from one complex of the transport chain to another lead to energy production. This process named proton gradient which is essential for ATP generation (
25). The largest complex of ETC, complex I (NADH-ubiquinone oxidoreductase), oxidizes nicotinamide adenine dinucleotide (NADH) to NAD
+ and produces 2 electron that subsequently transfer to complex III (CIII). Moreover, the CI pumps proton from matrix to intermembrane space for generation of proton gradient (
26). The CI is also the main origin of intracellular ROS, specifically in the brain’s mitochondria (
27). Thus, it is not surprising that the CI inhibition can result in energy failure and increase ROS levels dramatically (
8). Therefore, it has become evident that disturbance of mitochondrial CI function can cause the onset or progression of neurodegenerative disorders (
13,
28-
30). Given that the destructive effects of neuroinflammation on mitochondria may be attenuated by various mechanisms including generation of anti-inflammatory factors, preservation of mitochondrial integrity through mitophagy and production of new organelles by mitochondrial biogenesis (
31,
32). However, the exact mechanism of these compensatory responses is unknown. Therefore, regarding the role of CI in OXPHOS machinery; here, we are going to reveal the role of mitochondrial CI in the mechanism underlying LPS-PC neuroprotection.