Brain Behav Immun. 2026 Feb 16. pii: S0889-1591(26)00242-4. [Epub ahead of print]135
106494
BACKGROUND: Neonatal inflammation increases the risk of adult depression, but the mechanisms remain unclear. Under the two-hit hypothesis, early-life inflammation may enhance vulnerability to later-life stress. Whether neonatal inflammation induces depression susceptibility via microglial priming, and the molecular basis of this process, remain unknown.
METHODS: Neonatal mice (postnatal day 4) received intraperitoneal injections of lipopolysaccharide (LPS; 10, 50, or 100 μg/kg) or saline. In adulthood, mice were exposed to a subthreshold 2-week chronic unpredictable mild stress (CUMS) paradigm. Depression-like behaviors, microglial priming, molecular alterations, and DNA methylation were assessed. Genetic (Bag3 knockout) and pharmacological (minocycline; S-adenosylmethionine, SAM) interventions were applied.
RESULTS: Neonatal exposure to a moderate dose of LPS (50 μg/kg), but not lower or higher doses, selectively increased susceptibility to adult depression-like behaviors and induced microglial priming in the ventral hippocampus (vHPC). Subthreshold CUMS alone failed to induce microglial activation or depressive phenotypes, but robustly activated primed vHPC microglia, triggered neuroinflammation, and precipitated depressive-like behaviors in neonatally LPS-exposed mice; these effects were fully reversed by minocycline. Neonatal moderate LPS induced sustained BAG3 upregulation in the vHPC. Genetic deletion of Bag3 abolished microglial priming and depression susceptibility. At the epigenetic level, neonatal moderate LPS caused persistent hypomethylation of the Bag3 promoter, which was reversed by SAM supplementation.
CONCLUSION: Moderate neonatal inflammation establishes a BAG3-dependent microglial primed state in the vHPC via persistent epigenetic remodeling, thereby enhancing vulnerability to adult stress-induced depression. These findings identify BAG3-centered epigenetic-microglial crosstalk as a critical mechanistic hub linking early-life inflammation to later depression susceptibility.
Keywords: BAG3; DNA methylation; Depressive susceptibility; Microglia priming; Neonatal inflammation; Neuroinflammation; Ventral hippocampus