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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Genet.</journal-id>
<journal-title>Frontiers in Genetics</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Genet.</abbrev-journal-title>
<issn pub-type="epub">1664-8021</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1634202</article-id>
<article-id pub-id-type="doi">10.3389/fgene.2025.1634202</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Genetics</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Ethanol-induced changes in neurotrophic and immune genes are regulated by receptor-type protein tyrosine phosphatase &#x3b2;/&#x3b6; (RPTP&#x3b2;/&#x3b6;) and microglial-neuronal interactions</article-title>
<alt-title alt-title-type="left-running-head">Penedo et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fgene.2025.1634202">10.3389/fgene.2025.1634202</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Penedo</surname>
<given-names>Mar&#xed;a Ar&#xe1;nzazu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3072620/overview"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Ca&#xf1;eque-Rufo</surname>
<given-names>H&#xe9;ctor</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2906759/overview"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Gramage</surname>
<given-names>Esther</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Herrad&#xf3;n</surname>
<given-names>Gonzalo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/593815/overview"/>
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<aff id="aff1">
<sup>1</sup>
<institution>Department of Health and Pharmaceutical Sciences</institution>, <institution>School of Pharmacy</institution>, <institution>Universidad San Pablo-CEU</institution>, <institution>CEU Universities</institution>, <addr-line>Madrid</addr-line>, <country>Spain</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Red de Investigaci&#xf3;n en Atenci&#xf3;n Primaria de Adicciones</institution>, <institution>Instituto de Salud Carlos III</institution>, <institution>MICINN and FEDER</institution>, <addr-line>Madrid</addr-line>, <country>Spain</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Chemistry and Biochemistry</institution>, <institution>School of Pharmacy</institution>, <institution>Universidad San Pablo-CEU</institution>, <institution>CEU Universities</institution>, <addr-line>Madrid</addr-line>, <country>Spain</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Instituto de Estudios de las Adicciones</institution>, <institution>Universidad San Pablo-CEU</institution>, <institution>CEU Universities</institution>, <addr-line>Madrid</addr-line>, <country>Spain</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/671063/overview">Maria S. Garcia-Gutierrez</ext-link>, Miguel Hern&#xe1;ndez University of Elche, Spain</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/117292/overview">Fernando Rodriguez De Fonseca</ext-link>, University of Malaga, Spain</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/644664/overview">Esther Caparr&#xf3;s</ext-link>, Miguel Hern&#xe1;ndez University of Elche, Spain</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Gonzalo Herrad&#xf3;n, <email>herradon@ceu.es</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1634202</elocation-id>
<history>
<date date-type="received">
<day>23</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>18</day>
<month>07</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Penedo, Ca&#xf1;eque-Rufo, Gramage and Herrad&#xf3;n.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Penedo, Ca&#xf1;eque-Rufo, Gramage and Herrad&#xf3;n</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Microglial cells are key mediators of ethanol-induced neuroinflammation through the release of proinflammatory cytokines and activation of Toll-like receptors. Recently, the signaling pathway initiated by the interaction of the neurotrophic factors pleiotrophin (PTN) and midkine (MK) with receptor-type protein tyrosine phosphatase &#x3b2;/&#x3b6; (RPTP&#x3b2;/&#x3b6;) has emerged as a pharmacological target in ethanol-induced neuroinflammatory and neurodegenerative processes. However, the underlying molecular mechanisms remain unclear. In this study, we developed a human co-culture system composed of differentiated SH-SY5Y neuronal cells and HMC3 microglial cells to simulate microglial-neuronal interactions during ethanol exposure. In HMC3 cells, <italic>PTN</italic> mRNA expression levels were significantly upregulated by ethanol exposure, whereas <italic>MK</italic> levels were not altered. In contrast, ethanol exposure caused a significant downregulation of <italic>MK</italic> expression in co-cultures. In general, ethanol increased the expression of inflammatory genes in monocultures of HMC3 cells but not in SH-SY5Y cells. In addition, ethanol exposure caused a highly significant upregulation of <italic>TLR3</italic> and <italic>TLR4</italic> in HMC3 cells, which was absent in co-cultures. We also observed a significant attenuation of ethanol-induced increases of inflammatory markers such as <italic>IL-1&#x3b2;</italic> and <italic>CCL2 in</italic> co-cultures, indicating the regulatory role of neuronal-microglial interactions. In conclusion, our study provides novel insights into the modulatory actions of microglial-neuronal interactions in ethanol-induced neuroimmune responses and suggests the therapeutic potential of the PTN/RPTP&#x3b2;/&#x3b6; signaling pathway to prevent the deleterious effects of alcohol on the brain.</p>
</abstract>
<kwd-group>
<kwd>alcohol</kwd>
<kwd>RPTP&#x3b2;/&#x3b6;</kwd>
<kwd>co-culture</kwd>
<kwd>neuroinflammation</kwd>
<kwd>pleiotrophin</kwd>
<kwd>midkine</kwd>
</kwd-group>
<counts>
<page-count count="10"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Genetics of Aging</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Alcohol consumption remains a critical public health concern due to its profound and lasting effects on the brain. Excessive intake has been shown to exert direct neurotoxic effects and to trigger persistent neuroinflammatory processes that contribute to neurodegeneration (<xref ref-type="bibr" rid="B33">Pascual et al., 2021</xref>). Neuroimmune responses, particularly those mediated by sustained microglial activation and the synthesis and release of pro-inflammatory cytokines, play a central role in this chronic inflammatory state, which can persist even after alcohol withdrawal (<xref ref-type="bibr" rid="B12">Crews et al., 2024</xref>; <xref ref-type="bibr" rid="B14">Crews et al., 2011</xref>). Over time, this environment may disrupt synaptic plasticity and neurogenesis, leading to cognitive and motor impairments, and contributing to the onset and progression of various neurodegenerative disorders, including alcohol-related cognitive decline (<xref ref-type="bibr" rid="B11">Crews, 2012</xref>; <xref ref-type="bibr" rid="B34">Pascual et al., 2018</xref>; <xref ref-type="bibr" rid="B43">Walter and Crews, 2017</xref>).</p>
<p>Understanding the molecular mechanisms involved in alcohol-induced neuroinflammation in humans presents considerable ethical and methodological challenges. Numerous studies have reported alterations at both the cellular and microenvironmental levels of the central nervous system (CNS), as well as behavioral changes associated with alcohol use disorder (AUD) (<xref ref-type="bibr" rid="B34">Pascual et al., 2018</xref>; <xref ref-type="bibr" rid="B27">Hartung, 2009</xref>; <xref ref-type="bibr" rid="B43">Walter and Crews, 2017</xref>). However, most of these investigations have focused on descriptive characterizations, and the specific mechanisms driving these changes are still poorly understood. In this context, <italic>in vitro</italic> cellular models offer a valuable alternative for exploring molecular pathways and evaluating novel therapeutic strategies (<xref ref-type="bibr" rid="B24">Goshi et al., 2020</xref>). Particularly promising are co-culture systems, which recreate physiologically relevant interactions between key CNS cell types (<xref ref-type="bibr" rid="B25">Gresa-Arribas et al., 2012</xref>; <xref ref-type="bibr" rid="B38">Roqu&#xe9; and Costa, 2017</xref>). Among them, the interplay between dopaminergic neurons and microglia appears to be especially important in mediating the inflammatory and neurotoxic responses to ethanol exposure (<xref ref-type="bibr" rid="B3">Alfonso-Loeches et al., 2010</xref>; <xref ref-type="bibr" rid="B10">Correa et al., 2013</xref>; <xref ref-type="bibr" rid="B30">Kraft and Harry, 2011</xref>).</p>
<p>Recently, the signaling pathway initiated by the interaction of pleiotrophin (PTN) and midkine (MK) with receptor-type protein tyrosine phosphatase &#x3b2;/&#x3b6; (RPTP&#x3b2;/&#x3b6;), also known as PTPRZ1, has emerged as a molecular axis of interest in neuroinflammatory and neurodegenerative processes. PTN and MK are neurotrophic factors and endogenous inhibitors of the tyrosine phosphatase activity of RPTP&#x3b2;/&#x3b6; (<xref ref-type="bibr" rid="B29">Herradon et al., 2019</xref>). This receptor regulates interactions between glial and neuronal cells (<xref ref-type="bibr" rid="B15">Del Campo et al., 2021</xref>), and its pharmacological modulation is being explored as a promising strategy to mitigate alcohol-induced neuropathology (<xref ref-type="bibr" rid="B20">Fern&#xe1;ndez-Calle et al., 2018</xref>; <xref ref-type="bibr" rid="B23">Gal&#xe1;n-LLario et al., 2023a</xref>; <xref ref-type="bibr" rid="B22">Gal&#xe1;n-LLario et al., 2023b</xref>; <xref ref-type="bibr" rid="B21">Gal&#xe1;n-LLario et al., 2024</xref>; <xref ref-type="bibr" rid="B37">Rodr&#xed;guez-Zapata et al., 2023</xref>). To further characterize the functional roles of RPTP&#x3b2;/&#x3b6;, our group designed and synthesized MY10, a selective inhibitor that interacts with its intracellular PD1 domain, effectively inactivating the tyrosine phosphatase activity of RPTP&#x3b2;/&#x3b6; (<xref ref-type="bibr" rid="B35">Pastor et al., 2018</xref>).</p>
<p>Preclinical studies have shown that treatment with MY10 reduces alcohol consumption and blocks conditioned place preference, suggesting a targeted action on alcohol-related reward mechanisms (<xref ref-type="bibr" rid="B6">Calleja-Conde et al., 2020</xref>; <xref ref-type="bibr" rid="B20">Fern&#xe1;ndez-Calle et al., 2018</xref>). Additionally, MY10 modulates gene expression in the prefrontal cortex, likely through the regulation of PTN and MK signaling pathways (<xref ref-type="bibr" rid="B19">Fern&#xe1;ndez-Calle et al., 2017</xref>; <xref ref-type="bibr" rid="B17">Fern&#xe1;ndez-Calle et al., 2020</xref>; <xref ref-type="bibr" rid="B28">Herrad&#xf3;n and P&#xe9;rez-Garc&#xed;a, 2014</xref>). In addition, MY10 has demonstrated significant neuroprotective effects against ethanol-induced neuroinflammation. Recent findings demonstrate that MY10 also prevents ethanol-induced impairments in adolescent hippocampal neurogenesis, attenuates microglial reactivity, and modulates the organization of perineuronal nets (PNNs), with some effects showing sex-dependent variability (<xref ref-type="bibr" rid="B23">Gal&#xe1;n-Llario et al., 2023a</xref>; <xref ref-type="bibr" rid="B22">Gal&#xe1;n-LLario et al., 2023b</xref>; <xref ref-type="bibr" rid="B21">Gal&#xe1;n-LLario et al., 2024</xref>). Further supporting its mechanism of action, PTN overexpression has been found to reproduce both the neuroprotective and ethanol-suppressive effects of MY10 (<xref ref-type="bibr" rid="B21">Gal&#xe1;n-Llario et al., 2024</xref>).</p>
<p>The present study uses a human <italic>in vitro</italic> co-culture model composed of dopaminergic neurons and microglia, designed to simulate ethanol-induced neuroinflammation and to characterize the role of RPTP&#x3b2;/&#x3b6; in this process. This model enables the study of neuron&#x2013;glia crosstalk, a fundamental component of ethanol-driven neuroinflammatory processes, and allows the evaluation of pharmacological candidates such as MY10. The findings provide substantial evidence that neuron&#x2013;microglia interactions critically influence the responses to ethanol, representing a meaningful advancement in the development of physiologically relevant platforms for investigating alcohol-induced neuropathology.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Cell cultures</title>
<p>Human SH-SY5Y neuroblastoma cells and HMC3 human microglial cells (generously provided by Dr. Marta del Campo, ATCC) were used in this study.</p>
<sec id="s2-1-1">
<title>2.1.1 SH-SY5Y cells</title>
<p>SH-SY5Y cells were cultured in T-75 flasks at 37&#xb0;C in a humidified atmosphere containing 5% CO<sub>2</sub>. To induce dopaminergic neuronal differentiation (<xref ref-type="fig" rid="F1">Figure 1</xref>), cells were treated with 1:500&#xa0;&#xb5;M retinoic acid (RA, Thermo Fisher, United States) for 3&#x2013;4&#xa0;days in proliferation medium consisting of Dulbecco&#x2019;s Modified Eagle&#x2019;s Medium (DMEM, Biowest, France) supplemented with 10% Fetal Bovine Serum (FBS, Sigma-Aldrich, United States) and 1% penicillin/streptomycin (100&#xa0;U/ml-100&#xa0;&#x3bc;g/mL; Gibco, United States). After this initial phase, 5 &#xd7; 10<sup>5</sup> SH-SY5Y cells/well were seeded into 6-well treated culture plates (WVR, United States) and maintained additionally for 7&#xa0;days in DMEM proliferation medium with RA. Medium was replaced every 2&#x2013;3&#xa0;days to maintain optimal differentiation conditions. Neuronal maturation was subsequently achieved by incubating cells for 14&#xa0;days in maturation medium composed of Neurobasal (Gibco, United States), B-27 supplement (Gibco, United States), and 1% penicillin/streptomycin (Sigma-Aldrich, United States) with RA.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Schematic representation of the protocol implemented for the establishment of the SH-SY5Y and HMC3 co-culture.</p>
</caption>
<graphic xlink:href="fgene-16-1634202-g001.tif">
<alt-text content-type="machine-generated">Diagram illustrating a six-step process for neuronal culture. Step 1: Seeding SH-SY5Y cells in a flask. Step 2: Differentiation into dopaminergic neurons using proliferation medium and retinoic acid over three to four days. Step 3: Seeding 500,000 cells per well, cultured for three days. Step 4: Maturation for two weeks with maturation medium and retinoic acid. Step 5: Mature neurons seeding with HMC3 cells at a 1:16 ratio, showing cell structure. Step 6: Co-culture of neurons and HMC3 cells in a dish at a 1:8 ratio, observed after 24 hours.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s2-1-2">
<title>2.1.2 HMC3 cells</title>
<p>5 &#xd7; 10<sup>5</sup> HMC3 microglial cells/well were cultured in 6-well plates using proliferation medium and maintained at 37&#xb0;C in a humidified incubator with 5% CO<sub>2</sub>.</p>
</sec>
<sec id="s2-1-3">
<title>2.1.3 SH-SY5Y and HMC3 co-culture</title>
<p>Once SH-SY5Y cells had ceased proliferation and exhibited mature neuronal morphology, HMC3 microglial cells were added to the culture at an initial ratio of 1:16 (HMC3:SH-SY5Y). The co-culture was maintained in neuronal maturation medium for 24&#xa0;h to allow HMC3 cells to adhere and establish cellular contacts and to acclimate to promote adaptation. Subsequently, HMC3 cells were permitted to proliferate within the co-culture until a final ratio of 1:8 (HMC3:SH-SY5Y) was reached.</p>
</sec>
</sec>
<sec id="s2-2">
<title>2.2 Immunofluorescence</title>
<p>Immunofluorescence staining assays were performed to confirm the SH-SY5Y and HMC3 co-culture (see <xref ref-type="sec" rid="s11">Supplementary Figure S1</xref>). Cells were washed with phosphate-buffered saline (PBS, pH 7.4) and <italic>fixed with 4% paraformaldehyde for 5&#xa0;min at room temperature</italic>. Cells were then permeabilized and blocked using a solution containing 10% Normal Goat Serum (NGS, Abcam, United States) and 10% Bovine Serum Albumin (BSA, Sigma-Aldrich, United States), and 0,2% Triton X-100 in PBS for 1&#xa0;h. Neuronal cells were identified using a primary antibody against MAP-2 (Ab221693, Abcam, United Kingdom), while microglial cells were labeled with an anti-IBA1 antibody (Ab5076, Abcam, United Kingdom). Secondary antibody incubation was carried out using Alexa Fluor 488-conjugated anti-rabbit IgG (A21206, Thermo Fisher, United States) and Alexa Fluor 555-conjugated anti-goat IgG (705-565-147, Jackson Immuno Research, United Kingdom). Nuclear staining was performed with DAPI (D1306, Invitrogen, United States). Coverslips were mounted with mounting medium and imaged using a fluorescence microscope (Leica DM5500).</p>
</sec>
<sec id="s2-3">
<title>2.3 Determination of the expression levels of neurotrophic and immune genes</title>
<p>Cultures were exposed to 100&#xa0;mM ethanol for 24&#xa0;h, using a 4% ethanol chamber to maintain ethanol concentration (<xref ref-type="bibr" rid="B8">Coleman, et al., 2017</xref>). Three experimental groups were evaluated: SH-SY5Y monoculture, HMC3 monoculture, and SH-SY5Y &#x2b; HMC3 co-culture. To evaluate the potential effects of RPTP&#x3b2;/&#x3b6; inhibition, cultures were treated with MY10 at concentrations of 0.1 &#xb5;M, 1&#xa0;&#x3bc;M, and 10&#xa0;&#x3bc;M, diluted in DMSO (final concentrations range: 0.0005%&#x2013;0.05%) (Sigma-Aldrich, United States). Control groups received as vehicle 0.05% DMSO. Each experimental condition was tested in five independent biological replicates, with three technical replicates per group.</p>
<p>Following treatment, adherent cells were washed with PBS (pH 7.4) and lysed using TRIzol Reagent (Thermo Fisher, United States). Total RNA was isolated using the RNeasy Mini Kit (Qiagen, Germany), following the manufacturers protocol. First-strand cDNA was synthesized using the First-Strand cDNA Synthesis Kit (NZYTech, Portugal). Quantitative real-time PCR (qPCR) analysis was performed using the SYBR Green detection method (&#x23;1725272, Bio-Rad, United States) on a CFX96 Real-Time PCR Detection System (Bio-Rad, United States). The relative expression of each target gene was normalized using three housekeeping genes: RPL30, HPRT, and PKM. Primer sequences designed and used for amplification are listed in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Primer sequences used for qPCR analysis.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">Gen</th>
<th align="center">Forward Primer 5&#x2019;-3&#x2019;</th>
<th align="center">Reverse Primer 5&#x2019;-3&#x2019;</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">
<italic>RPL30</italic>
</td>
<td align="center">AAG&#x200b;ACG&#x200b;AAA&#x200b;AAG&#x200b;TCG&#x200b;CTG&#x200b;GA</td>
<td align="center">AAA&#x200b;GCT&#x200b;GGG&#x200b;CAG&#x200b;TTG&#x200b;TTA&#x200b;GC</td>
</tr>
<tr>
<td align="center">
<italic>HPRT</italic>
</td>
<td align="center">CAG&#x200b;GCC&#x200b;AGA&#x200b;CTT&#x200b;TGT&#x200b;TGG&#x200b;AT</td>
<td align="center">TTG&#x200b;CGC&#x200b;TCA&#x200b;TCT&#x200b;TAG&#x200b;GCT&#x200b;TT</td>
</tr>
<tr>
<td align="center">
<italic>PKM</italic>
</td>
<td align="center">GGTTCGGAGGTTTGATGA</td>
<td align="center">GGC&#x200b;TTC&#x200b;TTG&#x200b;ATC&#x200b;ATG&#x200b;CTC&#x200b;T</td>
</tr>
<tr>
<td align="center">
<italic>PTN</italic>
</td>
<td align="center">ACA&#x200b;ATG&#x200b;CCG&#x200b;AAT&#x200b;GCC&#x200b;AGA&#x200b;AG</td>
<td align="center">AGG&#x200b;TTT&#x200b;GGG&#x200b;CTT&#x200b;GGT&#x200b;CAG&#x200b;TT</td>
</tr>
<tr>
<td align="center">
<italic>MDK</italic>
</td>
<td align="center">TTC&#x200b;CTC&#x200b;CTC&#x200b;CTC&#x200b;ACC&#x200b;CTC&#x200b;C</td>
<td align="center">TCC&#x200b;TTC&#x200b;TTC&#x200b;CAG&#x200b;TTG&#x200b;CAG&#x200b;GG</td>
</tr>
<tr>
<td align="center">
<italic>HMGB1</italic>
</td>
<td align="center">TAT&#x200b;GGC&#x200b;AAA&#x200b;AGC&#x200b;GGA&#x200b;CAA&#x200b;GG</td>
<td align="center">TTT&#x200b;GGG&#x200b;CGA&#x200b;TAC&#x200b;TCA&#x200b;GAG&#x200b;CA</td>
</tr>
<tr>
<td align="center">
<italic>CCL2</italic>
</td>
<td align="center">CAT&#x200b;GAA&#x200b;AGT&#x200b;CTC&#x200b;TGC&#x200b;CGC&#x200b;C</td>
<td align="center">GGT&#x200b;GAT&#x200b;TCT&#x200b;TCT&#x200b;ATA&#x200b;GCT&#x200b;CGC&#x200b;G</td>
</tr>
<tr>
<td align="center">
<italic>iNOS</italic>
</td>
<td align="center">GCT&#x200b;GTG&#x200b;CTC&#x200b;CAT&#x200b;AGT&#x200b;TTC&#x200b;CAG</td>
<td align="center">GGT&#x200b;GAT&#x200b;GCT&#x200b;CCC&#x200b;AGA&#x200b;CAT&#x200b;G</td>
</tr>
<tr>
<td align="center" style="color:#000000">
<italic>TNF&#x3b1;</italic>
</td>
<td align="center">GAA&#x200b;CCC&#x200b;CGA&#x200b;GTG&#x200b;ACA&#x200b;AGC&#x200b;C</td>
<td align="center">AGG&#x200b;ACC&#x200b;TGG&#x200b;GAG&#x200b;TAG&#x200b;ATG&#x200b;AGG</td>
</tr>
<tr>
<td align="center">IL-1&#x3b2;</td>
<td align="center">ACA&#x200b;CAT&#x200b;GGG&#x200b;ATA&#x200b;ACG&#x200b;AGG&#x200b;CT</td>
<td align="center">ACG&#x200b;CAG&#x200b;GAC&#x200b;AGG&#x200b;TAC&#x200b;AGA&#x200b;TT</td>
</tr>
<tr>
<td align="center">
<italic>TLR3</italic>
</td>
<td align="center">GAA&#x200b;CCT&#x200b;CCA&#x200b;GCA&#x200b;CAA&#x200b;TGA&#x200b;GC</td>
<td align="center">TGA&#x200b;CAA&#x200b;GCC&#x200b;ATT&#x200b;ATG&#x200b;AGA&#x200b;CAG&#x200b;A</td>
</tr>
<tr>
<td align="center">
<italic>TLR4</italic>
</td>
<td align="center">CAA&#x200b;AAT&#x200b;CCC&#x200b;CGA&#x200b;CAA&#x200b;CCT&#x200b;CC</td>
<td align="center">AGT&#x200b;CCA&#x200b;GAA&#x200b;AAG&#x200b;GCT&#x200b;CCC&#x200b;AG</td>
</tr>
<tr>
<td align="center">
<italic>TLR7</italic>
</td>
<td align="center">CAC&#x200b;TCC&#x200b;ATG&#x200b;CCA&#x200b;TCA&#x200b;AGA&#x200b;AAG&#x200b;T</td>
<td align="center">TGG&#x200b;AAT&#x200b;GTA&#x200b;GAG&#x200b;GTC&#x200b;TGG&#x200b;TTG&#x200b;A</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>
<italic>RPL30</italic>: Ribosomal protein L30; <italic>HPRT</italic>: Hypoxanthine-Guanine Phosphoribosyltransferase; <italic>PKM</italic>: pyruvate kinase M1/2; <italic>PTN</italic>: Pleiotrophin; <italic>MK</italic>: Midkine; <italic>HMGB1</italic>: high mobility group box 1; <italic>CCL2</italic>: C-C motif Chemokine ligand 2; <italic>iNOS</italic>: Inducible Nitric Oxide Synthase; <italic>TNF&#x3b1;</italic>: tumor necrosis factor &#x3b1;; <italic>IL-1&#x3b2;</italic>: Interleukin 1 beta; TLR3: toll-like receptor 3; <italic>TLR4</italic>: toll-like receptor 4; <italic>TLR7</italic>: toll-like receptor 7.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s2-4">
<title>2.4 Statistical analysis</title>
<p>All statistical analyses were performed using GraphPad Prism version 10 (GraphPad Software, United States). Data are presented as mean &#xb1; standard error of the mean (SEM). T-Student tests were used for targeted analysis of genes associated with the RPTP&#x3b2;/&#x3b6; pathway. For experiments involving multiple conditions, two-way ANOVA were conducted considering ethanol exposure and MY10 treatment as variables, followed by Bonferroni&#x2019;s <italic>Post-hoc</italic> correction for multiple comparisons. A <italic>P</italic>-value &#x3c;0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Modulation of the components of the PTN/MK/RPTP&#x3b2;&#x3b6; axis following ethanol exposure</title>
<p>We evaluated the transcriptional response of the RPTP&#x3b2;&#x3b6; endogenous ligands <italic>PTN</italic> and <italic>MK</italic>, after 24-h exposure to 100&#xa0;mM ethanol in three <italic>in vitro</italic> cellular models (<xref ref-type="fig" rid="F2">Figure 2</xref>). Our results revealed that ethanol did not induce significant changes in the expression levels of these cytokines in SH-SY5Y dopaminergic neurons (<xref ref-type="fig" rid="F2">Figures 2a,d</xref>). However, in HMC3 cells, <italic>PTN</italic> mRNA expression levels were significantly upregulated compared to untreated controls (<xref ref-type="fig" rid="F2">Figure 2b</xref>; <italic>t</italic> &#x3d; 3.149; <italic>P</italic> &#x3d; 0.0042). In contrast, <italic>MK</italic> mRNA expression levels were not altered by ethanol exposure in microglial cells (<xref ref-type="fig" rid="F2">Figure 2e</xref>). Interestingly, in the neuron-microglia co-culture system, ethanol exposure caused a significant downregulation of <italic>MK</italic> expression (<xref ref-type="fig" rid="F2">Figure 2f</xref>; <italic>t</italic> &#x3d; 2.162; <italic>P</italic> &#x3d; 0.04), without altering <italic>PTN</italic> levels (<xref ref-type="fig" rid="F2">Figure 2c</xref>). The data suggest that neuron-microglia interactions modulate the microglial response to ethanol and highlight the importance of cellular crosstalk in shaping proinflammatory signaling.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Effect of 24-h ethanol exposure (100&#xa0;mM) on <italic>PTN and MK</italic> expression in neurons, microglia and co-cultures. <italic>PTN</italic> mRNA expression in SH-SY5Y cells <bold>(a)</bold>, HMC3 cells <bold>(b)</bold>, and co-culture <bold>(c)</bold>. <italic>MK</italic> mRNA expression in SH-SY5Y cells <bold>(d)</bold>, HMC3 cells <bold>(e)</bold>, and co-culture <bold>(f)</bold>. Data are presented as mean &#xb1; SEM. &#x2a;<italic>P</italic> &#x3c; 0,05; &#x2a;&#x2a;<italic>P</italic> &#x3c; 0,01. NT: no treatment; EtOH: ethanol.</p>
</caption>
<graphic xlink:href="fgene-16-1634202-g002.tif">
<alt-text content-type="machine-generated">Bar graphs depicting PTN and MK mRNA fold changes in SH-SY5Y, HMC3, and combined SH-SY5Y + HMC3 cells with non-treated (NT) and ethanol (EtOH) conditions. Significant changes denoted by asterisks. Panels a-c show PTN data, while d-f show MK data.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 Impact of pharmacological inhibition of RPTP&#x3b2;&#x3b6; by MY10 on ethanol-induced neuroinflammation</title>
<p>To investigate the potential modulatory actions of MY10 on ethanol effects, we analyzed the expression of key proinflammatory genes in SH-SY5Y cells, HMC3 cells, and the co-culture of both in response to ethanol and different concentrations of MY10 (0.1&#xa0;&#x3bc;M, 1&#xa0;&#x3bc;M, and 10&#xa0;&#x3bc;M) (<xref ref-type="fig" rid="F3">Figure 3</xref>). Two-way ANOVA did not reveal significant effects of ethanol or the treatment with MY10 on the mRNA expression levels of <italic>HMGB1</italic> in any of the cell systems evaluated (<xref ref-type="fig" rid="F3">Figures 3a&#x2013;c</xref>). Interestingly, ethanol exposure significantly affected <italic>CCL2</italic> mRNA levels (<xref ref-type="fig" rid="F3">Figures 3d&#x2013;f</xref>). Specifically, ethanol caused a significant upregulation of <italic>CCL2</italic> levels in HMC3 microglial cells (<italic>F</italic> (1,107) &#x3d; 29.62; <italic>P</italic> &#x3c; 0.0001; <xref ref-type="fig" rid="F3">Figure 3e</xref>). However, a significant downregulation was observed in SH-SY5Y neuronal cells (<italic>F</italic> (1,110) &#x3d; 9.931; <italic>P</italic> &#x3d; 0.0021; <xref ref-type="fig" rid="F3">Figure 3d</xref>), and in the co-culture of neurons and microglia (<italic>F</italic> (1,106) &#x3d; 10.72; <italic>P</italic> &#x3d; 0.0014; <xref ref-type="fig" rid="F3">Figure 3f</xref>). The two-way ANOVA performed with <italic>iNOS</italic> mRNA levels data only rendered a significant effect of ethanol exposure in SH-SY5Y cells (<italic>F</italic> (1,104) &#x3d; 12.9; <italic>P</italic> &#x3d; 0.0005), in which <italic>iNOS</italic> expression was upregulated by ethanol exposure (<xref ref-type="fig" rid="F3">Figure 3g</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Effect of 24-h ethanol exposure (100&#xa0;mM) and MY10 treatment on the expression of inflammatory genes in neurons, microglia and co-cultures. <italic>HMGB1</italic> mRNA expression in SH-SY5Y cells <bold>(a)</bold>, HMC3 cells <bold>(b)</bold>, and co-culture <bold>(c)</bold>. <italic>CCL2</italic> mRNA expression in SH-SY5Y cells <bold>(d)</bold>, HMC3 cells <bold>(e)</bold>, and co-culture <bold>(f)</bold>. <italic>iNOS</italic> mRNA expression in SH-SY5Y cells <bold>(g)</bold>, HMC3 cells <bold>(h)</bold>, and co-culture <bold>(i)</bold>. <italic>TNF&#x3b1;</italic> mRNA expression in SH-SY5Y cells <bold>(j)</bold>, HMC3 cells <bold>(k)</bold>, and co-culture <bold>(l)</bold>. <italic>IL-1&#x3b2;</italic> mRNA expression in SH-SY5Y cells <bold>(m)</bold>, HMC3 cells <bold>(n)</bold>, and co-culture <bold>(o)</bold>. Data are presented as mean &#xb1; SEM. &#x2a;P &#x3c; 0.05, &#x2a;&#x2a;&#x2a;P &#x3c; 0.001. <sup>&#x23;&#x23;</sup>
<italic>P</italic> &#x3c; 0.01, <sup>&#x23;&#x23;&#x23;</sup>
<italic>P</italic> &#x2264; 0.001, <sup>&#x23;&#x23;&#x23;&#x23;</sup>
<italic>P</italic> &#x3c; 0.0001 for a significant effect of EtOH exposure. <sup>$$</sup>
<italic>P</italic> &#x3c; 0.01, <sup>$$$</sup>
<italic>P</italic> &#x3c; 0.001 for significant effect of MY10 treatment. EtOH: ethanol.</p>
</caption>
<graphic xlink:href="fgene-16-1634202-g003.tif">
<alt-text content-type="machine-generated">Bar graphs showing mRNA fold change in SH-SY5Y, HMC3, and SH-SY5Y + HMC3 cell lines. Each panel (a-n) displays the effect of different concentrations of MY10 (0, 0.1, 1, 10 &#xB5;M) and ethanol (100 mM), with statistical significance indicated by asterisks and p-values. Specific genes analyzed include HMGB1, CCL2, iNOS, TNF-&#x3B1;, and IL-1&#x3B2;. Graphs compare the impact of treatment on gene expression, with bar colors representing different conditions.</alt-text>
</graphic>
</fig>
<p>Additionally, we did not observe significant effects of ethanol exposure or the treatment with MY10 on <italic>TNF&#x3b1;</italic> mRNA levels in monocultures (<xref ref-type="fig" rid="F3">Figures 3j,k</xref>). However, in the co-culture system (<xref ref-type="fig" rid="F3">Figure 3l</xref>), two-way ANOVA showed a significant effect of ethanol exposure on the mRNA expression levels of <italic>TNF&#x3b1;</italic> (<italic>F</italic> (1,105) &#x3d; 9.192; <italic>P</italic> &#x3d; 0.0031), together with a significant interaction between ethanol and MY10 treatment (<italic>F</italic> (3,105) &#x3d; 3.902; <italic>P</italic> &#x3d; 0.0109). Treatment with MY10 tended to reduce the mRNA expression levels of <italic>TNF&#x3b1;</italic>, which was not observed in the groups treated concomitantly with MY10 and ethanol (<xref ref-type="fig" rid="F3">Figure 3l</xref>).</p>
<p>Importantly, <italic>IL-1&#x3b2;,</italic> which was only expressed in microglia cells, showed contrasting profiles (<xref ref-type="fig" rid="F3">Figures 3m&#x2013;o</xref>). <italic>IL-1&#x3b2;</italic> mRNA expression in HMC3 cells (<xref ref-type="fig" rid="F3">Figure 3n</xref>) was significantly upregulated by treatment with MY10 (<italic>F</italic> (3,101) &#x3d; 4.015; <italic>P</italic> &#x3d; 0.0096) and the same tendency was observed after ethanol exposure. In contrast, the two-way ANOVA performed with the data from the co-cultures of neurons and microglia revealed significant effects of the treatment with MY10 (<italic>F</italic> (3,106) &#x3d; 7.307; <italic>P</italic> &#x3d; 0.0002) and of ethanol exposure (<italic>F</italic> (1,106) &#x3d; 11.42; <italic>P</italic> &#x3d; 0.001). In the co-cultures, ethanol exposure decreased <italic>IL-1&#x3b2; mRNA expression levels, which seemed to be only reverted by</italic> 1&#xa0;&#x3bc;M MY10 (<xref ref-type="fig" rid="F3">Figure 3o</xref>).</p>
</sec>
<sec id="s3-3">
<title>3.3 Effect of MY10 on toll-like receptors expression (TLRs) after ethanol exposure</title>
<p>To further explore the pathways involved in ethanol-induced neuroinflammation, we evaluated the transcriptional profiles of Toll-like receptors (TLRs) (<xref ref-type="fig" rid="F4">Figure 4</xref>). The two-way ANOVA revealed a significant effect of ethanol exposure on HMC3 cells (<italic>F</italic> (1,103) &#x3d; 10.8; <italic>P</italic> &#x3d; 0.0014) and a significant interaction between ethanol and treatment with MY10 (<italic>F</italic> (3,103) &#x3d; 2.705; <italic>P</italic> &#x3c; 0.05) on <italic>TLR3</italic> mRNA expression. Ethanol exposure upregulated <italic>TLR3</italic> mRNA expression levels in microglial cells, an effect that was attenuated by treatment with MY10 (<xref ref-type="fig" rid="F4">Figure 4a</xref>). In contrast, we did not find significant effects of ethanol exposure or treatment with MY10 in the expression of <italic>TLR3</italic> in the co-culture of microglia and neurons (<xref ref-type="fig" rid="F4">Figure 4b</xref>). Ethanol exposure increased <italic>TLR4</italic> mRNA expression levels in HMC3 cells with a significant interaction between ethanol and treatment with MY10 (<italic>F</italic> (3,100) &#x3d; 3.455; <italic>P</italic> &#x3d; 0.0193) (<xref ref-type="fig" rid="F4">Figure 4c</xref>). As in the case of <italic>TLR3</italic>, this effect was not observed in the co-cultures (<xref ref-type="fig" rid="F4">Figure 4d</xref>). We did not find significant effects of ethanol exposure or treatment with MY10 in the expression of <italic>TLR7</italic> in HMC3 cells (<xref ref-type="fig" rid="F4">Figure 4e</xref>). In the co-cultures, the two-way ANOVA performed revealed a significant effect of the treatment with MY10 (<italic>F</italic> (3,109) &#x3d; 3.757; <italic>P</italic> &#x3d; 0.013), which caused a modest but consistent increase on <italic>TLR7</italic> mRNA expression levels in all groups treated with MY10 independently of the concentration (<xref ref-type="fig" rid="F4">Figure 4f</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Effect of 24-h ethanol exposure (100&#xa0;mM) and MY10 treatment on the expression of Toll-like receptor (TLRs) genes in microglia and co-cultures of neurons and microglia. <italic>TLR3</italic> mRNA expression in HMC3 cells <bold>(a)</bold> and microglial-neuron co-culture <bold>(b)</bold>. <italic>TLR4</italic> mRNA expression in HMC3 cells <bold>(c)</bold> and microglial-neuron co-culture <bold>(d)</bold>. <italic>TLR7</italic> mRNA expression in HMC3 cells <bold>(e)</bold> and microglial-neuron co-culture <bold>(f)</bold>. Data are presented as mean &#xb1; SEM. &#x2a;&#x2a;P &#x3c; 0.01, &#x2a;&#x2a;&#x2a;&#x2a;P &#x3c; 0.0001. <sup>&#x23;&#x23;&#x23;</sup>
<italic>P</italic> &#x2264; 0.001 for a significant effect of EtOH exposure. <sup>$$</sup>
<italic>P</italic> &#x2264; 0.01 for significant effect of MY10 treatment. EtOH: ethanol.</p>
</caption>
<graphic xlink:href="fgene-16-1634202-g004.tif">
<alt-text content-type="machine-generated">Bar graphs showing mRNA fold change for TLR3, TLR4, and TLR7 under different treatments in HMC3 and SH-SY5Y plus HMC3 cells. Panels (a) and (b) display TLR3 data; (c) and (d) show TLR4; (e) and (f) illustrate TLR7. Treatments involve ethanol and MY10 with concentrations of zero, 0.1, one, and ten micromoles. Significant differences are indicated with asterisks and annotations.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>In this study, we used a human co-culture model that combines HMC3 microglial cells with SH-SY5Y cells differentiated into neurons. This model was developed to create a physiologically relevant platform (<xref ref-type="bibr" rid="B24">Goshi et al., 2020</xref>) for studying ethanol-induced neuroinflammatory responses and the possible modulatory role of RPTP&#x3b2;/&#x3b6;.</p>
<p>We observed that ethanol selectively modulates the expression of <italic>PTN</italic> and <italic>MK</italic> depending on the cellular context. Interestingly, <italic>PTN</italic> expression was upregulated in HMC3 monocultures following ethanol exposure, whereas <italic>MK</italic> was downregulated in co-cultures. These differences suggest that microglia respond to ethanol by increasing the expression of a potent neurotrophic factor, <italic>PTN</italic>, suggesting a stress-adaptive response in these critical immune cells. In contrast, the decreased expression of <italic>MK</italic> induced by ethanol exposure in co-cultures suggests a complex regulation of this neurotrophic factor expression involving neuronal-microglial interactions. These results are important since the cerebral expression of both <italic>PTN</italic> and MK is regulated by ethanol in both humans and animal models (<xref ref-type="bibr" rid="B29">Herradon et al., 2019</xref>). Our data indicate for the first time that ethanol exposure differentially regulated <italic>PTN</italic> and <italic>MK</italic> expression depending on the cell type and neuron-microglia communication.</p>
<p>In addition, we observed a robust microglial response induced by ethanol exposure, characterized by increased expression of proinflammatory genes such as <italic>CCL2</italic> and <italic>TLRs</italic>, consistent with previous reports (<xref ref-type="bibr" rid="B14">Crews et al., 2011</xref>; <xref ref-type="bibr" rid="B36">Qin and Crews, 2012</xref>; <xref ref-type="bibr" rid="B8">Coleman et al., 2017</xref>; <xref ref-type="bibr" rid="B43">Walter and Crews, 2017</xref>; <xref ref-type="bibr" rid="B32">Lawrimore and Crews, 2017</xref>; <xref ref-type="bibr" rid="B31">Lawrimore et al., 2019</xref>). In contrast, neurons in monoculture exhibited a downregulation of <italic>CCL2</italic> expression alongside a pronounced upregulation of <italic>iNOS</italic>, suggesting a limited but specific response to ethanol exposure. These neurons appear to engage selective stress-related signaling pathways in response to the neurotoxic stimulus (<xref ref-type="bibr" rid="B32">Lawrimore and Crews, 2017</xref>).</p>
<p>When both cell populations were integrated into a co-culture system, we observed a substantial attenuation of ethanol-induced inflammatory responses compared to microglia monocultures (<xref ref-type="bibr" rid="B1">Abellanas et al., 2019</xref>; <xref ref-type="bibr" rid="B26">Haenseler et al., 2017</xref>), reflected in the expression of key proinflammatory markers, such as <italic>CCL2, IL-1&#x3b2;,</italic> as well as <italic>TLR3</italic> and <italic>TLR4</italic>. These findings suggest that neurons exert a dampening effect on microglial reactivity, potentially through direct cell-to-cell signaling. This interaction may have important implications for regulating neuroimmune responses and preserving neuronal viability (<xref ref-type="bibr" rid="B3">Alfonso-Loeches et al., 2010</xref>; <xref ref-type="bibr" rid="B13">Crews et al., 2017</xref>; <xref ref-type="bibr" rid="B10">Correa et al., 2013</xref>; <xref ref-type="bibr" rid="B30">Kraft and Harry, 2011</xref>). Our results align with previous co-culture studies that have demonstrated the cross-regulation of glial reactivity via neuronal signals (<xref ref-type="bibr" rid="B12">Crews et al., 2024</xref>; <xref ref-type="bibr" rid="B45">Zou and Crews, 2014</xref>; <xref ref-type="bibr" rid="B31">Lawrimore et al., 2019</xref>; <xref ref-type="bibr" rid="B5">Boyadjieva and Sarkar, 2010</xref>; <xref ref-type="bibr" rid="B4">Arzua et al., 2020</xref>).</p>
<p>The pharmacological inhibition of RPTP&#x3b2;/&#x3b6; with MY10 revealed a selective and cell-dependent modulation of neuroinflammatory signaling. In both SH-SY5Y and HMC3 monocultures, MY10 treatment alone did not alter the expression of most proinflammatory genes, suggesting that basal activation of this pathway may be limited in cellular resting states. However, in cells exposed to ethanol, MY10 partially influenced the inflammatory responses by regulating the expression of specific genes, such as <italic>IL-1&#x3b2;</italic> and <italic>TNF&#x3b1;</italic>, in both microglial cells and co-cultures. Moreover, MY10 significantly altered the <italic>TLR7</italic> expression in co-cultures, indicating that its effects are not limited to cytokine modulation but may extend to upstream components of innate immune signaling (<xref ref-type="bibr" rid="B7">Coleman and Crews, 2018</xref>). These results underscore the importance of studying pharmacological interventions in models that more accurately reflect <italic>in vivo</italic> cellular communication (<xref ref-type="bibr" rid="B8">Coleman et al., 2017</xref>; <xref ref-type="bibr" rid="B9">Coleman and Crews, 2018</xref>). Furthermore, these findings support previous studies using animal models regarding the neuroprotective and anti-inflammatory properties of MY10, validating the PTN/MK&#x2013;RPTP&#x3b2;/&#x3b6; signaling axis as a promising therapeutic target in ethanol-induced brain injury (<xref ref-type="bibr" rid="B6">Calleja-Conde et al., 2020</xref>; <xref ref-type="bibr" rid="B20">Fern&#xe1;ndez-Calle et al., 2018</xref>; <xref ref-type="bibr" rid="B18">Fern&#xe1;ndez-Calle et al., 2019</xref>; <xref ref-type="bibr" rid="B17">Fern&#xe1;ndez-Calle et al., 2020</xref>; <xref ref-type="bibr" rid="B23">Gal&#xe1;n-Llario et al., 2023a</xref>; <xref ref-type="bibr" rid="B22">Gal&#xe1;n-Llario et al., 2023b</xref>; <xref ref-type="bibr" rid="B29">Herradon et al., 2019</xref>).</p>
<p>A point to consider in the present work is the lack of protein-level validation of the transcriptional changes observed. Although gene expression analysis provides a valuable overview of regulatory trends, post-transcriptional mechanisms may alter final protein levels. Future studies quantifying key neuroimmune mediators, such as CX3CL1 (Fractalkine), should be useful to validate and complement the transcriptomic data and further elucidate the bidirectional signaling between neurons and microglia in response to alcohol and MY10. In addition, it is important to note that a limitation of this study is the inability to determine the specific cellular origin of gene expression changes in the co-culture system. However, as in many <italic>in vivo</italic> murine models that analyze entire brain regions without isolating specific cell types, this approach reflects the complexity of the brain environment and captures coordinated neuroimmune responses. It provides biologically significant, translationally relevant insights and facilitates the future application of cell-specific techniques such as immunocytochemistry, flow cytometry or single-cell RNA sequencing (scRNA-seq), which allow higher-resolution analysis of heterogeneous systems. Recent studies using scRNA-seq in alcohol dependence models (<xref ref-type="bibr" rid="B39">Salem et al., 2024</xref>; <xref ref-type="bibr" rid="B44">Warden et al., 2024</xref>) have demonstrated the utility of this approach in resolving cell-type and region-specific transcriptomic changes. In fact, it has allowed us to interpret more accurately the data collected here in human cells in the context of the relevant previous studies that defined the effects of MY10 and ethanol in different rodent models (<xref ref-type="bibr" rid="B6">Calleja-Conde et al., 2020</xref>; <xref ref-type="bibr" rid="B20">Fern&#xe1;ndez-Calle et al., 2018</xref>; <xref ref-type="bibr" rid="B23">Gal&#xe1;n-Llario et al., 2023a</xref>; <xref ref-type="bibr" rid="B22">Gal&#xe1;n-Llario et al., 2023b</xref>). In this sense, previous studies using primary rodent cultures of both cortical and hippocampal neurons and microglia have demonstrated strong inflammatory responses to ethanol and other neurotoxic agents (<xref ref-type="bibr" rid="B14">Crews et al., 2011</xref>; <xref ref-type="bibr" rid="B8">Coleman et al., 2017</xref>). However, species-specific differences in aspects such as alcohol metabolism, gene expression, and immune response limit the translational relevance of these models (<xref ref-type="bibr" rid="B34">Pascual et al., 2018</xref>; <xref ref-type="bibr" rid="B43">Walter and Crews, 2017</xref>; <xref ref-type="bibr" rid="B40">Seok et al., 2013</xref>). Additionally, reliance exclusively on murine models may fail to fully identify human-specific regulation of genes in response to alcohol, as revealed by comparative transcriptomic analyses of postmortem human and mouse brain tissue (<xref ref-type="bibr" rid="B34">Pascual et al., 2018</xref>; <xref ref-type="bibr" rid="B42">van der Worp et al., 2010</xref>). Our study suggests that human co-culture systems derived from immortalized cell lines offer a level of standardization that is difficult to achieve with primary cultures, often limited by heterogeneity and availability (<xref ref-type="bibr" rid="B2">Abud et al., 2017</xref>; <xref ref-type="bibr" rid="B16">Dello Russo et al., 2018</xref>; <xref ref-type="bibr" rid="B34">Pascual et al., 2018</xref>; <xref ref-type="bibr" rid="B43">Walter and Crews, 2017</xref>; <xref ref-type="bibr" rid="B41">Szabo and Gulya, 2013</xref>).</p>
<p>In conclusion, our study provides novel insights into the modulatory actions of microglial-neuronal interactions in ethanol-induced neuroimmune responses. These findings strongly support the utility of the human neuronal-microglial co-culture model as a physiologically relevant <italic>in vitro</italic> platform for studying ethanol-induced immune responses. Furthermore, the pharmacological assessment of the RPTP&#x3b2;/&#x3b6; inhibitor MY10 in this context highlights the potential of this signaling pathway as an innovative therapeutic target in the deleterious effects of ethanol in the brain. While the model has inherent limitations due to the use of 2D systems and immortalized cell lines, it offers a valuable approach for advancing translational research on alcohol pathophysiology and the development of novel neuroprotective strategies.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The datasets are available from the corresponding author upon request.</p>
</sec>
<sec sec-type="author-contributions" id="s6">
<title>Author contributions</title>
<p>MP: Formal Analysis, Data curation, Writing &#x2013; review and editing, Conceptualization, Writing &#x2013; original draft, Methodology, Investigation. HC-R: Formal Analysis, Writing &#x2013; original draft, Data curation, Writing &#x2013; review and editing, Conceptualization. EG: Formal Analysis, Supervision, Data curation, Funding acquisition, Conceptualization, Writing &#x2013; original draft, Writing &#x2013; review and editing. GH: Data curation, Resources, Project administration, Writing &#x2013; original draft, Conceptualization, Writing &#x2013; review and editing, Formal Analysis, Funding acquisition, Supervision.</p>
</sec>
<sec sec-type="funding-information" id="s7">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was supported by National Plan on Drug abuse, Ministerio de Sanidad of Spain (grants 2023I018 to GH and 2024I044 to EG) and by ISCIII Redes de Investigaci&#xf3;n Cooperativa Orientadas a Resultados en Salud (RICORS), Red de Investigaci&#xf3;n en Atenci&#xf3;n Primaria de Adicciones (RIAPAd; grants RD21/0009/0013 and RD24/0003/0011 to GH). MAP was supported by Red de Investigaci&#xf3;n en Atenci&#xf3;n Primaria de Adicciones (RIAPAd). HC-R was supported by a fellowship from Fundaci&#xf3;n Universitaria San Pablo CEU-Santander.</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The handling editor MSGG declared a past co-authorship with the author GH.</p>
</sec>
<sec sec-type="ai-statement" id="s9">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fgene.2025.1634202/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fgene.2025.1634202/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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