Administration of
beta-sitosterol (42 mg/kg per day) for 3 weeks to 8-month-old male LXRbeta-/- mice resulted in the death of motor neurons in the lumbar region of the spinal cord and loss of
tyrosine hydroxylase-positive dopaminergic neurons in the substantia nigra. In mice at 5 months of age,
beta-sitosterol had no observed toxicity but at 16 months of age, it caused severe
paralysis and symptoms typical of dopaminergic dysfunction in LXRbeta-/- mice. WT mice were not affected by these doses of
beta-sitosterol. In 5-month-old mice, levels of the intestinal transporters, ABCG5/8 and Niemann-Pick C1 Like 1, were not affected by loss of
liver X receptor (LXR) beta and/or treatment with
beta-sitosterol nor were there changes in plasma levels of
cholesterol or
beta-sitosterol. In 8-month-old LXRbeta-/- mice there was activation of microglia in the substantia nigra pars reticulata and aggregates of
ubiquitin and TDP-43 in the cytoplasm of large motor neurons in the lumbar spinal cord. Brain
cholesterol concentrations were higher in LXRbeta-/- than in their WT counterparts, and treatment with
beta-sitosterol reduced brain
cholesterol in both WT and LXRbeta-/- mice. In LXRbeta-/- mice but not in WT mice levels of 24-hydrocholesterol were increased upon
beta-sitosterol treatment. These data indicate that multiple mechanisms are involved in the sensitivity of LXRbeta-/- mice to
beta-sitosterol. These include activation of microglia, accumulation of
protein aggregates in the cytoplasm of large motor neurons, and depletion of brain
cholesterol.