Yang Shuxu, Nakamura Takehiro, Hua Ya, Keep Richard F, Younger John G, He Yangdong, Hoff Julian T, Xi Guohua
Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan 48109-0532, USA.
J Cereb Blood Flow Metab. 2006 Dec;26(12):1490-5. doi: 10.1038/sj.jcbfm.9600305. Epub 2006 Mar 22.
Activation of the complement cascade contributes to brain injury after intracerebral hemorrhage (ICH). However, a recent study found that complement C5 deficient mice had enhanced ICH-induced brain injury. The present study, therefore, investigated the role of complement C3 (which is upstream from C5) in ICH. Male complement C3 deficient and sufficient mice had an intracerebral infusion of 30-muL autologous whole blood. The mice were killed and the brains were sampled for edema, Western blotting, immunohistochemistry and histologic analysis. Behavioral tests including forelimb use asymmetry test and corner turn were also performed before and after ICH. Compared to complement C3 sufficient mice, C3 deficient mice had less brain edema, lower hemeoxygenase-1 levels, less microglia activation and neutrophil infiltration around the clot after ICH. In addition, the C3-deficient mice had less ICH-induced forelimb use asymmetry deficits compared with C3-sufficient mice. These results suggest complement activation may affect heme metabolism and the inflammatory response after ICH suggesting that complement C3 is an important factor causing ICH-induced brain injury.
补体级联反应的激活会导致脑出血(ICH)后的脑损伤。然而,最近一项研究发现,补体C5缺陷小鼠的ICH诱导性脑损伤有所加重。因此,本研究调查了补体C3(位于C5上游)在ICH中的作用。雄性补体C3缺陷和充足的小鼠接受了30微升自体全血的脑内输注。处死小鼠后,取脑样本进行水肿、蛋白质印迹、免疫组织化学和组织学分析。在ICH前后还进行了包括前肢使用不对称测试和转角试验在内的行为测试。与补体C3充足的小鼠相比,C3缺陷小鼠在ICH后脑水肿较轻,血红素加氧酶-水平较低,小胶质细胞活化和中性粒细胞在血凝块周围的浸润较少。此外,与C3充足的小鼠相比,C3缺陷小鼠的ICH诱导性前肢使用不对称缺陷较少。这些结果表明补体激活可能影响ICH后的血红素代谢和炎症反应,提示补体C3是导致ICH诱导性脑损伤的重要因素。