Cheatwood Joseph L, Emerick April J, Schwab Martin E, Kartje Gwendolyn L
Research Service (151), Edward Hines Jr. VA Hospital, 5000 S. 5th Ave, Hines, IL 60141, USA.
Stroke. 2008 Jul;39(7):2091-8. doi: 10.1161/STROKEAHA.107.507426. Epub 2008 May 8.
The Nogo-A protein is an important inhibitor of axonal remodeling after central nervous system injuries, including ischemic stroke. Interfering with the function of Nogo-A via infusion of a therapeutic anti-Nogo-A antibody after stroke increases neuronal remodeling and enhances functional recovery in rats. In this study, we describe the regional distribution of cortical neurons expressing Nogo-A in normal rats and following middle cerebral artery occlusion (MCAO).
Normal and post-MCAO neuronal Nogo-A expression were described via immunohistochemical analyses. All brains were processed for Nogo-A and parvalbumin expression. The level of Nogo-A expression was scored for each cortical area or white matter structure of interest. The number and fluorescent intensity of layer V neurons in contralesional sensorimotor forelimb cortex were also assessed at each time point.
Nogo-A expression was observed in both cortical pyramidal neurons and parvalbumin-positive interneurons. Neuronal expression of Nogo-A changed over time in ipsilesional and contralesional cortical areas after MCAO, becoming globally elevated at 28 days after stroke. Nogo-A expression was not observed to fluctuate greatly in the white matter after stroke, with the exception of a transient increase in Nogo-A expression in the external capsule near the stroke lesion.
Neuronal Nogo-A expression is significantly increased at 28 days post-MCAO in all examined brain regions. Because of their robust expression of Nogo-A after stroke lesion, both excitatory and inhibitory neurons represent potential targets for anti-Nogo-A therapies in the poststroke cerebral cortex.
Nogo-A蛋白是中枢神经系统损伤(包括缺血性中风)后轴突重塑的重要抑制剂。中风后通过注入治疗性抗Nogo-A抗体干扰Nogo-A的功能可增加大鼠的神经元重塑并增强功能恢复。在本研究中,我们描述了正常大鼠及大脑中动脉闭塞(MCAO)后表达Nogo-A的皮质神经元的区域分布。
通过免疫组织化学分析描述正常及MCAO后神经元Nogo-A的表达情况。所有大脑均进行Nogo-A和小白蛋白表达检测。对每个感兴趣的皮质区域或白质结构的Nogo-A表达水平进行评分。在每个时间点还评估了对侧感觉运动前肢皮质第V层神经元的数量和荧光强度。
在皮质锥体细胞和小白蛋白阳性中间神经元中均观察到Nogo-A表达。MCAO后,同侧和对侧皮质区域神经元Nogo-A的表达随时间变化,在中风后28天整体升高。中风后白质中Nogo-A表达未见明显波动,但中风病灶附近的外囊中的Nogo-A表达有短暂增加。
MCAO后28天,所有检测脑区的神经元Nogo-A表达均显著增加。由于中风病灶后Nogo-A在兴奋性和抑制性神经元中均有强烈表达,二者均为中风后大脑皮质抗Nogo-A治疗的潜在靶点。