“组织修复”的血液衍生巨噬细胞对损伤脊髓的修复至关重要:从皮肤激活的巨噬细胞到浸润的血液衍生细胞?

"Tissue-repairing" blood-derived macrophages are essential for healing of the injured spinal cord: from skin-activated macrophages to infiltrating blood-derived cells?

机构信息

Department of Neurobiology, The Weizmann Institute of Science, Rehovot, Israel.

出版信息

Brain Behav Immun. 2010 Oct;24(7):1054-7. doi: 10.1016/j.bbi.2010.01.010. Epub 2010 Feb 10.

Abstract

Until recently, the local inflammation that occurs in response to spinal cord injury has received a negative reputation; overall, it was assumed to be one of the major causes of a vicious neurotoxic cycle that leads to impaired recovery following injury. This local inflammation involves both the activated tissue-resident microglia and monocyte-derived macrophages infiltrating from the blood. Ten years ago, we proposed that the blood-derived macrophages, reminiscent of "alternatively activated" macrophages (also known as tissue repairing, M2), are not spontaneously recruited in sufficient numbers to sites of injured central nervous system (CNS). We further demonstrated that their exogenous administration to the margins of injured spinal cord improved functional outcome. However, our suggestions evoked criticism, claiming that we were adding macrophages to a site that is already overwhelmed with inflammatory cells. Using experimental paradigms that enabled functional distinction between the resident and infiltrating cells, our most recent studies further corroborated our repair perception, showing that (a) infiltrating monocyte-derived macrophages are recruited following injury and localize to the margins of the lesion, unlike the activated resident microglia that are not compartmentalized, and (b) activated resident microglia and infiltrating monocyte-derived macrophages perform distinct roles; recruited blood-derived macrophages display an (IL-10-dependent) anti-inflammatory phenotype when they become co-localized with the glial scar. We further found that post-injury recruitment of blood monocytes is indeed suboptimal. Augmentation of the levels of naïve blood monocytes leads to their increased recruitment to the same zones that are the targets of the infiltrated endogenous monocytes, and they acquire the same anti-inflammatory activity, leading to improved recovery. Thus, boosting the levels of the relevant blood monocytes reinforces the body's own repair mechanisms that, for reasons that are currently under investigation, are not optimally triggered within the critical post-injury period.

摘要

直到最近,脊髓损伤后发生的局部炎症一直受到负面评价;总的来说,人们认为它是导致损伤后恢复受损的恶性神经毒性循环的主要原因之一。这种局部炎症涉及激活的组织驻留小胶质细胞和从血液中浸润的单核细胞衍生的巨噬细胞。十年前,我们提出血液来源的巨噬细胞,类似于“替代性激活”的巨噬细胞(也称为组织修复,M2),不能自发募集到损伤中枢神经系统(CNS)的部位。我们进一步证明,将它们外源性给予损伤脊髓的边缘可以改善功能结果。然而,我们的建议引起了批评,声称我们将巨噬细胞添加到已经被炎症细胞淹没的部位。使用能够在驻留细胞和浸润细胞之间进行功能区分的实验范例,我们最近的研究进一步证实了我们的修复观点,表明:(a)浸润的单核细胞衍生巨噬细胞在损伤后募集并定位于病变边缘,与未分隔的激活的驻留小胶质细胞不同,和(b)激活的驻留小胶质细胞和浸润的单核细胞衍生巨噬细胞发挥不同的作用;募集的血液单核细胞显示出(IL-10 依赖性)抗炎表型,当它们与神经胶质瘢痕共定位时。我们还发现,损伤后血液单核细胞的募集确实不理想。增加幼稚血液单核细胞的水平会导致它们向浸润的内源性单核细胞的目标区域的募集增加,并且它们获得相同的抗炎活性,导致恢复改善。因此,提高相关血液单核细胞的水平可以增强身体自身的修复机制,由于目前正在研究的原因,这些机制在损伤后的关键时期不能被最佳触发。

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