Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
J Neurotrauma. 2011 Jun;28(6):973-81. doi: 10.1089/neu.2010.1672. Epub 2011 Jun 1.
Proposed therapeutic strategies for attenuating secondary traumatic brain injury (TBI) include modulation of acute neuroimmune responses. The goal of this study was to examine the acute effects of cannabinoid-2 receptor (CB(2)R) modulation on behavioral deficits, cerebral edema, perivascular substance P, and macrophage/microglial activation in a murine model of TBI. Thirty male C57BL/6 mice underwent sham surgery, or cortical contusion impact injury (CCI). CCI mice received vehicle or the CB(2)R agonist 0-1966 at 1 and 24 h after injury. Performance on the rotarod, forelimb cylinder, and open-field tests were evaluated before and at 48 h after sham or CCI surgery. Cerebral edema was evaluated using the wet-dry weight technique. Immunohistochemical analysis was used to examine changes in substance P and macrophage/microglia-specific Iba1 protein immunoreactivity. Locomotor performance and exploratory behavior were significantly improved in mice receiving 0-1966 (CB(2)R agonist) compared to vehicle-treated mice. Significant reductions were found for cerebral edema, number of perivascular areas of substance P immunoreactivity, and number of activated macrophages/microglial cells in the injured brains of 0-1966-treated mice compared to vehicle-treated mice. The findings show that the effects of the CB(2)R agonist 0-1966 on edema, substance P immunoreactivity, and macrophage/microglial activation, were associated with recovery of acute motor and exploratory deficits. This study provides evidence of acute neuroprotective effects derived from selective CB(2)R activation that may represent an avenue for further development of novel therapeutic agents in the treatment of TBI.
减轻继发性创伤性脑损伤 (TBI) 的治疗策略包括调节急性神经免疫反应。本研究的目的是在 TBI 小鼠模型中研究大麻素-2 型受体 (CB2R) 调节对行为缺陷、脑水肿、血管周围物质 P 和巨噬细胞/小胶质细胞激活的急性影响。30 只雄性 C57BL/6 小鼠接受假手术或皮质挫伤冲击伤 (CCI)。CCI 小鼠在受伤后 1 小时和 24 小时接受载体或 CB2R 激动剂 0-1966。在假手术或 CCI 手术后 48 小时之前和之后评估旋转棒、前肢圆筒和旷场测试的表现。使用干湿重技术评估脑水肿。免疫组织化学分析用于检查物质 P 和巨噬细胞/小胶质细胞特异性 Iba1 蛋白免疫反应性的变化。与接受载体治疗的小鼠相比,接受 0-1966(CB2R 激动剂)的小鼠的运动和探索行为明显改善。与接受载体治疗的小鼠相比,0-1966 治疗的小鼠受伤大脑中的脑水肿、血管周围物质 P 免疫反应区的数量和激活的巨噬细胞/小胶质细胞的数量均显著减少。这些发现表明,CB2R 激动剂 0-1966 对水肿、物质 P 免疫反应性和巨噬细胞/小胶质细胞激活的作用与急性运动和探索缺陷的恢复有关。这项研究提供了源自选择性 CB2R 激活的急性神经保护作用的证据,这可能代表了进一步开发新型 TBI 治疗药物的途径。