Center for Shock, Trauma and Anesthesiology Research (STAR), Department of Anesthesiology, University of Maryland, School of Medicine, Baltimore, Maryland 21201, USA.
J Neurotrauma. 2012 Mar 20;29(5):813-27. doi: 10.1089/neu.2011.1980. Epub 2012 Jan 13.
Cell cycle activation (CCA) is one of the principal secondary injury mechanisms following brain trauma, and it leads to neuronal cell death, microglial activation, and neurological dysfunction. Cyclin D1 (CD1) is a key modulator of CCA and is upregulated in neurons and microglia following traumatic brain injury (TBI). In this study we subjected CD1-wild-type (CD1(+/+)) and knockout (CD1(-/-)) mice to controlled cortical impact (CCI) injury to evaluate the role of CD1 in post-traumatic neurodegeneration and neuroinflammation. As early as 24 h post-injury, CD1(+/+) mice showed markers of CCA in the injured hemisphere, including increased CD1, E2F1, and proliferating cell nuclear antigen (PCNA), as well as increased Fluoro-Jade B staining, indicating neuronal degeneration. Progressive neuronal loss in the hippocampus was observed through 21 days post-injury in these mice, which correlated with a decline in cognitive function. Microglial activation in the injured hemisphere peaked at 7 days post-injury, with sustained increases at 21 days. In contrast, CD1(-/-) mice showed reduced CCA and neurodegeneration at 24 h, as well as improved cognitive function, attenuated hippocampal neuronal cell loss, decreased lesion volume, and cortical microglial activation at 21 days post-injury. These findings indicate that CD1-dependent CCA plays a significant role in the neuroinflammation, progressive neurodegeneration, and related neurological dysfunction resulting from TBI. Our results further substantiate the proposed role of CCA in post-traumatic secondary injury, and suggest that inhibition of CD1 may be a key therapeutic target for TBI.
细胞周期激活(CCA)是颅脑创伤后主要的二次损伤机制之一,它导致神经元细胞死亡、小胶质细胞激活和神经功能障碍。细胞周期蛋白 D1(CD1)是 CCA 的关键调节因子,在创伤性脑损伤(TBI)后神经元和小胶质细胞中上调。在这项研究中,我们使 CD1 野生型(CD1(+/+))和敲除(CD1(-/-))小鼠接受皮质控制冲击(CCI)损伤,以评估 CD1 在创伤后神经退行性变和神经炎症中的作用。早在损伤后 24 小时,CD1(+/+)小鼠在损伤半球中就表现出 CCA 的标志物,包括增加的 CD1、E2F1 和增殖细胞核抗原(PCNA),以及增加的 Fluoro-Jade B 染色,表明神经元变性。在这些小鼠中,通过 21 天的损伤观察到海马中的进行性神经元丢失,这与认知功能下降相关。损伤半球中的小胶质细胞激活在损伤后 7 天达到峰值,并在 21 天持续增加。相比之下,CD1(-/-)小鼠在 24 小时时表现出减少的 CCA 和神经退行性变,以及改善的认知功能、减轻的海马神经元细胞丢失、减少的损伤体积和皮质小胶质细胞激活。这些发现表明,CD1 依赖性 CCA 在 TBI 引起的神经炎症、进行性神经退行性变和相关神经功能障碍中起着重要作用。我们的结果进一步证实了 CCA 在创伤后二次损伤中的作用,并表明抑制 CD1 可能是 TBI 的一个关键治疗靶点。