Department of Neurosurgery, The Affiliated Hospital of Luzhou Medical College, Luzhou, P.R. China.
J Neurotrauma. 2012 Sep;29(13):2332-41. doi: 10.1089/neu.2012.2362. Epub 2012 Jul 10.
Traumatic axonal injury (TAI) accounts for at least 35% of the morbidity and mortality in traumatic brain injury (TBI) patients without space-occupying lesions. It is also believed to be a key determinant of adverse outcomes such as cognitive dysfunction across the spectrum of TBI severity. Previous studies have shown that COG1410, a synthetic peptide derived from the apolipoprotein E (apoE) receptor binding region, has anti-inflammatory effects after experimental TBI, with improvements in cognitive recovery. However, the effects of COG1410 on axonal injury following TBI are not known. The current study evaluated the effects of 1 mg/kg daily COG1410 versus saline administered intravenously starting 30 min after controlled cortical impact (CCI) injury on pericontusional TAI in young, wild-type C57BL6/J male mice. We found that COG1410 did not affect the number of amyloid precursor protein (APP)-immunoreactive axonal varicosities in the pericontusional corpus callosum and external capsule at 24 h, but reduced APP-immunoreactive varicosities by 31% at 3 days (p=0.0023), and 36% at 7 days (p=0.0009). COG1410 significantly reduced the number of Iba1-positive cells with activated microglial morphology at all three time points by 21-30%. There was no effect of COG1410 on pericontusional white matter volume or silver staining at any time point. This indicates a possible effect of COG1410 on delayed but not immediate TAI. Future studies are needed to investigate the underlying mechanisms, therapeutic time window, and physiological implications of this effect.
创伤性轴索损伤(TAI)在无占位病变的创伤性脑损伤(TBI)患者中至少占 35%的发病率和死亡率。它也被认为是导致 TBI 严重程度谱中认知功能障碍等不良结局的关键决定因素。先前的研究表明,COG1410 是一种源自载脂蛋白 E(apoE)受体结合区的合成肽,在实验性 TBI 后具有抗炎作用,可改善认知恢复。然而,COG1410 对 TBI 后轴索损伤的影响尚不清楚。本研究评估了在年轻野生型 C57BL6/J 雄性小鼠中,从皮质撞击(CCI)损伤后 30 分钟开始,每日静脉注射 1mg/kg 的 COG1410 与生理盐水对创伤周边 TAI 的影响。我们发现 COG1410 并未影响创伤周边胼胝体和外囊中的 APP 免疫反应性轴突小球在 24 小时的数量,但在 3 天时减少了 31%(p=0.0023),在 7 天时减少了 36%(p=0.0009)。COG1410 显著减少了三个时间点中具有激活小胶质细胞形态的 Iba1 阳性细胞的数量,减少了 21-30%。COG1410 对创伤周边白质体积或银染色在任何时间点均无影响。这表明 COG1410 可能对延迟而非即刻 TAI 有影响。需要进一步研究以探讨这种影响的潜在机制、治疗时间窗和生理意义。