Brain and Spinal Injury Center, University of California, San Francisco, San Francisco, CA 94110, USA.
Cancer Res. 2013 Feb 1;73(3):1201-10. doi: 10.1158/0008-5472.CAN-12-2989. Epub 2012 Dec 13.
Cranial irradiation can lead to long-lasting cognitive impairments in patients receiving radiotherapy for the treatment of malignant brain tumors. Recent studies have suggested inflammation as a major contributor to these deficits; we determined if the chemokine (C-C motif) receptor 2 (CCR2) was a mediator of cognitive impairments induced by irradiation. Two-month-old male Ccr2 knockout (-/-) and wild-type mice received 10 Gy cranial irradiation or sham-treatment. One month after irradiation, bromodeoxyuridine was injected intraperitoneally for seven consecutive days to label newly generated cells. At two months postirradiation, cognitive function was assessed by novel object recognition and Morris water maze. Our results show that CCR2 deficiency prevented hippocampus-dependent spatial learning and memory impairments induced by cranial irradiation. Hippocampal gene expression analysis showed that irradiation induced CCR2 ligands such as CCL8 and CCR2 deficiency reduced this induction. Irradiation reduced the number of adult-born neurons in both wild-type and Ccr2(-/-) mice, but the distribution pattern of the adult-born neurons through the granule cell layer was only altered in wild-type mice. Importantly, CCR2 deficiency normalized the fraction of pyramidal neurons expressing the plasticity-related immediate early gene Arc. These data offer new insight into the mechanism(s) of radiation-injury and suggest that CCR2 is a critical mediator of hippocampal neuronal dysfunction and hippocampal cognitive impairments after irradiation. Targeting CCR2 signaling could conceivably provide an effective approach to reduce or prevent the incidence and severity of this serious side effect of ionizing irradiation.
颅照射可导致接受恶性脑肿瘤放射治疗的患者产生长期认知障碍。最近的研究表明炎症是导致这些缺陷的主要因素;我们确定趋化因子(C-C 基序)受体 2(CCR2)是否是照射引起的认知障碍的介质。两个月大的雄性 Ccr2 敲除(-/-)和野生型小鼠接受 10 Gy 颅照射或假照射。照射后 1 个月,腹腔内注射溴脱氧尿苷连续 7 天标记新生成的细胞。照射后 2 个月,通过新物体识别和 Morris 水迷宫评估认知功能。我们的结果表明,CCR2 缺乏可预防颅照射引起的海马依赖性空间学习和记忆障碍。海马基因表达分析表明,照射诱导 CCR2 配体,如 CCL8,而 CCR2 缺乏减少了这种诱导。照射减少了成年新生神经元在野生型和 Ccr2(-/-)小鼠中的数量,但成年新生神经元在颗粒细胞层中的分布模式仅在野生型小鼠中发生改变。重要的是,CCR2 缺乏使表达可塑性相关即刻早期基因 Arc 的锥体神经元的分数正常化。这些数据为辐射损伤的机制提供了新的见解,并表明 CCR2 是照射后海马神经元功能障碍和海马认知障碍的关键介质。靶向 CCR2 信号可能是减少或预防这种电离照射严重副作用的发生率和严重程度的有效方法。