Department of Biology, Stanford University, Stanford, CA 94305, USA.
J Cereb Blood Flow Metab. 2013 Sep;33(9):1376-85. doi: 10.1038/jcbfm.2013.100. Epub 2013 Jun 12.
Inflammation is a major factor in the progression of damage after stroke and in the clinic, current therapies treat the clot, not the resulting damage. We have developed a novel method of protein delivery that exploits the migration ability of leukocytes after ischemic stroke (transient middle cerebral artery occlusion; tMCAO). In our studies, ex vivo-derived dendritic cells (exDCs) migrate to the inflamed rat brain soon after tMCAO onset and the number of cells that remain in the brain after injection is significantly correlated with the amount of local inflammation at the injury site. In addition, exDCs transduced to overexpress soluble tumor necrosis factor (TNF) receptor1 (sTNFR1) produce functional cargo that is secreted and that blocks TNF-α bioavailability in vitro. When delivered at 6 hours post-tMCAO reperfusion, sTNFR1-exDC-treated rats show significantly smaller infarct size and decreased inflammation compared with animals treated with exDCs transduced with GFP lentivirus. These studies indicate that cell-mediated delivery of proteins may be a promising new approach to reduce brain damage after acute neurologic insult.
炎症是中风后损伤进展的一个主要因素,而在临床上,目前的治疗方法是针对血栓,而不是由此产生的损伤。我们开发了一种新的蛋白质递送方法,利用缺血性中风(短暂性大脑中动脉闭塞;tMCAO)后白细胞的迁移能力。在我们的研究中,离体衍生的树突状细胞(exDCs)在 tMCAO 发作后很快迁移到炎症大鼠的大脑中,并且在注射后留在大脑中的细胞数量与损伤部位的局部炎症程度呈显著相关。此外,过表达可溶性肿瘤坏死因子(TNF)受体 1(sTNFR1)的 exDC 转导物可产生功能性货物,这些货物在体外被分泌并阻断 TNF-α的生物利用度。与用 GFP 慢病毒转导的 exDC 处理的动物相比,在 tMCAO 再灌注后 6 小时给予 sTNFR1-exDC 治疗的大鼠的梗死体积明显更小,炎症减少。这些研究表明,细胞介导的蛋白质递送可能是减少急性神经损伤后脑损伤的一种有前途的新方法。