Seifert Hilary A, Collier Lisa A, Chapman Cortney B, Benkovic Stanley A, Willing Alison E, Pennypacker Keith R
Department of Molecular Pharmacology and Physiology, School of Biomedical Sciences, Morsani College of Medicine, University of South Florida, Tampa, FL, 33612, USA.
J Neuroimmune Pharmacol. 2014 Dec;9(5):679-89. doi: 10.1007/s11481-014-9560-2. Epub 2014 Aug 8.
The delayed immune response to stroke is responsible for the increased neural injury that continues to occur after the initial ischemic event. This delayed immune response has been linked to the spleen, as splenectomy prior to middle cerebral artery occlusion (MCAO) is neuroprotective. Interferon gamma (IFNγ) is linked to the splenic response, which enhances neural injury following MCAO. IFNγ activates the expression of the inflammatory chemokine interferon-inducible protein 10 (IP-10). This study was designed to determine the role of IFNγ signaling in the inflammatory response following MCAO. Expression of IP-10 increased in the brain and the spleen following MCAO. Splenectomy inhibited the increase of IP-10 in the brain post-MCAO, while recombinant IFNγ administration to splenectomized rats returned IP-10 levels in the brain to levels found in rats after MCAO only. Systemic administration of an IFNγ neutralizing antibody to MCAO-treated rats reduced infarct volume and IP-10 levels in the brain. T cell infiltration was reduced in the MCAO-damaged brains of IFNγ antibody-treated animals relative to those that received isotype control antibodies. Additionally, inhibiting IFNγ signaling with splenectomy or an IFNγ neutralizing antibody blocked the induction of IP-10 expression and decreased neurodegeneration following MCAO. Targeting this pro-inflammatory pathway following stroke could be a promising stroke therapeutic.
中风的延迟免疫反应是导致在初始缺血事件后持续发生的神经损伤增加的原因。这种延迟免疫反应与脾脏有关,因为在大脑中动脉闭塞(MCAO)之前进行脾切除术具有神经保护作用。干扰素γ(IFNγ)与脾脏反应有关,它会增强MCAO后的神经损伤。IFNγ激活炎症趋化因子干扰素诱导蛋白10(IP-10)的表达。本研究旨在确定IFNγ信号在MCAO后炎症反应中的作用。MCAO后,大脑和脾脏中IP-10的表达增加。脾切除术抑制了MCAO后大脑中IP-10的增加,而向脾切除大鼠注射重组IFNγ使大脑中的IP-10水平恢复到仅接受MCAO的大鼠中的水平。向接受MCAO治疗的大鼠全身注射IFNγ中和抗体可减少梗死体积和大脑中的IP-10水平。与接受同型对照抗体的动物相比,IFNγ抗体治疗的动物在MCAO损伤的大脑中的T细胞浸润减少。此外,通过脾切除术或IFNγ中和抗体抑制IFNγ信号可阻断IP-10表达的诱导,并减少MCAO后的神经变性。中风后靶向这一促炎途径可能是一种有前景的中风治疗方法。