Ziebell Jenna M, Ray-Jones Helen, Lifshitz Jonathan
Barrow Neurological Institute at Phoenix Children's Hospital, Phoenix, AZ, USA; Department of Child Health, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA.
Barrow Neurological Institute at Phoenix Children's Hospital, Phoenix, AZ, USA; Department of Child Health, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA; Department of Biology and Biochemistry, University of Bath, Bath, England, UK.
Neuroscience. 2017 Sep 17;359:209-223. doi: 10.1016/j.neuroscience.2017.07.027. Epub 2017 Jul 20.
Diffuse traumatic brain injury (TBI) initiates secondary pathology, including inflammation and reduced myelination. Considering these injury-related pathologies, the many states of activated microglia as demonstrated by differing morphologies would form, migrate, and function in and through fields of growth-inhibitory myelin byproduct, specifically Nogo. Here we evaluate the relationship between inflammation and reduced myelin antigenicity in the wake of diffuse TBI and present the hypothesis that the Nogo-66 receptor antagonist peptide NEP(1-40) would reverse the injury-induced shift in distribution of microglia morphologies by limiting myelin-based inhibition. Adult male rats were subjected to midline fluid percussion sham or brain injury. At 2h, 6h, 1d, 2d, 7d, and 21d post-injury, immunohistochemical staining was analyzed in sensory cortex (S1BF) for myelin antigens (myelin basic protein; MBP and CNPase), microglia morphology (ionized calcium-binding adapter protein; Iba1), Nogo receptor and Nogo. Pronounced reduction in myelin antigenicity was evident transiently at 1d post-injury, as evidenced by decreased MBP and CNPase staining, as well as loss of white matter organization, compared to sham and later injury time points. Concomitant with reduced myelin antigenicity, injury shifted microglia morphology from the predominantly ramified morphology observed in sham-injured cortex to hyper-ramified, activated, fully activated, or rod. Changes in microglial morphology were evident as early as 2h post-injury, and remained at least until day 21. Additional cohorts of uninjured and brain-injured animals received vehicle or drug (NEP(1-40), i.p., 15min and 19h post-injury) and brains were collected at 2h, 6h, 1d, 2d, or 7d post-injury. NEP(1-40) administration further shifted distributions of microglia away from an injury-induced activated morphology toward greater proportions of rod and macrophage-like morphologies compared to vehicle-treated. By 7d post-injury, no differences in the distributions of microglia were noted between vehicle and NEP(1-40). This study begins to link secondary pathologies of white matter damage and inflammation after diffuse TBI. In the injured brain, secondary pathologies co-occur and likely interact, with consequences for neuronal circuit disruption leading to neurological symptoms.
弥漫性创伤性脑损伤(TBI)会引发继发性病理变化,包括炎症反应和髓鞘形成减少。考虑到这些与损伤相关的病理变化,不同形态所显示的多种激活状态的小胶质细胞会在生长抑制性髓鞘副产物(特别是Nogo)的区域内形成、迁移并发挥作用。在此,我们评估弥漫性TBI后炎症与髓鞘抗原性降低之间的关系,并提出假说:Nogo-66受体拮抗剂肽NEP(1-40)通过限制基于髓鞘的抑制作用,将逆转损伤诱导的小胶质细胞形态分布变化。成年雄性大鼠接受中线流体冲击伤或假手术。在损伤后2小时、6小时、1天、2天、7天和21天,对感觉皮层(S1BF)进行免疫组织化学染色,分析髓鞘抗原(髓鞘碱性蛋白;MBP和CNPase)、小胶质细胞形态(离子钙结合衔接蛋白;Iba1)、Nogo受体和Nogo。与假手术组和损伤后期时间点相比,损伤后1天髓鞘抗原性明显短暂降低,表现为MBP和CNPase染色减少以及白质结构丧失。伴随髓鞘抗原性降低,损伤使小胶质细胞形态从假手术损伤皮层中主要观察到的分支状形态转变为过度分支、激活、完全激活或杆状形态。小胶质细胞形态变化早在损伤后2小时就很明显,并至少持续到第21天。另外几组未受伤和脑损伤动物接受载体或药物(NEP(1-40),腹腔注射,损伤后15分钟和19小时),并在损伤后2小时、6小时、1天、2天或7天收集大脑。与载体处理组相比,给予NEP(1-40)进一步使小胶质细胞分布从损伤诱导的激活形态向更大比例的杆状和巨噬细胞样形态转变。到损伤后7天,载体组和NEP(1-40)组之间小胶质细胞分布没有差异。本研究开始将弥漫性TBI后白质损伤和炎症的继发性病理变化联系起来。在受损大脑中,继发性病理变化同时发生且可能相互作用,对神经元回路破坏产生影响,导致神经症状。