Department of Neurology, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China.
Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China.
Int Immunopharmacol. 2019 Oct;75:105760. doi: 10.1016/j.intimp.2019.105760. Epub 2019 Jul 17.
Neuroinflammation crucially influences functional recovery after ischemic stroke. Wnt-3a, a novel Wnt protein that specifically promotes Wnt/β-catenin signaling pathway, has been shown to regulate apoptosis and cell proliferation, but how it affects ischemic stroke-induced toxic brain inflammation remains unknown. Using a transient middle cerebral artery occlusion (tMCAO) mouse model in this study, we found that intranasal Wnt-3a-treated tMCAO mice had apparently reduced infarct volume and decreased brain water content after being allowed to recover for 72 h, as well as better neurologic outcomes on days 3, 7, and 14. Mice received Wnt-3a had significantly fewer tMCAO-induced peri-infarct TUNEL-positive cells compared with those received vehicle. Further, Wnt-3a-delivered tMCAO mice had notably fewer peri-infarct CD68-positive cells and lower ionized calcium-binding adapter molecule (Iba)-1 protein level. Wnt-3a significantly downregulated the expression of inducible nitric oxide synthase (iNOS) and tumor necrosis factor (TNF)-α, and upregulated the expression of arginase 1 (Arg1) and CD206. Finally, Wnt-3a obviously decreased the number of tMCAO-induced peri-infarct glial fibrillary acidic protein (GFAP)/C3-positive cells, increased the number of GFAP/S100A10-positive cells, attenuated the protein levels of GFAP and interleukin 15 (IL15), and elevated IL33 protein level. Our findings suggest that intranasal Wnt-3a could ameliorate toxic responses of microglia/macrophages and astrocytes in ischemic brain injury, supporting that Wnt-3a might be potentially appropriate for ischemic stroke treatment functioning as an immunomodulatory agent.
神经炎症在缺血性脑卒中后的功能恢复中起着至关重要的作用。Wnt-3a 是一种新型的 Wnt 蛋白,特异性地促进 Wnt/β-catenin 信号通路,已被证明可调节细胞凋亡和细胞增殖,但它如何影响缺血性脑卒中引起的毒性脑炎症尚不清楚。在本研究中,我们使用短暂性大脑中动脉闭塞(tMCAO)小鼠模型发现,经鼻腔给予 Wnt-3a 治疗的 tMCAO 小鼠在恢复 72 小时后梗死体积明显减小,脑含水量降低,并且在第 3、7 和 14 天的神经功能结局更好。与给予载体的小鼠相比,接受 Wnt-3a 的小鼠 tMCAO 诱导的peri-infarct TUNEL 阳性细胞明显减少。此外,给予 Wnt-3a 的 tMCAO 小鼠 peri-infarct CD68 阳性细胞和离子钙结合接头分子(Iba)-1 蛋白水平明显降低。Wnt-3a 显著下调诱导型一氧化氮合酶(iNOS)和肿瘤坏死因子(TNF)-α的表达,上调精氨酸酶 1(Arg1)和 CD206 的表达。最后,Wnt-3a 明显减少 tMCAO 诱导的 peri-infarct 胶质纤维酸性蛋白(GFAP)/C3 阳性细胞的数量,增加 GFAP/S100A10 阳性细胞的数量,减弱 GFAP 和白细胞介素 15(IL15)的蛋白水平,并升高 IL33 蛋白水平。我们的研究结果表明,鼻腔内给予 Wnt-3a 可改善缺血性脑损伤中小胶质细胞/巨噬细胞和星形胶质细胞的毒性反应,提示 Wnt-3a 可能作为一种免疫调节剂,适合用于缺血性脑卒中的治疗。