Faculty of Medicine, School of Chinese Medicine, The Chinese University of Hong Kong, China.
School of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, N.T, Hong Kong SAR, China.
Curr Alzheimer Res. 2020;17(6):576-586. doi: 10.2174/1567205017666200807191447.
The accumulation and aggregation of Aβ as amyloid plaques, the hallmark pathology of the Alzheimer's disease, has been found in other neurological disorders, such as traumatic brain injury. The axonal injury may contribute to the formation of Aβ plaques. Studies to date have focused on the brain, with no investigations of spinal cord, although brain and cord share the same cellular components.
We utilized a spinal cord transection model to examine whether spinal cord injury acutely induced the onset or promote the progression of Aβ plaque 3 days after injury in TgCRND8 transgenic model of AD.
Spinal cord transection was performed in TgCRND8 mice and its littermate control wild type mice at the age of 3 and 20 months. Immunohistochemical reactions/ELISA assay were used to determine the extent of axonal damage and occurrence/alteration of Aβ plaques or levels of Aβ at different ages in the spinal cord of TgCRND8 mice.
After injury, widespread axonal pathology indicated by intra-axonal co-accumulations of APP and its product, Aβ, was observed in perilesional region of the spinal cord in the TgCRND8 mice at the age of 3 and 20 months, as compared to age-matched non-TgCRND8 mice. However, no Aβ plaques were found in the TgCRND8 mice at the age of 3 months. The 20-month-old TgCRND8 mice with established amyloidosis in spinal cord had a reduction rather than increase in plaque burden at the lesion site compared to the tissue adjacent to the injured area and corresponding area in sham mice following spinal cord transection. The lesion site of spinal cord area was occupied by CD68 positive macrophages/ activated microglia in injured mice compared to sham animals. These results indicate that spinal cord injury does not induce the acute onset and progression of Aβ plaque deposition in the spinal cord of TgCRND8 mice. Conversely, it induces the regression of Aβ plaque deposition in TgCRND8 mice.
The findings underscore the dependence of traumatic axonal injury in governing acute Aβ plaque formation and provide evidence that Aβ plaque pathology may not play a role in secondary injury cascades following spinal cord injury.
Aβ 聚集成淀粉样斑块,这是阿尔茨海默病的标志性病理学特征,在其他神经疾病中也有发现,如创伤性脑损伤。轴突损伤可能导致 Aβ 斑块的形成。迄今为止的研究集中在大脑上,而没有对脊髓进行研究,尽管大脑和脊髓具有相同的细胞成分。
我们利用脊髓横断模型来研究在 AD 的 TgCRND8 转基因模型中,脊髓损伤是否会在损伤后 3 天急性引发或促进 Aβ 斑块的出现或进展。
在 3 个月和 20 个月大时,对 TgCRND8 小鼠及其同窝野生型对照小鼠进行脊髓横断。免疫组织化学反应/ELISA 检测用于确定不同年龄的 TgCRND8 小鼠脊髓中轴突损伤的程度、Aβ 斑块的发生/改变或 Aβ 的水平。
损伤后,在 3 个月和 20 个月大的 TgCRND8 小鼠的损伤周围区域观察到广泛的轴突病理学,表现为轴内 APP 及其产物 Aβ 的共积聚,而在年龄匹配的非 TgCRND8 小鼠中则没有。然而,在 3 个月大的 TgCRND8 小鼠中未发现 Aβ 斑块。在脊髓淀粉样变性已建立的 20 个月大的 TgCRND8 小鼠中,与假手术对照相比,脊髓横断后,损伤部位的斑块负荷减少而不是增加,与损伤区域相邻的组织和 sham 小鼠的相应区域相比也是如此。与 sham 动物相比,损伤的脊髓区域被 CD68 阳性巨噬细胞/激活的小胶质细胞占据。这些结果表明,脊髓损伤不会在 TgCRND8 小鼠的脊髓中诱导 Aβ 斑块沉积的急性发作和进展。相反,它会导致 TgCRND8 小鼠中 Aβ 斑块沉积的消退。
这些发现强调了创伤性轴突损伤在控制急性 Aβ 斑块形成中的依赖性,并提供了证据表明 Aβ 斑块病理学可能在脊髓损伤后的继发性损伤级联反应中不起作用。