Gao Tian-Yun, Huang Fei-Fei, Xie Yuan-Yuan, Wang Wen-Qing, Wang Liu-Di, Mu Dan, Cui Yi, Wang Bin
Clinical Stem Cell Center, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, China.
Department of Radiology, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, China.
Neural Regen Res. 2021 Feb;16(2):382-387. doi: 10.4103/1673-5374.290910.
Intraspinal inflammatory and immune responses are considered to play central roles in the pathological development of spinal cord injury. This study aimed to decipher the dynamics of systemic immune responses, initiated by spinal cord injury. The spinal cord in mice was completely transected at T8. Changes in the in vivo inflammatory response, between the acute and subacute stages, were observed. A rapid decrease in C-reactive protein levels, circulating leukocytes and lymphocytes, spleen-derived CD4 interferon-γ T-helper cells, and inflammatory cytokines, and a marked increase in neutrophils, monocytes, and CD4CD25FOXP3 regulatory T-cells were observed during the acute phase. These systemic immune alterations were gradually restored to basal levels during the sub-acute phase. During the acute phase of spinal cord injury, systemic immune cells and factors showed significant inhibition; however, this inhibition was transient, and the indicators of these serious disorders gradually returned to baseline levels during the subacute phase. All experiments were performed in accordance with the institutional animal care guidelines, approved by the Institutional Animal Care and Use Committee of Experimental Animal Center of Drum Tower Hospital, China (approval No. 2019AE01040) on June 25, 2019.
脊髓内的炎症和免疫反应被认为在脊髓损伤的病理发展中起核心作用。本研究旨在解读由脊髓损伤引发的全身免疫反应的动态变化。将小鼠的脊髓在T8处完全横断。观察了急性和亚急性期体内炎症反应的变化。在急性期观察到C反应蛋白水平、循环白细胞和淋巴细胞、脾脏来源的CD4干扰素-γ辅助性T细胞以及炎性细胞因子迅速下降,而中性粒细胞、单核细胞和CD4CD25FOXP3调节性T细胞显著增加。这些全身免疫改变在亚急性期逐渐恢复到基础水平。在脊髓损伤急性期,全身免疫细胞和因子表现出显著抑制;然而,这种抑制是短暂的,这些严重紊乱的指标在亚急性期逐渐恢复到基线水平。所有实验均按照中国鼓楼医院实验动物中心实验动物护理与使用委员会于2019年6月25日批准的机构动物护理指南进行(批准号:2019AE01040)。