Xu Pengfei, Hong Ye, Xie Yi, Yuan Kang, Li Juanji, Sun Rui, Zhang Xiaohao, Shi Xiaolei, Li Rongrong, Wu Jiaonan, Liu Xinfeng, Hu Wei, Sun Wen
Stroke Center & Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, 230036, Anhui, China.
Department of Neurology, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, Jiangsu, China.
Transl Stroke Res. 2021 Aug;12(4):643-659. doi: 10.1007/s12975-020-00840-x. Epub 2020 Aug 30.
Neuroinflammation contributes to the pathogenesis of early brain injury induced by subarachnoid hemorrhage (SAH). Previous reports have demonstrated that triggering receptor expressed on myeloid cells 1 (TREM-1) regulates inflammatory response caused by ischemic stroke or myocardial infarction. However, whether TREM-1 could modulate neuroinflammation after SAH remains largely unknown. Here, using a mouse model of SAH, we found that the expression of TREM-1 was mainly located in microglia cells and increased to peak at 24 h following SAH. Then, TREM-1 antagonist or mimic was intranasally administrated to investigate its effect on SAH. TREM-1 inhibition with LP17 improved neurological deficits, mitigated brain water content, and preserved brain-blood barrier integrity 24 h after SAH, whereas recombinant TREM-1, a mimic of TREM-1, deteriorated these outcomes. In addition, LP17 administration restored long-term sensorimotor coordination and cognitive deficits. Pharmacological blockade of TREM-1 reduced TUNEL-positive and FJC-positive neurons, and CD68-stained microglia in ipsilateral cerebral cortex. Neutrophil invasion was inhibited as protein level of myeloperoxidase (MPO), and MPO-positive cells were both decreased. Moreover, we found that LP17 treatment ameliorated microglial pyroptosis by diminishing levels of N-terminal fragment of GSDMD (GSDMD-N) and IL-1β production. Mechanistically, both in vivo and in vitro, we depicted that TREM-1 can trigger microglial pyroptosis via activating NLRP3 inflammasome. In conclusion, our results revealed the critical role of TREM-1 in neuroinflammation following SAH, suggesting that TREM-1 inhibition might be a potential therapeutic approach for SAH.
神经炎症在蛛网膜下腔出血(SAH)所致早期脑损伤的发病机制中起作用。既往报道显示,髓样细胞表达的触发受体1(TREM-1)可调节缺血性中风或心肌梗死引起的炎症反应。然而,TREM-1是否能调节SAH后的神经炎症仍不清楚。在此,我们使用SAH小鼠模型发现,TREM-1的表达主要位于小胶质细胞中,并在SAH后24小时达到峰值。然后,经鼻给予TREM-1拮抗剂或模拟物以研究其对SAH的影响。用LP17抑制TREM-1可改善神经功能缺损,减轻脑含水量,并在SAH后24小时维持血脑屏障完整性,而TREM-1模拟物重组TREM-1则使这些结果恶化。此外,给予LP17可恢复长期的感觉运动协调和认知缺陷。对TREM-1进行药理阻断可减少同侧大脑皮质中TUNEL阳性和FJC阳性神经元以及CD68染色的小胶质细胞。随着髓过氧化物酶(MPO)蛋白水平降低,中性粒细胞浸润受到抑制,MPO阳性细胞也减少。此外,我们发现LP17治疗可通过降低GSDMD(gasdermin D)N端片段水平和IL-1β产生来改善小胶质细胞焦亡。机制上,在体内和体外,我们都描述了TREM-1可通过激活NLRP3炎性小体触发小胶质细胞焦亡。总之,我们的结果揭示了TREM-1在SAH后神经炎症中的关键作用,提示抑制TREM-1可能是SAH的一种潜在治疗方法。