腰大肌炎症引起的运动功能障碍与脊髓小胶质细胞有关,与完全性脊髓横断小鼠模型中 KCC2 表达无关。

Locomotor deficits induced by lumbar muscle inflammation involve spinal microglia and are independent of KCC2 expression in a mouse model of complete spinal transection.

机构信息

Department of Anatomy, Université du Québec à Trois-Rivières, 3351 boul. des Forges, C.P. 500, Trois-Rivières, QC G9A 5H7, Canada; CogNAC Research Group, Université du Québec à Trois-Rivières, 3351 boul. des Forges, C.P. 500, Trois-Rivières, QC G9A 5H7, Canada.

Marion Murray Spinal Cord Research Center, Department of Neurobiology and Anatomy, Drexel University, Philadelphia, PA 19129, United States.

出版信息

Exp Neurol. 2021 Apr;338:113592. doi: 10.1016/j.expneurol.2020.113592. Epub 2020 Dec 31.

Abstract

Spinal cord injury (SCI) is associated with damage to musculoskeletal tissues of the spine. Recent findings show that pain and inflammatory processes caused by musculoskeletal injury mediate plastic changes in the spinal cord. These changes could impede the adaptive plastic changes responsible for functional recovery. The underlying mechanism remains unclear, but may involve the microglia-BDNF-KCC2 pathway, which is implicated in sensitization of dorsal horn neurons in neuropathic pain and in the regulation of spinal excitability by step-training. In the present study, we examined the effects of step-training and lumbar muscle inflammation induced by complete Freund's adjuvant (CFA) on treadmill locomotion in a mouse model of complete spinal transection. The impact on locomotor recovery of each of these interventions alone or in combination were examined in addition to changes in microglia and KCC2 expression in the dorsal and ventral horns of the sublesional spinal cord. Results show that angular motion at the hip, knee and ankle joint during locomotion were decreased by CFA injection and improved by step-training. Moreover, CFA injection enhanced the expression of the microglial marker Iba1 in both ventral and dorsal horns, with or without step-training. However, this change was not associated with a modulation of KCC2 expression, suggesting that locomotor deficits induced by inflammation are independent of KCC2 expression in the sublesional spinal cord. These results indicate that musculoskeletal injury hinders locomotor recovery after SCI and that microglia is involved in this effect.

摘要

脊髓损伤(SCI)与脊柱的肌肉骨骼组织损伤有关。最近的研究结果表明,肌肉骨骼损伤引起的疼痛和炎症过程会介导脊髓的可塑性变化。这些变化可能会阻碍负责功能恢复的适应性可塑性变化。其潜在机制尚不清楚,但可能涉及小胶质细胞-BDNF-KCC2 通路,该通路与神经病理性疼痛背角神经元的敏化以及阶梯训练对脊髓兴奋性的调节有关。在本研究中,我们研究了阶梯训练和完全弗氏佐剂(CFA)诱导的腰椎肌肉炎症对完全性脊髓横断小鼠模型在跑步机上运动的影响。除了检查亚损伤脊髓背角和腹角中小胶质细胞和 KCC2 表达的变化外,还研究了这些干预措施单独或联合使用对运动恢复的影响。结果表明,CFA 注射后,运动时髋关节、膝关节和踝关节的角度运动减少,阶梯训练后得到改善。此外,CFA 注射增强了腹角和背角中小胶质细胞标志物 Iba1 的表达,无论是否进行阶梯训练。然而,这种变化与 KCC2 表达的调节无关,这表明炎症引起的运动功能障碍与亚损伤脊髓中的 KCC2 表达无关。这些结果表明,肌肉骨骼损伤阻碍了 SCI 后的运动恢复,而小胶质细胞参与了这种效应。

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