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创伤性脑损伤导致慢性皮质炎症和神经元功能障碍,其介导作用是小胶质细胞。

Traumatic Brain Injury Causes Chronic Cortical Inflammation and Neuronal Dysfunction Mediated by Microglia.

机构信息

Department of Neuroscience, The Ohio State University, Columbus, Ohio 43210.

Neurophysiology unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

出版信息

J Neurosci. 2021 Feb 17;41(7):1597-1616. doi: 10.1523/JNEUROSCI.2469-20.2020. Epub 2021 Jan 15.

Abstract

Traumatic brain injury (TBI) can lead to significant neuropsychiatric problems and neurodegenerative pathologies, which develop and persist years after injury. Neuroinflammatory processes evolve over this same period. Therefore, we aimed to determine the contribution of microglia to neuropathology at acute [1 d postinjury (dpi)], subacute (7 dpi), and chronic (30 dpi) time points. Microglia were depleted with PLX5622, a CSF1R antagonist, before midline fluid percussion injury (FPI) in male mice and cortical neuropathology/inflammation was assessed using a neuropathology mRNA panel. Gene expression associated with inflammation and neuropathology were robustly increased acutely after injury (1 dpi) and the majority of this expression was microglia independent. At 7 and 30 dpi, however, microglial depletion reversed TBI-related expression of genes associated with inflammation, interferon signaling, and neuropathology. Myriad suppressed genes at subacute and chronic endpoints were attributed to neurons. To understand the relationship between microglia, neurons, and other glia, single-cell RNA sequencing was completed 7 dpi, a critical time point in the evolution from acute to chronic pathogenesis. Cortical microglia exhibited distinct TBI-associated clustering with increased type-1 interferon and neurodegenerative/damage-related genes. In cortical neurons, genes associated with dopamine signaling, long-term potentiation, calcium signaling, and synaptogenesis were suppressed. Microglial depletion reversed the majority of these neuronal alterations. Furthermore, there was reduced cortical dendritic complexity 7 dpi, reduced neuronal connectively 30 dpi, and cognitive impairment 30 dpi. All of these TBI-associated functional and behavioral impairments were prevented by microglial depletion. Collectively, these studies indicate that microglia promote persistent neuropathology and long-term functional impairments in neuronal homeostasis after TBI. Millions of traumatic brain injuries (TBIs) occur in the United States alone each year. Survivors face elevated rates of cognitive and psychiatric complications long after the inciting injury. Recent studies of human brain injury link chronic neuroinflammation to adverse neurologic outcomes, suggesting that evolving inflammatory processes may be an opportunity for intervention. Here, we eliminate microglia to compare the effects of diffuse TBI on neurons in the presence and absence of microglia and microglia-mediated inflammation. In the absence of microglia, neurons do not undergo TBI-induced changes in gene transcription or structure. Microglial elimination prevented TBI-induced cognitive changes 30 d postinjury (dpi). Therefore, microglia have a critical role in disrupting neuronal homeostasis after TBI, particularly at subacute and chronic timepoints.

摘要

创伤性脑损伤(TBI)可导致严重的神经精神问题和神经退行性病变,这些问题在损伤后数年发展和持续存在。神经炎症过程在此期间演变。因此,我们旨在确定小胶质细胞在急性[损伤后 1 天(dpi)]、亚急性(7 dpi)和慢性(30 dpi)时间点对神经病理学的贡献。在雄性小鼠中线液动冲压损伤(FPI)前,使用 CSF1R 拮抗剂 PLX5622 耗尽小胶质细胞,并使用神经病理学 mRNA 谱评估皮质神经病理学/炎症。与炎症和神经病理学相关的基因表达在损伤后急性(1 dpi)急剧增加,并且大多数表达与小胶质细胞无关。然而,在 7 和 30 dpi,小胶质细胞耗竭逆转了与炎症、干扰素信号和神经病理学相关的 TBI 相关基因的表达。在亚急性和慢性终点,许多被抑制的基因归因于神经元。为了了解小胶质细胞、神经元和其他神经胶质细胞之间的关系,在 7 dpi 时完成了单细胞 RNA 测序,这是从急性向慢性发病机制演变的关键时间点。皮质小胶质细胞表现出明显的 TBI 相关聚类,具有增加的 1 型干扰素和神经退行性/损伤相关基因。在皮质神经元中,与多巴胺信号、长期增强、钙信号和突触发生相关的基因受到抑制。小胶质细胞耗竭逆转了这些神经元改变的大部分。此外,7 dpi 时皮质树突复杂性降低,30 dpi 时神经元连接减少,30 dpi 时认知障碍。小胶质细胞耗竭可预防所有这些与 TBI 相关的功能和行为损伤。这些研究表明,小胶质细胞在 TBI 后促进神经元内稳态的持续神经病理学和长期功能障碍。仅在美国,每年就有数百万人遭受创伤性脑损伤(TBI)。幸存者在引发损伤后很长一段时间内面临认知和精神并发症的高发率。最近对人类脑损伤的研究将慢性神经炎症与不良神经结局联系起来,这表明不断发展的炎症过程可能是干预的机会。在这里,我们消除小胶质细胞,以比较弥漫性 TBI 对存在和不存在小胶质细胞和小胶质细胞介导的炎症的神经元的影响。在没有小胶质细胞的情况下,神经元不会发生 TBI 诱导的基因转录或结构变化。小胶质细胞耗竭可预防 30 dpi 后的 TBI 诱导的认知变化。因此,小胶质细胞在 TBI 后破坏神经元内稳态中起关键作用,特别是在亚急性和慢性时间点。

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