Sun Feng, Zhang Haiwei, Huang Tianwen, Shi Jianhui, Wei Tianli, Wang Yansong
Department of Orthopedics, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150000, P.R. China.
Department of Orthopedics, General Hospital of Heilongjiang General Administration of Agriculture and Reclamation, Harbin, Heilongjiang 150000, P.R. China.
Exp Ther Med. 2022 Apr;23(4):291. doi: 10.3892/etm.2022.11220. Epub 2022 Feb 17.
Spinal cord injury (SCI) refers to damage to the spinal cord resulting from trauma, disease or degeneration. Controlling the inflammatory process and restoring neural homeostasis is hypothesized to prevent injury aggravation. S100 calcium-binding protein A9 (S100A9) is a pro-inflammatory alarm protein, which is expressed in and released by activated neutrophils. However, whether S100A9 could serve as an effective target for the treatment of SCI has not been reported to date. In the present study, a T10 spinal cord contusion injury model was established in Sprague-Dawley rats. S100A9 expression level was determined in the serum and injured spinal cord tissue via ELISA, reverse transcription-quantitative PCR (RT-qPCR) and western blotting. The S100A9-specific blocker, ABR-238901 (ABR), was administered during the inflammatory phase of SCI, as a form of treatment. Subsequently, the morphological structure, neuronal viability and inflammatory levels of injured spinal cord were observed by histopathology, immunohistochemistry and RT-qPCR. In the obtained results, S100A9 was found to be highly expressed in the injured spinal cord and serum in the first 3 days after SCI. However, at 28 days after surgery, ABR treatment significantly improved motor function, reduced the cavity formation and neutrophil infiltration in the lesion, which was verified via H&E staining and immunohistochemistry for myeloperoxidase. Furthermore, ABR treatment was found to effectively improve the survival and viability of neurons, as shown via Nissl staining and immunofluorescence of the synaptic plasticity markers, microtubule associated protein 2 and neurofilament 200. Moreover, S100A9 blockade effectively upregulated the mRNA expression level of the anti-inflammatory genes, IL-4 and IL-10 and downregulated the mRNA expression level of the pro-inflammatory factors, IL-1β, IL-6 and TNF-α. In addition, S100A9 blockade notably alleviated the apoptosis level of the injured nerve cells. Therefore, the findings of the present study revealed that S100A9 may be a useful target for the treatment of SCI.
脊髓损伤(SCI)是指由创伤、疾病或退变导致的脊髓损伤。据推测,控制炎症过程并恢复神经内环境稳定可防止损伤加重。S100钙结合蛋白A9(S100A9)是一种促炎警报蛋白,在活化的中性粒细胞中表达并由其释放。然而,迄今为止,尚无报道表明S100A9是否可作为治疗SCI的有效靶点。在本研究中,在Sprague-Dawley大鼠中建立了T10脊髓挫伤损伤模型。通过酶联免疫吸附测定(ELISA)、逆转录定量聚合酶链反应(RT-qPCR)和蛋白质印迹法测定血清和损伤脊髓组织中的S100A9表达水平。在SCI的炎症期给予S100A9特异性阻滞剂ABR-238901(ABR)进行治疗。随后,通过组织病理学、免疫组织化学和RT-qPCR观察损伤脊髓的形态结构、神经元活力和炎症水平。在所得结果中,发现S100A9在SCI后的前3天在损伤脊髓和血清中高表达。然而,在术后28天,ABR治疗显著改善了运动功能,减少了病变处的空洞形成和中性粒细胞浸润,这通过苏木精-伊红(H&E)染色和髓过氧化物酶免疫组织化学得到证实。此外,通过尼氏染色和突触可塑性标志物微管相关蛋白2和神经丝200的免疫荧光显示,ABR治疗可有效提高神经元的存活率和活力。此外,S100A9阻断可有效上调抗炎基因白细胞介素-4(IL-4)和白细胞介素-10(IL-10)的mRNA表达水平,并下调促炎因子白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)的mRNA表达水平。此外,S100A9阻断显著减轻了损伤神经细胞的凋亡水平。因此,本研究结果表明S100A9可能是治疗SCI的一个有用靶点。