Zhang Anke, Liu Yibo, Xu Houshi, Zhang Zeyu, Wang Xiaoyu, Yuan Ling, Lenahan Cameron, Zhang Chuan, Jiang Junkun, Fang Chaoyou, Fang Yuanjian, Zhang Jianmin, Chen Sheng
Department of Neurosurgery, Zhejiang University School of Medicine Second Affiliated Hospital, Hangzhou, Zhejiang, China.
Clinical Research Center for Neurological Diseases of Zhejiang Province, Hangzhou, Zhejiang, China.
Stroke Vasc Neurol. 2022 Jul 26;8(1):4-16. doi: 10.1136/svn-2022-001659.
C-C motif chemokine ligand 17 (CCL17) presents an important role in immune regulation, which is critical in the pathophysiology of brain injury after subarachnoid haemorrhage (SAH). There is rare evidence to illustrate the function of CCL17 towards SAH. In this study, we try to reveal the therapeutic effects of CCL17 and its underlying mechanism in rat SAH model.
SAH rat models were assigned to receive recombinant CCL17 (rCCL17) or phosphate buffer saline (PBS). AZD2098 and JR-AB2-011 were applied to investigate the C-C motif chemokine receptor 4 (CCR4)/mammalian target of rapamycin complex 2 (mTORC2) axis in CCL17-mediated neuroprotection. To elucidate the underlying mechanism, the in vitro kinase assay was performed in primary microglia. Microglial-specific Rictor knockdown was administered via intracerebroventricular injection of adenovirus-associated virus. Brain water content, short-term neurobehavioural evaluation, western blot analysis, quantitative RT-PCR and histological staining were performed.
The expression of CCL17 was increased and secreted from neurons after oxyhaemoglobin stimulation. Exogenous rCCL17 significantly alleviated neuronal apoptosis, and alleviated short-term neurofunction after SAH in rats. In addition, rCCL17 increased M2-like polarisation of microglia in rats post-SAH and in primary microglia culture. The neuroprotection of rCCL17 was abolished via inhibition of either CCR4 or mTORC2.
CCL17 activated the CCR4/mTORC2 axis in microglia, which can alleviate SAH-induced neurological deficits by promoting M2-like polarisation of microglia.
C-C基序趋化因子配体17(CCL17)在免疫调节中发挥重要作用,这在蛛网膜下腔出血(SAH)后脑损伤的病理生理学中至关重要。目前鲜有证据阐明CCL17对SAH的作用。在本研究中,我们试图揭示CCL17在大鼠SAH模型中的治疗作用及其潜在机制。
将SAH大鼠模型分为两组,分别接受重组CCL17(rCCL17)或磷酸盐缓冲盐水(PBS)。应用AZD2098和JR-AB2-011研究CCL17介导的神经保护作用中的C-C基序趋化因子受体4(CCR4)/哺乳动物雷帕霉素靶蛋白复合物2(mTORC2)轴。为阐明潜在机制,在原代小胶质细胞中进行体外激酶测定。通过脑室内注射腺相关病毒实现小胶质细胞特异性Rictor基因敲低。进行脑含水量测定、短期神经行为评估、蛋白质免疫印迹分析、定量逆转录聚合酶链反应及组织学染色。
氧合血红蛋白刺激后,神经元中CCL17的表达增加并分泌。外源性rCCL17显著减轻神经元凋亡,并改善大鼠SAH后的短期神经功能。此外,rCCL17增加了SAH后大鼠及原代小胶质细胞培养物中小胶质细胞的M2样极化。抑制CCR4或mTORC2均可消除rCCL17的神经保护作用。
CCL17激活小胶质细胞中的CCR4/mTORC2轴,通过促进小胶质细胞的M2样极化减轻SAH诱导的神经功能缺损。