Department of Neurosurgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Department of Neurosurgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
J Stroke Cerebrovasc Dis. 2022 Sep;31(9):106659. doi: 10.1016/j.jstrokecerebrovasdis.2022.106659. Epub 2022 Jul 25.
Polarization of microglia/macrophages toward the pro-inflammatory phenotype is a crucial contributor to neuroinflammation after subarachnoid hemorrhage (SAH). Mer belongs to the TAM receptor tyrosine kinases family, which is known to play a significant role in the resolution of inflammation. However, the effect and mechanism of Mer after SAH remain unclear. In this study, we explored the effect of Mer on modulating the microglia/macrophage phenotype and neuroinflammation and possible potential mechanism after SAH.
Endovascular perforation model of SAH was performed. There are 3 parts in this study. Firstly, the time course of Mer expression was determined within 72 hours after SAH. Secondly, the effect of Mer downregulation on brain water content, neurological function, and microglial polarization was evaluated at 24 h after SAH. Thirdly, the neuroprotective effects of pharmacological Mer agonist were assessed.
The expression of Mer increased after SAH, and was prominently localized in microglia/macrophages. Treatment with Mer siRNA increased pro-inflammatory phenotype and decreased anti-inflammatory phenotype of microglia/macrophage, thus resulted in exacerbation of neurological deficits and brain edema after SAH. Mechanistically, the downregulation of Mer inhibited the downstream anti-inflammatory signals, SOCS1/SOCS3, by decreasing phosphorylated STATs.
Mer is involved in the microglia/macrophage polarization and inflammation resolution after SAH, and that mechanism, at least in part, may contribute to the involvement of the STATs/SOCSs pathway.
小胶质细胞/巨噬细胞向促炎表型的极化是蛛网膜下腔出血(SAH)后神经炎症的关键因素。Mer 属于 TAM 受体酪氨酸激酶家族,已知其在炎症消退中发挥重要作用。然而,Mer 在 SAH 后的作用和机制尚不清楚。在这项研究中,我们探讨了 Mer 对调节小胶质细胞/巨噬细胞表型和神经炎症的影响及其可能的潜在机制。
采用血管内穿孔法制作 SAH 模型。本研究分为 3 部分。首先,确定 Mer 表达在 SAH 后 72 小时内的时间过程。其次,在 SAH 后 24 小时评估 Mer 下调对脑水肿、神经功能和小胶质细胞极化的影响。最后,评估药理学 Mer 激动剂的神经保护作用。
Mer 的表达在 SAH 后增加,并且主要定位于小胶质细胞/巨噬细胞中。Mer siRNA 的处理增加了小胶质细胞/巨噬细胞的促炎表型,减少了抗炎表型,从而导致 SAH 后神经功能缺损和脑水肿加重。机制上,Mer 的下调通过降低磷酸化 STATs 抑制了下游抗炎信号 SOCS1/SOCS3。
Mer 参与了 SAH 后小胶质细胞/巨噬细胞的极化和炎症消退,其机制至少部分可能与 STATs/SOCSs 途径有关。