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白细胞介素 4 通过下调 TNF-α、上调 IL-10/TGF-β,并可能直接将巨噬细胞/小胶质细胞导向 M2 抗炎表型,从而减少创伤性损伤后的大脑过度兴奋。

Interleukin 4 Reduces Brain Hyperexcitability after Traumatic Injury by Downregulating TNF-α, Upregulating IL-10/TGF-β, and Potential Directing Macrophage/Microglia to the M2 Anti-inflammatory Phenotype.

机构信息

Department of Physiology and Pharmacology, Pasteur Institute of Iran , Tehran, Iran.

出版信息

Inflammation. 2023 Oct;46(5):1810-1831. doi: 10.1007/s10753-023-01843-0. Epub 2023 Jun 1.

Abstract

Macrophage/microglia are activated after Traumatic brain injury (TBI), transform to inflammatory phenotype (M1) and trigger neuroinflammation, which provokes epileptogenesis. Interleukin-4 (IL-4) is a well-known drive of macrophage/microglia to the anti-inflammatory phenotype (M2). We tested effect of IL-4 on speed of epileptogenesis, brain expression of inflammatory and anti-inflammatory cytokines, and lesion size in TBI-injured male rats. Rats underwent TBI by Controlled Cortical Impact. Then 100 ng IL-4 was injected into cerebral ventricles. One day after TBI, pentylenetetrazole (PTZ) kindling started and development of generalized seizures was recorded. The lesion size, cell survival rate, TNF-α, TGF-β, IL-10, and Arginase1 (Arg1) was measured in the brain 6 h, 12 h, 24 h, 48 h, and 5 days after TBI. Astrocytes and macrophage/microglia activation/polarization was assessed by GFAP/Arg1 and Iba1/Arg1 immunostaining. TBI-injured rats were kindled by 50% less PTZ injections than control and sham-operated rats. IL-4 did not change kindling rate in sham-operated rats but inhibited acceleration of kindling rate in the TBI-injured rats. IL-4 decreased damage volume and number of destroyed neurons. IL-4 stopped TNF-α whereas upregulated TGF-β, IL-10, and Arg1 expressions. Iba1/Arg1 positive macrophage/microglia was notably increased 48 h after IL-4 administration. IL-4 suppresses TBI-induced acceleration of epileptogenesis in rats by directing TBI neuroinflammation toward an anti-inflammatory tone and inhibition of cell death.

摘要

小胶质细胞/巨噬细胞在创伤性脑损伤(TBI)后被激活,转化为炎症表型(M1)并引发神经炎症,从而引发癫痫发生。白细胞介素-4(IL-4)是驱动小胶质细胞/巨噬细胞向抗炎表型(M2)的众所周知的因子。我们测试了 IL-4 对 TBI 损伤雄性大鼠癫痫发生速度、大脑炎症和抗炎细胞因子表达以及损伤大小的影响。大鼠通过控制性皮质撞击(CCI)模型发生 TBI。然后将 100ng IL-4 注射到脑室中。TBI 后 1 天,开始戊四氮(PTZ)点燃,并记录全身性癫痫发作的发展。在 TBI 后 6h、12h、24h、48h 和 5d 测量大脑中的损伤大小、细胞存活率、TNF-α、TGF-β、IL-10 和精氨酸酶 1(Arg1)。通过 GFAP/Arg1 和 Iba1/Arg1 免疫染色评估星形胶质细胞和小胶质细胞/巨噬细胞的激活/极化。TBI 损伤大鼠需要较少的 PTZ 注射(比对照组和假手术组)即可点燃。IL-4 对假手术组大鼠的点燃率没有影响,但抑制了 TBI 损伤大鼠的点燃率加速。IL-4 减少了损伤体积和破坏神经元的数量。IL-4 停止了 TNF-α的表达,而上调了 TGF-β、IL-10 和 Arg1 的表达。IL-4 给药后 48h,Iba1/Arg1 阳性小胶质细胞/巨噬细胞明显增加。IL-4 通过将 TBI 神经炎症转向抗炎状态和抑制细胞死亡来抑制大鼠 TBI 诱导的癫痫发生加速。

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