托法替尼通过 JAK/STAT 信号通路调节小胶质细胞极化促进脊髓损伤后的功能恢复。

Tofacitinib Promotes Functional Recovery after Spinal Cord Injury by Regulating Microglial Polarization via JAK/STAT Signaling Pathway.

机构信息

Department of Orthopaedics, Shanghai Changzheng Hospital, Shanghai 200003, China.

Department of Orthopaedics, Third Affiliated Hospital of Naval Medical University, Shanghai, 200433, China.

出版信息

Int J Biol Sci. 2023 Sep 11;19(15):4865-4882. doi: 10.7150/ijbs.84564. eCollection 2023.

Abstract

The JAK/STAT signaling pathway is the main inflammatory signal transduction pathway, whether JAK/STAT contributes the pathology of SCI and targeting the pathway will alleviate SCI needs to be addressed. Here, we explored the therapeutic effect of pan-JAK inhibitor tofacitinib (TOF) on secondary injury after SCI and explained the underlying mechanisms. SCI model in rat was established to evaluate the therapeutic effects of TOF treatment . Histological and behavioral analyses were performed at different time points after SCI. , the effects of TOF on pro-inflammatory activation of primary microglia and BV2 cells were analyzed by western blot analysis, fluorescent staining, qPCR and flow cytometry. The neuroprotection of TOF was detected using a co-culture system with primary neurons and microglia. TOF can effectively improve motor dysfunction caused by spinal cord injury in rats. TOF administration in the early stage of inflammation can effectively inhibit neuronal apoptosis and scar tissue formation, and promote the repair of axons and nerve fibers. Further studies have demonstrated that TOF suppresses inflammation caused by spinal cord injury by inhibiting the activation of microglia to pro-inflammatory phenotype and . Additionally, an interesting phenomenon is revealed in our results that TOF exhibits superior neuronal protection during inflammation . Our study showed that TOF could regulate microglial activation via JAK / STAT pathway and promote the recovery of motor function after SCI, which is of great significance for the immunotherapy of SCI.

摘要

JAK/STAT 信号通路是主要的炎症信号转导通路,JAK/STAT 是否参与 SCI 的病理学以及靶向该通路是否能减轻 SCI 需要进一步研究。在这里,我们探讨了泛 JAK 抑制剂托法替尼(TOF)对 SCI 后继发性损伤的治疗作用,并解释了其潜在机制。 建立大鼠 SCI 模型以评估 TOF 治疗的治疗效果。在 SCI 后不同时间点进行组织学和行为学分析。 ,通过 Western blot 分析、荧光染色、qPCR 和流式细胞术分析 TOF 对原代小胶质细胞和 BV2 细胞促炎激活的影响。使用原代神经元和小胶质细胞共培养系统检测 TOF 的神经保护作用。 TOF 可有效改善大鼠脊髓损伤引起的运动功能障碍。炎症早期给予 TOF 治疗能有效抑制神经元凋亡和瘢痕组织形成,促进轴突和神经纤维修复。进一步研究表明,TOF 通过抑制小胶质细胞向促炎表型的激活来抑制脊髓损伤引起的炎症。 我们的研究结果还揭示了一个有趣的现象,即在炎症过程中,TOF 表现出优越的神经元保护作用。 我们的研究表明,TOF 可通过 JAK/STAT 通路调节小胶质细胞激活,促进 SCI 后运动功能恢复,对 SCI 的免疫治疗具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4989/10539697/135363ef64e3/ijbsv19p4865g001.jpg

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