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CD146 依赖性巨噬细胞浸润通过 Erdr1/ERK/CCR2 通路促进硬膜外纤维化。

CD146-dependent macrophage infiltration promotes epidural fibrosis via the Erdr1/ERK/CCR2 pathway.

机构信息

Department of Orthopedics, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Key Laboratory of Protein and Peptide Pharmaceutical, Institute of Biophysics, Chinese Academy of Sciences, Beijing 100101, China; Nanozyme Laboratory in Zhongyuan, Henan Academy of Innovations in Medical Science, Zhengzhou, Henan 451163, China.

出版信息

Int Immunopharmacol. 2024 Aug 20;137:112528. doi: 10.1016/j.intimp.2024.112528. Epub 2024 Jun 21.


DOI:10.1016/j.intimp.2024.112528
PMID:38908086
Abstract

Low back pain due to epidural fibrosis is a major complication after spine surgery. Macrophages infiltrate the wound area post laminectomy, but the role of macrophages in epidural fibrosis remains largely elusive. In a mouse model of laminectomy, macrophage depletion decreased epidural fibrosis. CD146, an adhesion molecule involved in cell migration, is expressed by macrophages. CD146-defective macrophages exhibited impaired migration, which was mediated by reduced expression of CCR2 and suppression of the MAPK/ERK signaling pathway. CD146-defective macrophages suppress the MAPK/ERK signaling pathway by increasing Erdr1. In vivo, CD146 deficiency decreased macrophage infiltration and reduced extracellular matrix deposition in wound tissues. Moreover, the anti-CD146 antibody AA98 suppressed macrophage infiltration and epidural fibrosis. Taken together, these findings demonstrated that CD146 deficiency alleviates epidural fibrosis by decreasing the migration of macrophages via the Erdr1/ERK/CCR2 pathway. Blocking CD146 and macrophage infiltration may help alleviate epidural fibrosis.

摘要

由于硬膜外纤维化导致的下腰痛是脊柱手术后的主要并发症。巨噬细胞在椎板切除术后浸润伤口区域,但巨噬细胞在硬膜外纤维化中的作用在很大程度上仍不清楚。在椎板切除术的小鼠模型中,巨噬细胞耗竭可减少硬膜外纤维化。CD146 是一种参与细胞迁移的黏附分子,在巨噬细胞中表达。CD146 缺陷型巨噬细胞表现出迁移受损,这是由 CCR2 表达减少和 MAPK/ERK 信号通路抑制介导的。CD146 缺陷型巨噬细胞通过增加 Erdr1 来抑制 MAPK/ERK 信号通路。在体内,CD146 缺乏可减少巨噬细胞浸润并减少伤口组织中的细胞外基质沉积。此外,抗 CD146 抗体 AA98 可抑制巨噬细胞浸润和硬膜外纤维化。总之,这些发现表明,CD146 缺乏通过 Erdr1/ERK/CCR2 途径减少巨噬细胞迁移来缓解硬膜外纤维化。阻断 CD146 和巨噬细胞浸润可能有助于缓解硬膜外纤维化。

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