Bremer Anna-Sophie, Henschel Nico, Burkard Hannah, Bernis Maria Eugenia, Ulas Thomas, Sabir Hemmen
Department of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, 53127, Bonn, Germany.
German Center for Neurodegenerative Disease (DZNE), 53127, Bonn, Germany.
J Neuroinflammation. 2025 Jul 19;22(1):189. doi: 10.1186/s12974-025-03516-1.
Inflammation-sensitized hypoxic-ischemic brain injury significantly contributes to neonatal mortality as affected neonates do not benefit from standard cooling treatments. To get further insight into inflammatory responses involved, we experimentally investigated the immune response of microglia in an inflammation-sensitized neonatal hypoxia-ischemia (HI) model.
Transcriptomic analysis of microglia isolated from brains following inflammation-sensitized HI brain injury revealed a strong upregulation of leukocyte recruitment and pro-inflammatory markers. Specifically, markers associated with neutrophil-mediated immune responses and chemotaxis were upregulated in the inflammation-sensitized HI group compared to the non-inflammation-sensitized HI and control groups. Serpine 1 and Selp could be identified as specifically upregulated markers indicating an acute inflammatory condition before HI injury.
Our study revealed preliminary data about a microglia population which is primed to recruit peripheral neutrophils to infiltrate the brain and mediate neutrophil immune response. We showed a contribution to neutrophil activation in case of inflammation following HI in the brain. Targeting microglia-mediated neutrophil recruitment can indicate a possible treatment approach in case of inflammation-sensitized HI brain injury.
炎症致敏性缺氧缺血性脑损伤是新生儿死亡的重要原因,因为受影响的新生儿无法从标准的降温治疗中获益。为了进一步了解其中涉及的炎症反应,我们通过实验研究了炎症致敏性新生儿缺氧缺血(HI)模型中微胶质细胞的免疫反应。
对炎症致敏性HI脑损伤后从大脑中分离出的微胶质细胞进行转录组分析,发现白细胞募集和促炎标志物强烈上调。具体而言,与中性粒细胞介导的免疫反应和趋化性相关的标志物在炎症致敏性HI组中比非炎症致敏性HI组和对照组上调。丝氨酸蛋白酶抑制剂1(Serpine 1)和血小板内皮细胞黏附分子1(Selp)可被确定为特异性上调的标志物,表明HI损伤前存在急性炎症状态。
我们的研究揭示了有关微胶质细胞群体的初步数据,该群体准备募集外周中性粒细胞以浸润大脑并介导中性粒细胞免疫反应。我们证明了在脑内HI后发生炎症的情况下对中性粒细胞激活的作用。针对微胶质细胞介导的中性粒细胞募集可能为炎症致敏性HI脑损伤提供一种可能的治疗方法。