Systemic Interleukin-4 Administration after Spinal Cord Injury Modulates Inflammation and Promotes Neuroprotection

Pharmaceuticals - Tập 10 Số 4 - Trang 83
Rui Lima1,2, Susana Monteiro1,2, José Manuel Lopes1,2, Pedro Barradas1,2, Natália Vasconcelos1,2, Eduardo D. Gomes1,2, Rita C. Assunção-Silva1,2, Fábio G. Teixeira1,2, Mónica Morais1,2, Nuno Sousa1,2, António J. Salgado1,2, Nuno A. Silva1,2
1ICVS/3B’s-PT Government Associate Laboratory, Braga/Guimaraes, Portugal
2Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Campus de Gualtar, 4710-057 Braga, Portugal

Tóm tắt

Traumatic spinal cord injury (SCI) causes dramatic disability and dysfunction in the motor, sensory and autonomic systems. The severe inflammatory reaction that occurs after SCI is strongly associated with further tissue damage. As such, immunomodulatory strategies have been developed, aimed at reducing inflammation, but also at shaping the immune response in order to protect, repair and promote regeneration of spared neural tissue. One of those promising strategies is the intraspinal administration of the cytokine interleukin-4 (IL-4) that was shown to promote a phenotype on specific immune cells associated with neuroprotection and repair. In this work, we evaluated if a systemic delivery of IL-4 for a 7-days period was also capable of promoting neuroprotection after SCI by analyzing different neural cells populations and motor recovery. IL-4 treatment promoted an elevation of the anti-inflammatory cytokine IL-10 in the serum both at 24 h and 7 days after injury. Locally, treatment with IL-4 led to a reduction on cells expressing markers associated with inflammation, CD11b/c and iNOS. Importantly, IL-4 treatment increased the neuronal markers βIII-tubulin and NeuN, and the oligodendrocyte marker O4, suggesting a neuroprotective effect. Moreover, 100% of the animals treated with IL-4 were able to recover weight support against only 33% of saline treated animals. Overall, these results show that systemic administration of IL-4 positively impacts different aspects of spinal cord injury, creating a more favorable environment for recovery to take place.

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Tài liệu tham khảo

National Spinal Cord Injury Statistical Center (2005). Facts and figures at a glance. J. Spinal Cord Med., 28, 379–380.

Popovich, 1997, Cellular inflammatory response after spinal cord injury in sprague-dawley and lewis rats, J. Comp. Neurol., 377, 443, 10.1002/(SICI)1096-9861(19970120)377:3<443::AID-CNE10>3.0.CO;2-S

Hausmann, 2003, Post-traumatic inflammation following spinal cord injury, Spinal Cord, 41, 369, 10.1038/sj.sc.3101483

Arnold, 2011, Anti-inflammatory treatments during the chronic phase of spinal cord injury improve locomotor function in adult mice, J. Neurotrauma, 28, 1995, 10.1089/neu.2011.1888

Mabon, 2000, Inhibition of monocyte/macrophage migration to a spinal cord injury site by an antibody to the integrin αD: A potential new anti-inflammatory treatment, Exp. Neurol., 166, 52, 10.1006/exnr.2000.7488

Bracken, 1990, A randomized, controlled trial of methylprednisolone or naloxone in the treatment of acute spinal-cord injury. Results of the second national acute spinal cord injury study, N. Engl. J. Med., 322, 1405, 10.1056/NEJM199005173222001

Evaniew, 2015, Methylprednisolone for the treatment of patients with acute spinal cord injuries: A propensity score-matched cohort study from a canadian multi-center spinal cord injury registry, J. Neurotrauma, 32, 1674, 10.1089/neu.2015.3963

Resnick, 2013, Updated guidelines for the management of acute cervical spine and spinal cord injury, Neurosurgery, 72, 1, 10.1227/NEU.0b013e318276ee7e

Silva, 2014, From basics to clinical: A comprehensive review on spinal cord injury, Prog. Neurobiol., 114, 25, 10.1016/j.pneurobio.2013.11.002

Shechter, R., London, A., Varol, C., Raposo, C., Cusimano, M., Yovel, G., Rolls, A., Mack, M., Pluchino, S., and Martino, G. (2009). Infiltrating blood-derived macrophages are vital cells playing an anti-inflammatory role in recovery from spinal cord injury in mice. PLoS Med., 6.

Gadani, 2015, Dealing with danger in the cns: The response of the immune system to injury, Neuron, 87, 47, 10.1016/j.neuron.2015.05.019

Walsh, 2015, MHCII-independent cCD4+ T cells protect injured cns neurons via IL-4, J. Clin. Investig., 125, 699, 10.1172/JCI76210

Donnelly, 2008, Inflammation and its role in neuroprotection, axonal regeneration and functional recovery after spinal cord injury, Exp. Neurol., 209, 378, 10.1016/j.expneurol.2007.06.009

Popovich, 2008, Can the immune system be harnessed to repair the CNS?, Nat. Rev. Neurosci., 9, 481, 10.1038/nrn2398

Chiu, 2016, The immunomodulator decoy receptor 3 improves locomotor functional recovery after spinal cord injury, J. Neuroinflammation, 13, 154, 10.1186/s12974-016-0623-6

Ma, 2015, Adoptive transfer of M2 macrophages promotes locomotor recovery in adult rats after spinal cord injury, Brain. Behav. Immun., 45, 157, 10.1016/j.bbi.2014.11.007

Hu, 2016, Differential effects of myelin basic protein-activated Th1 and Th2 cells on the local immune microenvironment of injured spinal cord, Exp. Neurol., 277, 190, 10.1016/j.expneurol.2016.01.002

2016, IL-4 drives microglia and macrophages toward a phenotype conducive for tissue repair and functional recovery after spinal cord injury, Glia, 64, 2079, 10.1002/glia.23041

Ghosh, 2016, Cyclic amp is a key regulator of m1 to M2a phenotypic conversion of microglia in the presence of Th2 cytokines, J. Neuroinflammation, 13, 9, 10.1186/s12974-015-0463-9

Kigerl, 2009, Identification of two distinct macrophage subsets with divergent effects causing either neurotoxicity or regeneration in the injured mouse spinal cord, J. Neurosci., 29, 13435, 10.1523/JNEUROSCI.3257-09.2009

Fenn, 2014, IL-4 signaling drives a unique arginase+/IL-1β+ microglia phenotype and recruits macrophages to the inflammatory CNS: Consequences of age-related deficits in IL-4Rα after traumatic spinal cord injury, J. Neurosci., 34, 8904, 10.1523/JNEUROSCI.1146-14.2014

Alexander, 1991, Characterization of posttranslational modifications in neuron-specific class III β-tubulin by mass spectrometry, Proc. Natl. Acad. Sci. USA, 88, 4685, 10.1073/pnas.88.11.4685

Sommer, 1981, Monoclonal antibodies (O1 to O4) to oligodendrocyte cell surfaces: An immunocytological study in the central nervous system, Dev. Biol., 83, 311, 10.1016/0012-1606(81)90477-2

Bufler, 2016, Beneficial effects of IL-37 after spinal cord injury in mice, Proc. Natl. Acad. Sci. USA, 113, 1411, 10.1073/pnas.1523212113

Dooley, 2016, Interleukin-25 is detrimental for recovery after spinal cord injury in mice, J. Neuroinflammation, 13, 101, 10.1186/s12974-016-0566-y

Moore, 2001, Interleukin-10 and the interleukin-10 receptor, Annu. Rev. Immunol., 19, 683, 10.1146/annurev.immunol.19.1.683

Howard, 1992, Biological properties of interleukin 10, J. Clin. Immunol., 12, 239, 10.1007/BF00918147

Bethea, 1999, Systemically administered interleukin-10 reduces tumor necrosis factor-alpha production and significantly improves functional recovery following traumatic spinal cord injury in rats, J. Neurotrauma, 16, 851, 10.1089/neu.1999.16.851

Zhou, 2009, IL-10 promotes neuronal survival following spinal cord injury, Exp. Neurol., 220, 183, 10.1016/j.expneurol.2009.08.018

Brewer, 1999, Neuroprotective effects of interleukin-10 following excitotoxic spinal cord injury, Exp. Neurol., 159, 484, 10.1006/exnr.1999.7173

Kaushal, 2007, The Ca2+-activated K+ channel KCNN4/KCa3. 1 contributes to microglia activation and nitric oxide-dependent neurodegeneration, J. Neurosci., 27, 234, 10.1523/JNEUROSCI.3593-06.2007

Kaushal, 2008, Mechanisms of microglia-mediated neurotoxicity in a new model of the stroke penumbra, J. Neurosci., 28, 2221, 10.1523/JNEUROSCI.5643-07.2008

Chatzipanteli, 2002, Temporal and segmental distribution of constitutive and inducible nitric oxide synthases after traumatic spinal cord injury: Effect of aminoguanidine treatment, J. Neurotrauma, 19, 639, 10.1089/089771502753754109

Navarro, 2004, Increased expression of cyclo-oxygenase 2 and vascular endothelial growth factor in lesioned spinal cord by transplanted olfactory ensheathing cells, J. Neurotrauma, 21, 1031, 10.1089/0897715041651105

Pearse, 2003, Comparison of inos inhibition by antisense and pharmacological inhibitors after spinal cord injury, J. Neuropathol. Exp. Neurol., 62, 1096, 10.1093/jnen/62.11.1096

Rostam, 2017, Image based machine learning for identification of macrophage subsets, Sci. Rep., 7, 3521, 10.1038/s41598-017-03780-z

DeBoy, 2006, Immune-mediated neuroprotection of axotomized mouse facial motoneurons is dependent on the IL-4/STAT6 signaling pathway in cd4+ t cells, Exp. Neurol., 201, 212, 10.1016/j.expneurol.2006.04.028

Uhlmann, 2006, The cytokine/neurotrophin axis in peripheral axon outgrowth, Eur. J. Neurosci., 24, 2721, 10.1111/j.1460-9568.2006.05155.x

Warrington, 1992, Proliferation and differentiation of O4+ oligodendrocytes in postnatal rat cerebellum: Analysis in unfixed tissue slices using anti-glycolipid antibodies, J. Neurosci. Res., 33, 338, 10.1002/jnr.490330218

Butovsky, 2006, Microglia activated by IL-4 or IFN-γ differentially induce neurogenesis and oligodendrogenesis from adult stem/progenitor cells, Mol. Cell. Neurosc., 31, 149, 10.1016/j.mcn.2005.10.006

Probert, 2000, TNFR1 signalling is critical for the development of demyelination and the limitation of T-cell responses during immune-mediated cns disease, Brain, 123, 2005, 10.1093/brain/123.10.2005

Silver, 2015, Central nervous system regenerative failure: Role of oligodendrocytes, astrocytes, and microglia, Cold Spring Harb. Perspect. Biol., 7, a020602, 10.1101/cshperspect.a020602

Busch, 2007, The role of extracellular matrix in CNS regeneration, Curr. Opin. Neurobiol., 17, 120, 10.1016/j.conb.2006.09.004

Faulkner, 2004, Reactive astrocytes protect tissue and preserve function after spinal cord injury, J. Neurosci., 24, 2143, 10.1523/JNEUROSCI.3547-03.2004

Okada, 2006, Conditional ablation of STAT3 or SOCS3 discloses a dual role for reactive astrocytes after spinal cord injury, Nat. Med., 12, 829, 10.1038/nm1425

Anderson, 2016, Astrocyte scar formation aids central nervous system axon regeneration, Nature, 532, 195, 10.1038/nature17623

Silva, 2013, Combining adult stem cells and olfactory ensheathing cells: The secretome effect, Stem Cells Dev., 22, 1232, 10.1089/scd.2012.0524

Assunção-Silva, R.C., Gomes, E.D., Sousa, N., Silva, N.A., and Salgado, A.J. (2015). Hydrogels and cell based therapies in spinal cord injury regeneration. Stem Cells Int., 2015.

Noble, 1985, Spinal cord contusion in the rat: Morphometric analyses of alterations in the spinal cord, Exp. Neurol., 88, 135, 10.1016/0014-4886(85)90119-0

Vasconcelos, 2016, Combining neuroprotective agents: Effect of riluzole and magnesium in a rat model of thoracic spinal cord injury, Spine J., 16, 1015, 10.1016/j.spinee.2016.04.013

Plunkett, 2001, Effects of interleukin-10 (IL-10) on pain behavior and gene expression following excitotoxic spinal cord injury in the rat, Exp. Neurol., 168, 144, 10.1006/exnr.2000.7604

Beck, 2010, Quantitative analysis of cellular inflammation after traumatic spinal cord injury: Evidence for a multiphasic inflammatory response in the acute to chronic environment, Brain, 133, 433, 10.1093/brain/awp322

Basso, 1995, A sensitive and reliable locomotor rating scale for open field testing in rats, J. Neurotrauma, 12, 1, 10.1089/neu.1995.12.1

Anderson, C.R., Ashwell, K.W.S., Collewijn, H., Conta, A., Harvey, A., Heise, C., Hodgetts, S., Holstege, G., Kayalioglu, G., and Keast, J.R. (2009). The spinal cord: A christopher and dana reeve foundation text and atlas. The Spinal Cord, Academic Press.