quantitative-assessment-immune-cells-injured-spinal-cord-tissue-flow

Quantitative Assessment of Immune Cells in the Injured Spinal Cord Tissue by Flow Cytometry:  a Novel Use for a Cell Purification Method

Detection of immune cells in the injured central nervous system (CNS) using morphological or histological techniques has not always provided true ...

Current evidence indicates that the physiological functions of inflammatory cells are highly sensitive to their microenvironment, which is partially determined by the inflammatory cells and their potential targets. In the present investigation, interactions between neutrophils, macrophages and muscle cells that may influence muscle cell death are examined. Findings show that in the absence of macrophages, neutrophils kill muscle cells in vitro by superoxide-dependent mechanisms, and that low concentrations of nitric oxide (NO) protect against neutrophil-mediated killing. In the absence of neutrophils, macrophages kill muscle cells through a NO-dependent mechanism, and the presence of target muscle cells causes a three-fold increase in NO production by macrophages, with no change in the concentration of inducible nitric oxide synthase. Muscle cells that are co-cultured with both neutrophils and macrophages in proportions that are observed in injured muscle show cytotoxicity through a NO-dependent, superoxide-independent mechanism. Furthermore, the concentration of myeloid cells that is necessary for muscle killing is greatly reduced in assays that use mixed myeloid cell populations, rather than uniform populations of neutrophils or macrophages. These findings collectively show that the magnitude and mechanism of muscle cell killing by myeloid cells are modified by interactions between muscle cells and neutrophils, between muscle cells and macrophages and between macrophages and neutrophils.

Interactions between neutrophils and macrophages promote macrophage killing of rat muscle cells in vitro.

Wechselwirkungen zwischen Neutrophilen und Makrophagen f&#xF6;rdern Makrophagen T&#xF6;tung von Ratten Muskelzellen in vitro.

Nitric oxide (NO) can function as either a pro-inflammatory or anti-inflammatory molecule, depending upon its concentration and the microenvironment in which it is produced. We tested whether muscle-derived NO affects muscle inflammation and membrane lysis that occur in modified muscle use. Transgenic mice with muscle-specific over-expression of neuronal NO synthase (nNOS) were generated in which transgene expression was driven by the human skeletal muscle actin promoter. Transgenic mice and non-transgenic littermates were subjected to hindlimb muscle unloading followed by reloading, which causes muscle inflammation and membrane lysis. NOS expression decreased in transgenic and non-transgenic mice during muscle unloading. Muscle inflammation was assessed by immunohistochemistry after 24 h of muscle reloading following 10 days of unloading. Soleus muscles of non-transgenic mice showed significant increases in the concentrations of neutrophils (4.8-fold) and macrophages (11.3-fold) during reloading, compared to mice that experienced unloading only. Muscles of transgenic mice showed 51 % fewer neutrophils in reloaded muscles than those of non-transgenic mice, but macrophage concentrations did not differ from non-transgenic mice. Muscle membrane damage was determined by measuring influx of an extracellular marker dye. Significantly more membrane damage occurred in muscles of non-transgenic mice experiencing reloading than in ambulatory controls. However, membrane damage in the reloaded muscles of transgenic mice did not differ from that in ambulatory mice. In vitro cytotoxicity assays confirmed that mouse neutrophils lyse muscle cell membranes, and showed that inhibition of NOS in muscle and neutrophil co-cultures significantly increased neutrophil-mediated lysis of muscle cells. Together, these data show that muscle-derived NO can function as an anti-inflammatory molecule in muscle that experiences modified loading, and that NO can prevent neutrophil-mediated damage of muscle cell membranes in vivo and in vitro.

Expression of a muscle-specific, nitric oxide synthase transgene prevents muscle membrane injury and reduces muscle inflammation during modified muscle use in mice.

Die Expression eines bestimmten Muskel-, Stickoxid-Synthase Transgens verhindert Muskelmembran Verletzungen und verringert Muskelentz&#xFC;ndung w&#xE4;hrend modifizierte Muskel den Einsatz in M&#xE4;usen.

Muscle inflammation is a common feature in muscle injury and disease. Recently, investigators have speculated that inflammatory cells may increase or decrease muscle damage following modified muscle use, although there are few experimental observations to confirm either possibility. In the present study, a null mutation of gp91phox in neutrophils prevented superoxide production in cytotoxicity assays in which muscle cells were targets, and prevented most neutrophil-mediated cytolysis of muscle cells in comparison to wild-type neutrophils in vitro. We further tested whether deficiency in superoxide production caused a decrease in muscle membrane damage in vivo during modified muscle use. Gp91phox null mutant mice and wild-type mice were subjected to 10 days of muscle hindlimb unloading followed by reloading through return to normal locomotion, which induced muscle membrane lesions and muscle inflammation. Membrane lesions were quantified by measuring the presence of extracellular marker dye in reloaded soleus muscle fibres. There was a 90 % reduction in the number of fibres showing extensive membrane injury in gp91phox null mice compared to controls. Mutation of gp91phox did not change the concentration of neutrophils or macrophages in the reloaded muscle. Furthermore, muscle fibre growth during the reloading period was unaffected by the reduction in membrane injury. Together, these findings show that neutrophils can induce muscle membrane lysis through superoxide-mediated events, and indicate that superoxide-mediated membrane damage in vivo is not required for myeloid cell chemotaxis or muscle growth during muscle reloading.

Null mutation of gp91phox reduces muscle membrane lysis during muscle inflammation in mice.

Null-Mutation von gp91phox reduziert Muskelmembran Lyse w&#xE4;hrend Muskelentz&#xFC;ndung bei M&#xE4;usen.

Membrane lysis is a common and early defect in muscles experiencing acute injuries or inflammation. Although increased mechanical loading of muscles can induce inflammation and membrane lysis, whether mechanical loads applied to muscle can promote the activation and cytolytic capacity of inflammatory cells and thereby increase muscle damage is unknown. We tested whether mechanical loads applied to mouse muscle cells in vitro can increase membrane lysis, and whether neutrophil-mediated lysis of muscle cells is promoted by mechanical loads applied in vitro and in vivo. Cyclic loads applied to muscle cells for 24 h in vitro produced little muscle cell lysis. Similarly, the addition of neutrophils to muscle cell cultures in the presence of superoxide dismutase (SOD) produced little muscle cell lysis. However, when cyclic mechanical loads were applied to neutrophil-muscle co-cultures in the presence of SOD, there was a synergistic effect on muscle cell lysis, suggesting that mechanical loading activates neutrophil cytotoxicity. However, application of mechanical loads to co-cultures of muscle cells and neutrophils that are null mutants for myeloperoxidase (MPO) showed no mechanical activation of neutrophil cytotoxicity. This indicates that loading promotes neutrophil cytotoxicity via MPO. Activity assays confirmed that mechanical loading of neutrophil-muscle co-cultures significantly increased MPO activity. We further tested whether muscle membrane lysis in vivo was mediated by neutrophils when muscle was subjected to modified loading by using a mouse model of muscle reloading following a period of unloading. We observed that MPO-/-soleus muscles showed a significant 52% reduction in membrane lysis compared to wild-type mice, although the mutation did not decrease inflammatory cell extravasation. Together, these in vitro and in vivo findings show that mechanical loading activates neutrophil-mediated lysis of muscle cells through an MPO-dependent pathway.

Null mutation of myeloperoxidase in mice prevents mechanical activation of neutrophil lysis of muscle cell membranes in vitro and in vivo.

Null-Mutation von Myeloperoxidase in M&#xE4;usen verhindert mechanische Aktivierung von Neutrophilen Lyse Muskelzellmembranen in vitro und in vivo.

As the first immune cells to infiltrate the nervous system after traumatic PNS and CNS injury, neutrophils (polymorphonuclear leukocytes, PMNs) may promote injury by releasing toxic soluble factors that may affect neuronal survival. Direct neurotoxicity of matrix metalloproteinases (MMPs), reactive oxygen species (ROS), and cytokines released by PMNs was investigated by culturing dorsal root ganglion (DRG) cells with PMN-conditioned media containing MMP inhibitor (GM6001), ROS scavengers, or tumor necrosis factor alphaR (TNF-alphaR) neutralizing antibody. Although DRGs exposed to PMN-conditioned media had 53% fewer surviving neurons than controls, neuronal cell loss was prevented by GM6001 (20 micromol/L), catalase (1000 U/mL), or TNF-alphaR neutralizing antibody (1.5 microg/mL), elevating survival to 77%, 94%, and 95%, respectively. In accordance with protection by GM6001, conditioned media collected from MMP-9 null PMNs was less neurotoxic than that collected from wild-type PMNs. Additionally, MMP inhibition reduced PMN-derived ROS; removal of ROS reduced PMN-derived MMP-9 activity; and TNF-alpha inhibition reduced both PMN-derived MMP-9 activity and ROS in PMN cultures. Our data provide the first direct evidence that PMN-driven neurotoxicity is dependent on MMPs, ROS, and TNF-alpha, and that these factors may regulate PMN release of these soluble factors or interact with one another to mediate PMN-driven neurotoxicity.

Polymorphonuclear leukocytes promote neurotoxicity through release of matrix metalloproteinases, reactive oxygen species, and TNF-alpha.

Als die ersten Immunzellen, das Nervensystem nach traumatischen PNS und ZNS-Verletzung zu infiltrieren k&ouml;nnte neutrophile (Neutrophilen Leukozyten, PMNs) f&ouml;rdern Verletzungen durch Freisetzung toxische l&ouml;sliche Faktoren, die neuronale &Uuml;berleben auswirken k&ouml;nnen. Direkte Neurotoxizit&auml;t von Matrix-Metalloproteinasen (MMPs), reaktive Sauerstoffspezies (ROS) und Zytokine, die von PMNs ver&ouml;ffentlicht wurde untersucht, durch die Z&uuml;chtung der Spinalganglien Ganglienzellen (DRG) mit PMN konditionierten Medien MMP Inhibitor (GM6001), ROS Aasfresser oder Tumor-Nekrose-Faktor (TNF-AlphaR) AlphaR neutralisierende Antik&ouml;rper enth&auml;lt. Obwohl DRGs ausgesetzt PMN konditionierten Medien hatte 53 % weniger &Uuml;berlebenden Nervenzellen als Steuerelemente, neuronale Zelle Verlust wurde durch GM6001 verhindert (20 Mikromol/L), Katalase (1000 U/mL) oder TNF-AlphaR neutralisierenden Antik&ouml;rper (1,5 &micro;g/mL), &Uuml;berleben und 77 %, 94 % und 95 %, bzw. zu erh&ouml;hen. Nach Schutz durch GM6001 war konditionierte Medien zusammengestellt von MMP-9 null entspricht weniger als neurotoxische, gesammelt von Wildtyp PMNs. Dar&uuml;ber hinaus MMP Hemmung PMN abgeleitete ROS reduziert; Entfernung von ROS reduziert Aktivit&auml;t PMN abgeleitete MMP-9; und Hemmung von TNF-Alpha verringert Aktivit&auml;t PMN abgeleitete MMP-9 und ROS in PMN Kulturen. Unsere Daten liefern erste Beweise, dass PMN-gesteuerte Neurotoxizit&auml;t MMPs, ROS und TNF-Alpha abh&auml;ngig ist und diese Faktoren k&ouml;nnen PMN Freigabe dieser l&ouml;sliche Faktoren zu regulieren oder interagieren miteinander, PMN-gesteuerte Neurotoxizit&auml;t zu vermitteln.

Neutrophilen Leukozyten f&ouml;rdern Neurotoxizit&auml;t durch Freigabe von Matrix-Metalloproteinasen, reaktive Sauerstoffspezies und TNF-Alpha.

The complement system has been suggested to affect injury or disease of the central nervous system (CNS) by regulating numerous physiological events and pathways. The activation of complement following traumatic CNS injury can also result in the formation and deposition of C5b-9 membrane attack complex (C5b-9/MAC), causing cell lysis or sublytic effects on vital CNS cells. Although complement proteins derived from serum/blood-brain barrier breakdown can contribute to injury or disease, infiltrating immune cells may represent an important local source of complement after injury. As the first immune cells to infiltrate the CNS within hours post-injury, polymorphonuclear leukocytes (PMNs) may affect injury through mechanisms associated with complement-mediated events. However, the expression/association of both early and terminal complement proteins by PMNs has not been fully characterized in vitro, and has not observed previously in vivo after traumatic spinal cord injury (SCI).

Characterization of early and terminal complement proteins associated with polymorphonuclear leukocytes in vitro and in vivo after spinal cord injury.

Das Komplementsystem ist vorgeschlagen worden, Verletzung oder Erkrankung des Zentralnervensystems (ZNS) beeinflussen, indem zahlreiche physiologische Ereignisse und Wege reguliert. Die Aktivierung der Erg&auml;nzung nach traumatischen CNS Verletzung kann auch die Bildung und Ablagerung von C5b-9 Membrane Angriff Komplex (C5b-9/MAC), verursacht Zellenzerst&ouml;rung oder sublytic Wirkung auf lebenswichtige CNS-Zellen f&uuml;hren. Obwohl Erg&auml;nzung Proteine von abgeleitet Serum/Blut-Hirn-Schranke Aufschl&uuml;sselung kann zur Verletzung oder Krankheit, infiltrierende Immunzellen kann eine wichtige lokale Quelle der Erg&auml;nzung darstellen, nach Verletzung. Als die ersten Immunzellen, die CNS innerhalb von Stunden posttraumatische zu infiltrieren beeintr&auml;chtigen Neutrophilen Leukozyten (PMNs) Sch&auml;digung durch Mechanismen, die Erg&auml;nzung-vermittelten Veranstaltungen zugeordnet. Jedoch hat die Ausdruck/Vereinigung der beiden fr&uuml;hen und terminal Erg&auml;nzung Proteine durch PMNs nicht vollst&auml;ndig in-vitro-, und gepr&auml;gt hat nicht nach traumatischen R&uuml;ckenmarksverletzung (SCI) zuvor in-vivo beobachtet.

Charakterisierung der fr&uuml;hen und terminal Erg&auml;nzung Proteine zugeordnet Neutrophilen Leukozyten in vitro und in vivo nach Verletzung des R&uuml;ckenmarks.

Duchenne muscular dystrophy (DMD) is the most common, lethal, muscle-wasting disease of childhood. Previous investigations have shown that muscle macrophages may play an important role in promoting the pathology in the mdx mouse model of DMD. In the present study, we investigate the mechanism through which macrophages promote mdx dystrophy and assess whether the phenotype of the macrophages changes between the stage of peak muscle necrosis (4 weeks of age) and muscle regeneration (12 weeks). We find that 4-week-old mdx muscles contain a population of pro-inflammatory, classically activated M1 macrophages that lyse muscle in vitro by NO-mediated mechanisms. Genetic ablation of the iNOS gene in mdx mice also significantly reduces muscle membrane lysis in 4-week-old mdx mice in vivo. However, 4-week mdx muscles also contain a population of alternatively activated, M2a macrophages that express arginase. In vitro assays show that M2a macrophages reduce lysis of muscle cells by M1 macrophages through the competition of arginase in M2a cells with iNOS in M1 cells for their common, enzymatic substrate, arginine. During the transition from the acute peak of mdx pathology to the regenerative stage, expression of IL-4 and IL-10 increases, either of which can deactivate the M1 phenotype and promote activation of a CD163+, M2c phenotype that can increase tissue repair. Our findings further show that IL-10 stimulation of macrophages activates their ability to promote satellite cell proliferation. Deactivation of the M1 phenotype is also associated with a reduced expression of iNOS, IL-6, MCP-1 and IP-10. Thus, these results show that distinct subpopulations of macrophages can promote muscle injury or repair in muscular dystrophy, and that therapeutic interventions that affect the balance between M1 and M2 macrophage populations may influence the course of muscular dystrophy.

Shifts in macrophage phenotypes and macrophage competition for arginine metabolism affect the severity of muscle pathology in muscular dystrophy.

Duchenne-Muskeldystrophie (DMD) ist die gemeinsame, letale, Muskelschwund Krankheit des Kindesalters. Fr&uuml;here Untersuchungen zeigten, dass Muskel-Makrophagen eine wichtige Rolle bei der F&ouml;rderung der Pathologie in der Mdx-Mausmodell der DMD spielen k&ouml;nnen. In der vorliegenden Studie untersuchen wir den Mechanismus durch den Makrophagen f&ouml;rdern Mdx Dystrophie und beurteilen, ob der Ph&auml;notyp der der Makrophagen zwischen der Phase der Spitze Muskel Nekrose (4 Wochen alt) und Muskel-Regeneration (12 Wochen) ge&auml;ndert. Wir finden, dass 4 Wochen alten Mdx Muskeln Einwohner Pro-inflammatorische, klassisch aktivierten M1-Makrophagen enthalten, die in-vitro-Muskel durch NO-vermittelten Mechanismen aufzul&ouml;sen. Genetische Ablation des Gens iNOS Mdx-M&auml;usen reduziert auch Muskel-Membran-Zerst&ouml;rung in 4 Wochen alten Mdx M&auml;use in-vivo. 4-Wochen-Mdx Muskeln enthalten jedoch auch eine Bev&ouml;lkerung von Alternativ aktivierten, M2a-Makrophagen, die Arginase Ausdr&uuml;cken. In-vitro-Tests zeigen, dass Makrophagen M2a Zerst&ouml;rung der Muskelzellen durch M1 Makrophagen durch die Konkurrenz der Arginase in M2a Zellen mit iNOS in M1 Zellen f&uuml;r ihre gemeinsame, enzymatische Substrat reduzieren Arginin. W&auml;hrend des &Uuml;bergangs vom akuten Gipfel Mdx-Pathologie in die regenerative Phase, Ausdruck von IL-4 und IL-10 erh&ouml;ht, k&ouml;nnen, die entweder die Deaktivieren der M1-Ph&auml;notyp und f&ouml;rdern Aktivierung der CD163 +, M2c-Ph&auml;notyp, die Reparatur von Gewebe erh&ouml;hen k&ouml;nnen. Weiter unsere Ergebnisse zeigen, dass IL-10 Stimulation der Makrophagen ihre F&auml;higkeit zur F&ouml;rderung der Zellproliferation Satelliten aktiviert. Deaktivierung der M1-Ph&auml;notyp ist auch mit einer reduzierten Ausdruck der iNOS, IL-6, MCP-1 und IP-10. So zeigen diese Ergebnisse, dass unterschiedliche Subpopulationen der Makrophagen k&ouml;nnen zur F&ouml;rderung Muskel-Verletzungen oder repariert in Muskeldystrophie und therapeutische Interventionen, die das Gleichgewicht zwischen M1 und M2-Makrophagen-Populationen beeinflussen den Verlauf der Muskeldystrophie beeinflussen k&ouml;nnen.

Makrophagen Ph&auml;notypen und Makrophagen-Wettbewerb f&uuml;r Arginin-Stoffwechsel ver&auml;ndert die schwere von Muskel-Pathologie in Muskeldystrophie.

Although studies have suggested a role for the complement system in the pathophysiology of spinal cord injury (SCI), that role remains poorly defined. Additionally, the relative contribution of individual complement pathways in SCI is unknown. Our initial studies revealed that systemic complement activation was strongly influenced by genetic background and gender. Thus, to investigate the role of the classical complement pathway in contusion-induced SCI, male C1q knock-out (KO) and wild-type (WT) mice on a complement sufficient background (BUB) received a mild-moderate T9 contusion injury with the Infinite Horizon impactor. BUB C1q KO mice exhibited greater locomotor recovery compared with BUB WT mice (p<0.05). Improved recovery observed in BUB C1q KO mice was also associated with decreased threshold for withdrawal from a mild stimulus using von Frey filament testing. Surprisingly, quantification of microglia/macrophages (F4/80) by FACS analysis showed that BUB C1q KO mice exhibited a significantly greater percentage of macrophages in the spinal cord compared with BUB WT mice 3 d post-injury (p<0.05). However, this increased macrophage response appeared to be transient as stereological assessment of spinal cord tissue obtained 28 d post-injury revealed no difference in F4/80-positive cells between groups. Stereological assessment of spinal cord tissue showed that BUB C1q KO mice had reduced lesion volume and an increase in tissue sparing compared with BUB WT mice (p<0.05). Together, these data suggest that initiation of the classical complement pathway via C1q is detrimental to recovery after SCI.

Deficiency in complement C1q improves histological and functional locomotor outcome after spinal cord injury.

Obwohl Studien eine Rolle f&uuml;r das Komplementsystem in der Pathophysiologie der Verletzung des R&uuml;ckenmarks (SCI) vorgeschlagen haben, bleibt diese Rolle schlecht definiert. Dar&uuml;ber hinaus ist der relative Anteil der einzelnen Erg&auml;nzung Bahnen in SCI unbekannt. Unsere ersten Studien ergab, dass systemische Erg&auml;nzung Aktivierung stark von genetischen Hintergrund und Geschlecht beeinflusst war. Also, um die Rolle des klassischen Erg&auml;nzung Biosyntheseweges in induziert durch Kontusion SCI zu untersuchen, m&auml;nnlich C1q Knock-out (KO) und Wildtyp (WT) M&auml;use auf Erg&auml;nzung ausreichend Hintergrund (BUB) erhielt eine leichte T9 Kontusion Verletzung mit den unendlichen Horizont einwirkende. BUB C1q KO M&auml;usen ausgestellt gr&ouml;&szlig;er lokomotorische Wiederherstellung verglichen mit BUB WT-M&auml;use (p &lt; 0,05). Verbesserte Wiederherstellung BUB C1q KO M&auml;usen beobachtet wurde auch verminderte Schwelle f&uuml;r R&uuml;ckzug aus einen milden Reiz mithilfe von Frey Filament Tests zugeordnet. &Uuml;berraschend, Quantifizierung der Mikroglia/Makrophagen (F4/80) von FACS-Analyse zeigte, dass BUB C1q KO M&auml;usen einen erheblich h&ouml;heren Prozentsatz der Makrophagen im R&uuml;ckenmark gegen&uuml;ber BUB WT M&auml;use 3 d posttraumatische ausgestellt (p &lt; 0,05). Jedoch diese erh&ouml;hte Makrophagen Antwort schien fl&uuml;chtig wie stereologischen Beurteilung des R&uuml;ckenmarks Gewebe gewonnen 28d posttraumatische F4/80-positiven Zellen keinen Unterschied zwischen Gruppen ergeben. Stereologischen Beurteilung des R&uuml;ckenmarks Gewebe zeigten, dass M&auml;use BUB C1q KO L&auml;sion Volumen und eine Zunahme der Gewebe schonende BUB WT M&auml;use gegen&uuml;ber hatte (p &lt; 0,05). Zusammen, dass diese Daten zufolge, Einleitung die klassische Erg&auml;nzung Bahn &uuml;ber C1q nach Sci Erholung abtr&auml;glich ist

Mangel an Komplement C1q verbessert histologische und funktionelle Bewegungsapparat Ergebnis nach Verletzung des R&uuml;ckenmarks.

Traumatic injury to the central nervous system results in the disruption of the blood brain/spinal barrier, followed by the invasion of cells and other components of the immune system that can aggravate injury and affect subsequent repair and regeneration. Although studies of chronic neuroinflammation in the injured spinal cord of animals are clinically relevant to most patients living with traumatic injury to the brain or spinal cord, very little is known about chronic neuroinflammation, though several studies have tested the role of neuroinflammation in the acute period after injury. The present study characterizes a novel cell preparation method that assesses, quickly and effectively, the changes in the principal immune cell types by flow cytometry in the injured spinal cord, daily for the first 10 days and periodically up to 180 days after spinal cord injury. These data quantitatively demonstrate a novel time-dependent multiphasic response of cellular inflammation in the spinal cord after spinal cord injury and are verified by quantitative stereology of immunolabelled spinal cord sections at selected time points. The early phase of cellular inflammation is comprised principally of neutrophils (peaking 1 day post-injury), macrophages/microglia (peaking 7 days post-injury) and T cells (peaking 9 days post-injury). The late phase of cellular inflammation was detected after 14 days post-injury, peaked after 60 days post-injury and remained detectable throughout 180 days post-injury for all three cell types. Furthermore, the late phase of cellular inflammation (14-180 days post-injury) did not coincide with either further improvements, or new decrements, in open-field locomotor function after spinal cord injury. However, blockade of chemoattractant C5a-mediated inflammation after 14 days post-injury reduced locomotor recovery and myelination in the injured spinal cord, suggesting that the late inflammatory response serves a reparative function. Together, these data provide new insight into cellular inflammation of spinal cord injury and identify a surprising and extended multiphasic response of cellular inflammation. Understanding the role of this multiphasic response in the pathophysiology of spinal cord injury could be critical for the design and implementation of rational therapeutic treatment strategies, including both cell-based and pharmacological interventions.

Quantitative analysis of cellular inflammation after traumatic spinal cord injury: evidence for a multiphasic inflammatory response in the acute to chronic environment.

Traumatische Sch&auml;digung des zentralen Nervensystems f&uuml;hrt die St&ouml;rung der Blut-Gehirn/R&uuml;ckenmark-Schranke, gefolgt von der Invasion von Zellen und andere Komponenten des Immunsystems, die Verletzung verschlimmern und anschlie&szlig;ende Reparatur und Regeneration beeinflussen k&ouml;nnen. Obwohl Studien &uuml;ber chronische Neuroinflammation im R&uuml;ckenmark verletzte Tiere f&uuml;r die meisten Patienten mit traumatischen Verletzung zum Gehirn oder R&uuml;ckenmark klinisch relevant sind, ist sehr wenig bekannt &uuml;ber chronische Neuroinflammation, obwohl mehrere Studien die Rolle des Neuroinflammation in der akuten Zeit nach Verletzungen untersucht haben. Die vorliegende Studie charakterisiert eine neuartige Zelle-Vorbereitung-Methode, die, schnell und effektiv, die &Auml;nderungen in den wichtigsten Immunzellen-Typen durch Durchflusszytometrie im verletzten R&uuml;ckenmark, t&auml;glich f&uuml;r die ersten 10 Tage und in regelm&auml;&szlig;igen Abst&auml;nden bis zu 180 Tage nach Verletzung des R&uuml;ckenmarks beurteilt. Diese Daten zeigen eine neuartige zeitabh&auml;ngige Multiphasic Antwort der zellul&auml;ren Entz&uuml;ndung im R&uuml;ckenmark nach R&uuml;ckenmarksverletzung quantitativ und werden durch quantitative Stereologie Immunolabelled R&uuml;ckenmark Abschnitte zu ausgew&auml;hlten Zeitpunkten &uuml;berpr&uuml;ft. Die fr&uuml;he Phase der zellul&auml;ren Entz&uuml;ndung besteht haupts&auml;chlich aus neutrophile (Spitzenlastkraftwerk 1 Tag posttraumatische), Makrophagen/Mikroglia (Spitzenlastkraftwerk 7 Tage posttraumatische) und T-Zellen (Spitzenlastkraftwerk 9-t&auml;gige posttraumatische). Die Sp&auml;tphase des zellul&auml;ren Entz&uuml;ndung wurde erkannt, nach 14 Tagen posttraumatische, erreichte nach 60 Tagen posttraumatische und blieb w&auml;hrend 180 Tagen posttraumatische f&uuml;r alle drei Zelltypen nachweisbar. Dar&uuml;ber hinaus die Sp&auml;tphase des zellul&auml;ren Entz&uuml;ndung (14-180 Tage posttraumatische) nicht mit weiteren Verbesserungen oder neue dekrementiert, in offenen Feldern lokomotorische Funktion nach Verletzung des R&uuml;ckenmarks zusammenfallen. Jedoch verringert die Blockade der Chemoattractant C5a-vermittelte Entz&uuml;ndung nach 14 Tagen posttraumatische lokomotorische Recovery und Myelinisierung im verletzten R&uuml;ckenmark, was darauf hindeutet, dass die sp&auml;ten Entz&uuml;ndungsreaktion eine reparative Funktion dient. Zusammen, diese Daten einen neuen Einblick in zellul&auml;ren Entz&uuml;ndung einer R&uuml;ckenmarksverletzung und eine &uuml;berraschende und erweiterte Multiphasic Antwort der zellul&auml;ren Entz&uuml;ndung zu identifizieren. Verst&auml;ndnis der Rolle der diese Multiphasic k&ouml;nnte Antwort in der Pathophysiologie einer R&uuml;ckenmarksverletzung f&uuml;r den Entwurf und die Implementierung von rational therapeutischen Behandlungsstrategien, einschlie&szlig;lich zellbasierte und pharmakologische Interventionen entscheidend.

Quantitative Analyse der zellul&auml;ren Entz&uuml;ndung nach traumatischen Querschnittl&auml;hmung: Beweis f&uuml;r eine Multiphasic entz&uuml;ndliche Reaktion in der akuten zu chronischen Umgebung.

Article	Year
Interactions between neutrophils and macrophages promote macrophage killing of rat muscle cells in vitro. The Journal of physiology\| PubMed ID: 12562965	2003
Expression of a muscle-specific, nitric oxide synthase transgene prevents muscle membrane injury and reduces muscle inflammation during modified muscle use in mice. The Journal of physiology\| PubMed ID: 12766242	2003
Null mutation of gp91phox reduces muscle membrane lysis during muscle inflammation in mice. The Journal of physiology\| PubMed ID: 14555723	2003
Null mutation of myeloperoxidase in mice prevents mechanical activation of neutrophil lysis of muscle cell membranes in vitro and in vivo. The Journal of physiology\| PubMed ID: 15790660	2005
Polymorphonuclear leukocytes promote neurotoxicity through release of matrix metalloproteinases, reactive oxygen species, and TNF-alpha. Journal of neurochemistry\| PubMed ID: 17561941	2007
Characterization of early and terminal complement proteins associated with polymorphonuclear leukocytes in vitro and in vivo after spinal cord injury. Journal of neuroinflammation\| PubMed ID: 18578885	2008
Shifts in macrophage phenotypes and macrophage competition for arginine metabolism affect the severity of muscle pathology in muscular dystrophy. Human molecular genetics\| PubMed ID: 18996917	2009
Deficiency in complement C1q improves histological and functional locomotor outcome after spinal cord injury. The Journal of neuroscience : the official journal of the Society for Neuroscience\| PubMed ID: 19091977	2008
Quantitative analysis of cellular inflammation after traumatic spinal cord injury: evidence for a multiphasic inflammatory response in the acute to chronic environment. Brain : a journal of neurology\| PubMed ID: 20085927	2010

Hal X. Nguyen

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