Abstract

BackgroundMillions of people experience traumatic brain injury (TBI) as a result of falls, car accidents, sports injury, and blast. TBI has been associated with the development of neurodegenerative conditions such as Alzheimer’s disease (AD) and chronic traumatic encephalopathy (CTE). In the initial hours and days, the pathology of TBI comprises neuronal injury, breakdown of the blood–brain barrier, and inflammation. At the cellular level, the inflammatory reaction consists of responses by brain-resident microglia, astrocytes, and vascular elements as well as infiltration of peripheral cells. After TBI, signaling by chemokine (C-C motif) ligand 2 (CCL2) to the chemokine (C-C motif) receptor 2 (CCR2) is a key regulator of brain infiltration by monocytes.MethodsWe utilized mice with one or both copies of Ccr2 disrupted by red fluorescent protein (RFP, Ccr2RFP/+ and Ccr2RFP/RFP). We subjected these mice to the mild lateral fluid percussion model of TBI and examined several pathological outcomes 3 days later in order to determine the effects of altered monocyte entry into the brain.ResultsCcr2 deletion reduced monocyte infiltration, diminished lesion cavity volume, and lessened axonal damage after mild TBI, but the microglial reaction to the lesion was not affected. We further examined phosphorylation of the microtubule-associated protein tau, which aggregates in brains of people with TBI, AD, and CTE. Surprisingly, Ccr2 deletion was associated with increased tau mislocalization to the cell body in the cortex and hippocampus by tissue staining and increased levels of phosphorylated tau in the hippocampus by Western blot.ConclusionsDisruption of CCR2 enhanced tau pathology and reduced cavity volume in the context of TBI. The data reveal a complex role for CCR2+ monocytes in TBI, as monitored by cavity volume, axonal damage, and tau phosphorylation.

Highlights

  • Millions of people experience traumatic brain injury (TBI) as a result of falls, car accidents, sports injury, and blast

  • We altered the inflammatory reaction in two different ways: by inactivation of Cx3cr1, which affects the activation of brain-resident microglia [29] and Ly6Clo patrolling monocytes, or by inactivation of Ccr2, which reduces the infiltration of Ly6Chi inflammatory monocytes and a subset of T cells into the brain after TBI [25]

  • chemokine receptor 1 (CX3CR1)+ patrolling monocytes and chemokine receptor 2 (CCR2)+ T cells represent only a small proportion of infiltrating cells after TBI compared to CX3CR1+ microglia and CCR2+ inflammatory monocytes, respectively

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Summary

Introduction

Millions of people experience traumatic brain injury (TBI) as a result of falls, car accidents, sports injury, and blast. Methods: We utilized mice with one or both copies of Ccr disrupted by red fluorescent protein (RFP, Ccr2RFP/+ and Ccr2RFP/RFP). We subjected these mice to the mild lateral fluid percussion model of TBI and examined several pathological outcomes 3 days later in order to determine the effects of altered monocyte entry into the brain. Traumatic brain injury (TBI) is a common condition in today’s society. It is variable in extent and circumstance and imposes enormous suffering and expense. Further contributing to patient suffering and impact on society, TBI is linked to the development of neurodegenerative conditions.

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