Abstract
To systematically elucidate the gene expression of inflammatory and immune modulators following middle cerebral artery occlusion (MCAO) in the rat, we studied interleukin-10 (IL-10) along with tumor necrosis factor alpha (TNF-α), interleukin-1 beta (IL-1β) and interleukin-2 (IL-2). Gene expression of these cytokines was studied ipsilateral and contralateral to the MCAO, with mRNA expression levels evaluated 2, 4, 6, 8 and 12 h following permanent MCAO by reverse transcriptase polymerase chain reaction (RT-PCR). In the ischemic hemisphere TNF-α and IL-1β mRNA increased at 2 h following MCAO and peaked at 6 h, with IL-10 mRNA detected only at 6 h. Contralaterally, both TNF-α and IL-1β mRNAs were expressed with a similar pattern to that in the ischemic hemisphere, but at lower levels, with no contralateral IL-10 expression. There was no difference in IL-2 gene expression between control and experimental animals in either hemisphere. These results demonstrate that IL-10 and TNF-α, IL-1β gene expression is induced early following MCAO. The temporal profile of these cytokines is similar to that seen in sepsis, where TNF-α induces IL-10; subsequently IL-10 inhibits TNF-α expression. The similarity of the temporal profile of cytokine expression in sepsis and cerebral ischemia suggests that IL-10 should be studied as a potential inhibitor of TNF-α production in ischemic brain tissue. The factors inducing contralateral expression of the inflammatory cytokines, TNF-α and IL-1β, along with the potential clinical significance of this remote cytokine gene expression, merit further study.
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