Oxygen Therapy After Spinal Cord Injury Reduces Spinal Microglial Inflammatory Signalling

Abstract

Spinal cord injury (SCI) interrupts blood flow, causing O2 partial pressure near the site of injury to decrease to very low levels. Spinal hypoxia contributes to tissue necrosis and neuroinflammation, leading to secondary injury. The majority of prior O2 therapy studies after SCI use hyperbaric O2 (HBO), and considerable evidence suggests HBO decreases spinal inflammation and neurodegeneration. HBO consists of 100% O2 (hyperoxia), which is easy to implement, at elevated pressure (hyperbaria), which is challenging to implement. Using an adult rat model of cervical SCI (C2 hemilesion), we compared the impact of daily HBO vs. normobaric hyperoxia therapy on the pro-inflammatory profile of spinal microglia isolated via immunomagnetic cell separation. Rats (n=3 per group) were given C2 hemilesion, followed by 14 days of normobaric hyperoxia (100% O2, 1 hour/day) or HBO (100% O2, 3 ATA, 1 hour/day). The C2-C6 spinal cord was harvested for immunomagnetic microglial isolation using CD11b antibodies. We screened pro-inflammatory gene expression with a PCR array (Rat Toll-Like Receptor Signaling Pathway, Qiagen). Both types of O2 therapy impacted suppressed microglial pro-inflammatory gene expression. In particular, subunit expression of the canonical transcription factor orchestrating microglial inflammatory responses, NFkB2, was significantly reduced. Downregulation of NFkB after HBO has been previously reported, but this is the first evidence for downregulation of NFkB after normobaric O2, and the first evidence for a microglia-specific response. Other pro-inflammatory genes with reduced expression after O2 therapy include: Clec4e, IL1β and CD14. Clec4e is as a transmembrane pattern recognition receptor and “necrotic cell sensor”. Thus, Clec4e downregulation after O2 therapy suggests a shift towards reduced necrosis after SCI. These initial results indicate that both HBO and normobaric hyperoxia treatments reduce the spinal microglia pro-inflammatory responses to cervical SCI, possibly leading to increased cell survival. HL153140 (DDF), HL147554 (GSM), HL149800 (DDF), McKnight Brain Institute (DDF, GSM). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.