Abstract

BackgroundInflammation constitutes both positive and negative aspects to recovery following peripheral nerve injury. Following damage to the peripheral nervous system (PNS), immune cells such as macrophages play a beneficial role in creating a supportive environment for regrowing axons by phagocytosing myelin and axonal debris. However, a prolonged inflammatory response after peripheral nerve injury has been implicated in the pathogenesis of negative symptoms like neuropathic pain. Therefore, the post-injury inflammation must be carefully controlled to prevent secondary damage while allowing for regeneration. CRYAB (also known as alphaB-crystallin/HSPB5) is a small heat shock protein that has many protective functions including an immunomodulatory role in mouse models of multiple sclerosis, spinal cord injury, and stroke. Because its expression wanes and rebounds in the early and late periods respectively after PNS damage, and CRYAB null mice with sciatic nerve crush injury display symptoms of pain, we investigated whether CRYAB is involved in the immune response following PNS injury.MethodsSciatic nerve crush injuries were performed in age-matched Cryab knockout (Cryab−/−) and wildtype (WT) female mice. Nerve segments distal to the injury site were processed by immunohistochemistry for macrophages and myelin while protein lysates of the nerves were analyzed for cytokines and chemokines using Luminex and enzyme-linked immunosorbent assay (ELISA). Peritoneal macrophages from the two genotypes were also cultured and polarized into pro-inflammatory or anti-inflammatory phenotypes where their supernatants were analyzed for cytokines and chemokines by ELISA and protein lysates for macrophage antigen presenting markers using western blotting.ResultsWe report that (1) more pro-inflammatory CD16/32+ macrophages are present in the nerves of Cryab−/− mice at days 14 and 21 after sciatic nerve crush-injury compared to WT counterparts, and (2) CRYAB has an immunosuppressive effect on cytokine secretion [interleukin (IL)-β, IL-6, IL-12p40, tumor necrosis factor (TNF)-α] from pro-inflammatory macrophages in vitro.ConclusionsCRYAB may play a role in curbing the potentially detrimental pro-inflammatory macrophage response during the late stages of peripheral nerve regeneration.

Highlights

  • Inflammation constitutes both positive and negative aspects to recovery following peripheral nerve injury

  • We report that (1) more pro-inflammatory CD16/32+ macrophages are present in the nerves of Cryab−/− mice at days 14 and 21 after sciatic nerve crush-injury compared to WT counterparts, and (2) CRYAB has an immunosuppressive effect on cytokine secretion [interleukin (IL)-β, interleukin 6 (IL-6), IL-12p40, tumor necrosis factor (TNF)-α] from pro-inflammatory macrophages in vitro

  • Because prolonged presence of macrophages and their secretory products can contribute to pain hypersensitivity in damaged peripheral nerves [13,14,15,16,17,18], we asked whether the enhanced sensation to painful stimuli observed in Cryab−/− mice with sciatic nerve crush injury

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Summary

Introduction

Inflammation constitutes both positive and negative aspects to recovery following peripheral nerve injury. Due to the secretion of cytokines and chemokines such as monocyte chemoattractant protein-1 (MCP-1), tumor necrosis factor alpha (TNF-α), interleukin (IL) 1 beta (IL-1β), interleukin 6 (IL-6), and leukemia inhibitory factor (LIF) by de-differentiated Schwann cells following peripheral nerve injury, monocytes are recruited from the blood compartment into the distal segment of damaged axons within 2–3 days post-injury [1,2,3,4] These monocytes differentiate into macrophages that produce additional TNF-α, IL-6, IL-1-α, and IL-1β that contribute to further infiltration of blood-derived monocytes [3,4,5,6,7]. It is important to understand how the beneficial properties of macrophages can be harnessed while reducing their pathological functions after peripheral nerve injury

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