Abstract

BackgroundTraumatic spinal cord injury (SCI) causes acute neuronal death followed by delayed secondary neuronal damage. However, little is known about how microenvironment regulating cells such as microglia, astrocytes, and blood inflammatory cells behave in early SCI states and how they contribute to delayed neuronal death.MethodsWe analyzed the behavior of neurons and microenvironment regulating cells using a contusion-induced SCI model, examining early (3–6 h) to late times (14 d) after the injury.ResultsAt the penumbra region close to the damaged core (P1) neurons and astrocytes underwent death in a similar spatial and temporal pattern: both neurons and astrocytes died in the medial and ventral regions of the gray matter between 12 to 24 h after SCI. Furthermore, mRNA and protein levels of transporters of glutamate (GLT-1) and potassium (Kir4.1), functional markers of astrocytes, decreased at about the times that delayed neuronal death occurred. However, at P1 region, ramified Iba-1+ resident microglia died earlier (3 to 6 h) than neurons (12 to 24 h), and at the penumbra region farther from the damaged core (P2), neurons were healthy where microglia were morphologically activated. In addition, round Iba-1/CD45-double positive monocyte-like cells appeared after neurons had died, and expressed phagocytic markers, including mannose receptors, but rarely expressed proinflammatory mediators.ConclusionLoss of astrocyte function may be more critical for delayed neuronal death than microglial activation and monocyte infiltration.

Highlights

  • Traumatic spinal cord injury (SCI) causes acute neuronal death followed by delayed secondary neuronal damage

  • Inflammation has been suggested as a cause of delayed neuronal death in SCI, emerging evidence has suggested that inflammation in acute injury exerts beneficial effects [28,29]

  • To address the cause of delayed neuronal death and the controversy surrounding the role of inflammation in the injured spinal cord, we analyzed the behavior of neurons and other microenvironment regulating cells using a contusion-induced SCI model, examining early (6 h) to late times (14 d) after the injury

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Summary

Introduction

Traumatic spinal cord injury (SCI) causes acute neuronal death followed by delayed secondary neuronal damage. Little is known about how microenvironment regulating cells such as microglia, astrocytes, and blood inflammatory cells behave in early SCI states and how they contribute to delayed neuronal death. Microenvironmental changes in the spinal cord caused by primary damage can induce secondary damage [1,2]. Resident microglia and astrocytes, as well as blood leukocytes that infiltrate the injured spinal cord, can be an important regulator of the Microglia, as resident immune cells of the brain and spinal cord, scan their microenvironment and act as sensors of pathological changes [3]. We have reported that microglia do not contribute to delayed neuronal death associated with lipopolysaccharide (LPS)- or ATP-induced brain damage [9,10]

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