Abstract

BackgroundSpontaneous functional recovery occurs during the acute phase after stroke onset, but this intrinsic recovery remains limited. Therefore, exploring the mechanism underlying spontaneous recovery and identifying potential strategies to promote functional rehabilitation after stroke are very important. The CD200/CD200R signaling pathway plays an important role in neurological recovery by modulating synaptic plasticity during multiple brain disorders. However, the effect and mechanism of action of the CD200/CD200R pathway in spontaneous functional recovery after stroke are unclear.MethodsIn this study, we used a transient middle cerebral artery occlusion (MCAO) model in rats to investigate the function of CD200/CD200R signaling in spontaneous functional recovery after stroke. We performed a battery of behavioral tests (Longa test, adhesive removal test, limb-use asymmetry test, and the modified grip-traction test) to evaluate sensorimotor function after intracerebroventricular (i.c.v.) injection with CD200 fusion protein (CD200Fc) or CD200R blocking antibody (CD200R Ab) post-stroke. Density and morphology of dendritic spines were analyzed by Golgi staining. Microglia activation was evaluated by immunofluorescence staining. Western blot was used to detect the levels of protein and the levels of mRNA were measured by qPCR.ResultsOur study demonstrated that sensorimotor function, synaptic proteins, and structures were gradually recovered and CD200R was transiently upregulated in ipsilateral cortex after stroke. Synapse-related proteins and dendritic spines were preserved, accompanied by sensorimotor functional recovery, after stereotaxic CD200Fc injection post-stroke. In addition, CD200Fc restrained microglia activation and pro-inflammatory factor release (such as Il-1, Tnf-α, and Il-6) after MCAO. On the contrary, CD200R Ab aggravated sensory function recovery in adhesive removal test and further promoted microglia activation and pro-inflammatory factor release (such as Il-1) after MCAO. The immune-modulatory effect of CD200/CD200R signaling might be exerted partly by its inhibition of the MAPK pathway.ConclusionsThis study provides evidence that the CD200/CD200R signaling pathway contributes to spontaneous functional recovery by enhancing synaptic plasticity via inhibition of microglia activation and inflammatory factor release.

Highlights

  • Stroke, among which ischemic stroke accounts for nearly 87%, is a leading cause of death and disability worldwide, causing ~ 80% of all disabilities [1]

  • The expression of CD200 and CD200 receptor (CD200R) after cerebral ischemia in rats Based on the important role of the CD200/CD200R signaling pathway on regulating synaptic plasticity in many pathological conditions [16, 29, 30], we investigated the expression of CD200 and CD200R in the ipsilateral sensorimotor cortex

  • Immunofluorescent staining showed that CD200R was expressed on Ionized calcium binding adapter molecule 1 (Iba1)-positive cells (Fig. 3e). These results suggest that the CD200/CD200R signaling pathway may be involved in spontaneous functional recovery after stroke onset in rats

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Summary

Introduction

Among which ischemic stroke accounts for nearly 87%, is a leading cause of death and disability worldwide, causing ~ 80% of all disabilities [1]. Despite immediate and longlasting spontaneous functional recovery, the degree of recovery remains limited and varies among individuals [3]. It is important to investigate the mechanisms underlying spontaneous recovery and identify rehabilitative therapies to augment sensorimotor functional recovery. Such investigations will improve our understanding of the pathological development of stroke. Spontaneous functional recovery occurs during the acute phase after stroke onset, but this intrinsic recovery remains limited. Exploring the mechanism underlying spontaneous recovery and identifying potential strategies to promote functional rehabilitation after stroke are very important. The effect and mechanism of action of the CD200/CD200R pathway in spontaneous functional recovery after stroke are unclear

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