AbstractBackgroundFibrinogen is not only a marker of inflammation, but also a cause of inflammatory responses. We previously showed that when elevated during traumatic brain injury (TBI), fibrinogen increased cerebrovascular permeability mainly via caveolar transcytosis and, after extravasation and deposition in vasculo‐astrocyte interface, it activated astrocytes causing neurodegeneration that was associated with memory reduction.MethodTo define the possible mechanisms of fibrinogen‐induced activation of neurons, primary mouse brain cortical neurons from C57BL/6 mice were plated in poly‐d‐lysine‐ and laminin‐coated cell culture plates. Cells were treated for 1 hour with fibrinogen (0.5 or 1 mg/mL) in the presence or absence of a nuclear factor‐κB (NF‐kB) blocker, caffeic acid phenethyl ester (CAPE), or media alone (control). All groups contained hirudin to prevent the conversion of fibrinogen to fibrin. Levels of interleukin‐6 (IL‐6) and chemokine (C‐C motif) ligand 2 (CCL2) were assessed by qRT‐PCR. NF‐kB activity was measured in neuronal nuclear protein and cell extracts by the TransAMTM NF‐kB p65 protein assay and Western blot (WB). In parallel, using a cortical contusion injury (CCI), a mouse model of mild‐to‐moderate TBI was created in C576J mice. NF‐kB was detected with immunocytochemistry in cultured cells and brain samples collected 14 days after CCI. The specific association of fibrinogen with its neuronal receptors intercellular adhesion molecule‐1 (ICAM‐1) and cellular prion protein (PrPC) was assessed with a proximity ligation assay in cells.ResultFibrinogen specifically bound to neurons via its receptors ICAM‐1 and PrPC and increased NF‐kB levels. Fibrinogen caused upregulation of pro‐inflammatory cytokines IL‐6 and CCL2 mRNA. ELISA and WB NF‐kB p65 analysis demonstrated increased DNA binding by p65 and protein expression in fibrinogen‐treated neurons compared to that in control and CAPE groups. Fibrinogen caused translocation of NF‐kB p65 to the nucleus.ConclusionResults suggest that a specific interaction of fibrinogen with neurons results in neuroinflammation through activation of NF‐kB.
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