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      Targeted intracerebral delivery of the anti-inflammatory cytokine IL13 promotes alternative activation of both microglia and macrophages after stroke

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          Abstract

          Background

          Subtle adjustment of the activation status of CNS resident microglia and peripheral macrophages, to promote their neuroprotective and neuroregenerative functions, may facilitate research towards curing neurodegenerative disorders. In the present study, we investigated whether targeted intracerebral delivery of the anti-inflammatory cytokine interleukin (IL)13, by means of transplanting IL13-expressing mesenchymal stem cells (IL13-MSCs), can promote a phenotypic switch in both microglia and macrophages during the pro-inflammatory phase in a mouse model of ischemic stroke.

          Methods

          We used the CX 3CR1 eGFP/+ CCR2 RFP/+ transgenic mouse model to separately recognize brain-resident microglia from infiltrated macrophages. Quantitative immunohistochemical analyses were applied to characterize polarization phenotypes of both cell types.

          Results

          Distinct behaviors of both cell populations were noted dependent on the anatomical site of the lesion. Immunohistochemistry revealed that mice grafted with IL13-MSCs, in contrast to non-grafted and MSC-grafted control mice, were able to drive recruited microglia and macrophages into an alternative activation state, as visualized by a significant increase of Arg-1 and a noticeable decrease of MHC-II expression at day 14 after ischemic stroke. Interestingly, both Arg-1 and MHC-II were expressed more abundantly in macrophages than in microglia, further confirming the distinct behavior of both cell populations.

          Conclusions

          The current data highlight the importance of controlled and localized delivery of the anti-inflammatory cytokine IL13 for modulation of both microglia and macrophage responses after ischemic stroke, thereby providing pre-clinical rationale for the application of L13-MSCs in future investigations of neurodegenerative disorders.

          Electronic supplementary material

          The online version of this article (10.1186/s12974-018-1212-7) contains supplementary material, which is available to authorized users.

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          Most cited references41

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          Microglial and macrophage polarization—new prospects for brain repair.

          The traditional view of the adult brain as a static organ has changed in the past three decades, with the emergence of evidence that it remains plastic and has some regenerative capacity after injury. In the injured brain, microglia and macrophages clear cellular debris and orchestrate neuronal restorative processes. However, activation of these cells can also hinder CNS repair and expand tissue damage. Polarization of macrophage populations toward different phenotypes at different stages of injury might account for this dual role. This Perspectives article highlights the specific roles of polarized microglial and macrophage populations in CNS repair after acute injury, and argues that therapeutic approaches targeting cerebral inflammation should shift from broad suppression of microglia and macrophages towards subtle adjustment of the balance between their phenotypes. Breakthroughs in the identification of regulatory molecules that control these phenotypic shifts could ultimately accelerate research towards curing brain disorders.
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            Intravenous administration of human umbilical cord blood reduces behavioral deficits after stroke in rats.

            Human umbilical cord blood cells (HUCBC) are rich in stem and progenitor cells. In this study we tested whether intravenously infused HUCBC enter brain, survive, differentiate, and improve neurological functional recovery after stroke in rats. In addition, we tested whether ischemic brain tissue extract selectively induces chemotaxis of HUCBC in vitro. Adult male Wistar rats were subjected to transient (2-hour) middle cerebral artery occlusion (MCAO). Experimental groups were as follows: group 1, MCAO alone (n=5); group 2, 3x10(6) HUCBC injected into tail vein at 24 hours after MCAO (n=6) (animals of groups 1 and 2 were killed at 14 days after MCAO); group 3, MCAO alone (n=5); group 4, MCAO injected with PBS at 1 day after stroke (n=8); and group 5, 3x10(6) HUCBC injected into tail vein at 7 days after MCAO (n=5). Rats of groups 3, 4, and 5 were killed at 35 days after MCAO. Behavioral tests (rotarod and Modified Neurological Severity Score [mNSS]) were performed. Immunohistochemical staining was used to identify cells derived from HUCBC. Chemotactic activity of ischemia brain tissue extracts toward HUCBC at different time points was evaluated in vitro. Treatment at 24 hours after MCAO with HUCBC significantly improved functional recovery, as evidenced by the rotarod test and mNSS (P<0.05). Treatment at 7 days after MCAO with HUCBC significantly improved function only on the mNSS (P<0.05). Some HUCBC were reactive for the astrocyte marker glial fibrillary acidic protein and the neuronal markers NeuN and microtubule-associated protein 2. In vitro, significant HUCBC migration activity was present at 24 hours after MCAO (P<0.01) compared with normal brain tissue. Intravenously administered HUCBC enter brain, survive, migrate, and improve functional recovery after stroke. HUCBC transplantation may provide a cell source to treat stroke.
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              Recruitment of beneficial M2 macrophages to injured spinal cord is orchestrated by remote brain choroid plexus.

              Monocyte-derived macrophages are essential for recovery after spinal cord injury, but their homing mechanism is poorly understood. Here, we show that although of common origin, the homing of proinflammatory (M1) and the "alternatively activated" anti-inflammatory (M2) macrophages to traumatized spinal cord (SC) was distinctly regulated, neither being through breached blood-brain barrier. The M1 macrophages (Ly6c(hi)CX3CR1(lo)) derived from monocytes homed in a CCL2 chemokine-dependent manner through the adjacent SC leptomeninges. The resolving M2 macrophages (Ly6c(lo)CX3CR1(hi)) derived from monocytes trafficked through a remote blood-cerebrospinal-fluid (CSF) barrier, the brain-ventricular choroid plexus (CP), via VCAM-1-VLA-4 adhesion molecules and epithelial CD73 enzyme for extravasation and epithelial transmigration. Blockage of these determinants, or mechanical CSF flow obstruction, inhibited M2 macrophage recruitment and impaired motor-function recovery. The CP, along with the CSF and the central canal, provided an anti-inflammatory supporting milieu, potentially priming the trafficking monocytes. Overall, our finding demonstrates that the route of monocyte entry to central nervous system provides an instructional environment to shape their function. Copyright © 2013 Elsevier Inc. All rights reserved.
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                Author and article information

                Contributors
                somayyeh.hamzeitaj@ukmuenster.de
                debbie.leblon@uantwerpen.be
                chloe.hoornaert@uantwerpen.be
                jasmijn.daans@uantwerpen.be
                Alessandra.Quarta@uantwerpen.be
                jelle.praet@hotmail.com
                annemie.vanderlinden@uantwerpen.be
                peter.ponsaerts@uantwerpen.be
                +49-221-4726-315 , mathias@sf.mpg.de
                Journal
                J Neuroinflammation
                J Neuroinflammation
                Journal of Neuroinflammation
                BioMed Central (London )
                1742-2094
                4 June 2018
                4 June 2018
                2018
                : 15
                : 174
                Affiliations
                [1 ]ISNI 0000 0004 4911 0702, GRID grid.418034.a, In-vivo-NMR Laboratory, , Max Planck Institute for Metabolism Research, ; Gleuelerstrasse 50, D-50931 Köln, Germany
                [2 ]ISNI 0000 0001 0790 3681, GRID grid.5284.b, Laboratory of Experimental Hematology, , University of Antwerp, ; Antwerp, Belgium
                [3 ]ISNI 0000 0001 0790 3681, GRID grid.5284.b, Vaccine and Infectious Disease Institute (Vaxinfectio), , University of Antwerp, ; Antwerp, Belgium
                [4 ]ISNI 0000 0001 0790 3681, GRID grid.5284.b, Bio-Imaging Laboratory, , University of Antwerp, ; Antwerp, Belgium
                [5 ]ISNI 0000000089452978, GRID grid.10419.3d, Department of Radiology, , Leiden University Medical Center, ; Leiden, Netherlands
                Article
                1212
                10.1186/s12974-018-1212-7
                5987479
                29866203
                f09ce8ce-4f64-4ce2-bbe0-c1b3400c1786
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 10 November 2017
                : 21 May 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100011259, FP7 International Cooperation;
                Award ID: HEALTH-F2-2012-279017
                Award ID: PIAPP-GA-2013-612360
                Award Recipient :
                Funded by: FWO
                Categories
                Research
                Custom metadata
                © The Author(s) 2018

                Neurosciences
                stroke,microglia/macrophage polarization,interleukin 13,mesenchymal stem cells,neuroinflammation

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