(Stroke. 2001;32:544.)
© 2001 American Heart Association, Inc.
Original Contributions |
From the Departments of Surgery (L.P., W.Y., X-M.C., A.L.B., G-Y.Y.) and Internal Medicine (B.J.R.), Medical School, University of Michigan, Ann Arbor; Institute of Neurology, Hua-Shan Hospital, Shanghai Medical University (Peoples Republic of China) (L.P., X-M.C.); and Departments of Pediatrics, Neurology, and Anatomy, Medical School, University of Utah, Salt Lake City (A.L.B.).
Background
and PurposeChemokines have been shown to play
an important role in leukocyte and monocyte/macrophage
infiltration into ischemic regions. The purpose of this study
is to identify whether overexpression of the active human transforming
growth factor-ß1 (ahTGF-ß1) can downregulate expression of monocyte
chemoattractant protein-1 (MCP-1), macrophage inflammatory
protein-1
(MIP-1
), and intercellular adhesion molecule-1 (ICAM-1)
and reduce ischemic brain injury.
MethodsOverexpression
of transforming growth factor-ß1 (TGF-ß1) was achieved through
adenoviral gene transfer. Five days after adenoviral transduction, the
mouse underwent 30 minutes of middle cerebral artery occlusion followed
by 1 to 7 days of reperfusion. TGF-ß1, MCP-1, MIP-1
, and ICAM-1
were detected by enzyme-linked immunosorbent assay and
immunohistochemistry. Infarct areas and volumes were measured by cresyl
violet staining.
ResultsMCP-1 and
MIP-1
expression is increased after middle cerebral artery
occlusion, and double-labeled immunostaining revealed
that MCP-1 is colocalized with neurons and astrocytes. Viral-mediated
TGF-ß1 overexpression was significantly greater at measured time
points, with a peak at 7 to 9 days. The expression of MCP-1 and
MIP-1
, but not ICAM-1, was reduced in the mice overexpressing
ahTGF-ß1 (P<0.05).
Furthermore, infarct volume was significantly reduced in the mice
overexpressing ahTGF-ß1
(P<0.05).
ConclusionsThis study
demonstrates that MCP-1 and MIP-1
expressed in the ischemic
region may play an important role in attracting inflammatory cells. The
reduction of MCP-1 and MIP-1
, but not ICAM-1, in the mice
overexpressing ahTGF-ß1 suggests that the neuroprotective effect of
TGF-ß1 may result from the inhibition of chemokines during cerebral
ischemia and
reperfusion.
Key Words: cerebral ischemia, focal cytokine gene therapy inflammation mice
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