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  4. Ang‑(1–7)/MasR axis promotes functional recovery after spinal cord injury by regulating microglia/macrophage polarization

Ang‑(1–7)/MasR axis promotes functional recovery after spinal cord injury by regulating microglia/macrophage polarization

Cell & Bioscience, 2023 · DOI: https://doi.org/10.1186/s13578-023-00967-y · Published: January 19, 2023

Spinal Cord InjuryNeurologyGenetics

Simple Explanation

Spinal cord injury (SCI) often leads to inflammation, which can worsen the damage. This study explores whether activating a specific pathway, the Ang-(1–7)/MasR axis, can help reduce inflammation and improve recovery after SCI. The Ang-(1–7)/MasR axis is a naturally occurring system in the body that can regulate inflammation. The study found that activating this pathway in rats with SCI helped to reduce inflammation and promote the polarization of immune cells (microglia/macrophages) towards a healing type (M2 phenotype). By reducing inflammation and promoting M2 polarization, activating the Ang-(1–7)/MasR axis led to better functional recovery in rats with SCI. This suggests that targeting this pathway could be a potential treatment strategy for SCI.

Study Duration
4 Weeks
Participants
200 female Wistar rats
Evidence Level
Not specified

Key Findings

  • 1
    Ang-(1–7) up-regulated MasR expression in macrophages under inflammatory conditions, suggesting it can play a larger role in macrophages expressing MasR under inflammatory conditions.
  • 2
    Ang-(1–7) regulated the expression of inflammatory cytokines by down-regulating proinflammatory cytokines and up-regulating anti-inflammatory cytokines, biasing microglia/macrophages to the M2 phenotype.
  • 3
    Activating the Ang-(1–7) /MasR axis leads to better functional recovery in rats after SCI and that the MasR pathway plays an important role in the functional recovery produced by Ang-(1–7) action.

Research Summary

This study investigated the potential of activating the Ang-(1–7)/MasR axis to promote functional recovery after spinal cord injury (SCI) by regulating microglia/macrophage polarization. The results demonstrated that Ang-(1–7) can effectively improve the inflammatory microenvironment after spinal cord injury, promote the polarization of microglia/macrophages towards the M2 phenotype, and finally support the recovery of motor function. The study suggests using Ang-(1–7) as a feasible treatment strategy for spinal cord injury to minimize the negative consequences of the inflammatory microenvironment after spinal cord injury.

Practical Implications

Therapeutic Target

Ang-(1–7) can be a therapeutic target for SCI treatment due to its anti-inflammatory properties.

Drug Development

Development of drugs activating Ang-(1–7)/MasR axis can potentially improve SCI outcomes.

Clinical Translation

Further studies are warranted to translate these findings into clinical applications for SCI patients.

Study Limitations

  • 1
    The study focused on innate immunity, not considering the role of adaptive immunity.
  • 2
    The possibility of a direct protective effect of Ang-(1–7) on neurons and the blood-spinal barrier cannot be ruled out.
  • 3
    The Spatio-temporal spectrum of local Ang-(1–7) expression after SCI and the exact mechanism of Ang-(1–7) intervention on microglia/macrophages need to be further explored.

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