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  4. Apolipoprotein E Deficiency Exacerbates Spinal Cord Injury in Mice: Inflammatory Response and Oxidative Stress Mediated by NF-κB Signaling Pathway

Apolipoprotein E Deficiency Exacerbates Spinal Cord Injury in Mice: Inflammatory Response and Oxidative Stress Mediated by NF-κB Signaling Pathway

Front. Cell. Neurosci., 2018 · DOI: 10.3389/fncel.2018.00142 · Published: May 23, 2018

Spinal Cord InjuryNeurologyGenetics

Simple Explanation

Spinal cord injury (SCI) leads to complex pathological processes including inflammation and oxidative stress, which affect functional recovery. Apolipoprotein E (APOE) is known to induce neuronal repair, but its exact role in mediating inflammatory and oxidative stress pathways after SCI is unclear. This study investigates how APOE deficiency affects inflammatory response and oxidative stress in the acute stage of SCI using Apoe−/− mice. The results show that Apoe−/− mice had impaired functional recovery, increased inflammation, and oxidative stress after SCI. The study also found that the absence of Apoe increased inflammation and oxidative stress through the activation of NF-κB. Inhibiting NF-κB alleviated these changes, indicating that NF-κB plays a critical role in Apoe-deficiency dependent inflammation and oxidative stress, which are detrimental to recovery after SCI.

Study Duration
28 days
Participants
Female Apoe−/− mice with a C57BL/6J background, weighing 20–25 g, and 10–12 weeks
Evidence Level
Not specified

Key Findings

  • 1
    Apoe−/− mice showed retarded functional recovery and a larger lesion size compared to wild-type mice after SCI, indicating that Apoe deficiency worsens the outcomes after SCI.
  • 2
    Deficiency of Apoe induced an exaggerated inflammatory response by increasing the expression of interleukin-6 (IL-6) and interleukin-1β (IL-1β), and increased oxidative stress by reducing the expression of Nrf2 and HO-1.
  • 3
    The absence of Apoe increased inflammation and oxidative stress through activation of NF-κB after SCI, and inhibiting NF-κB alleviated these changes, highlighting the critical role of NF-κB in Apoe-deficiency dependent inflammation and oxidative stress.

Research Summary

This study investigates the role of Apolipoprotein E (ApoE) in spinal cord injury (SCI) using Apoe knockout (KO) mice. The study demonstrates that Apoe deficiency exacerbates inflammation, oxidative stress, and neuronal apoptosis, leading to impaired functional recovery after SCI. The mechanism behind these detrimental effects involves the activation of the NF-κB signaling pathway and the downregulation of the Nrf2-HO-1 pathway. Blocking NF-κB with an inhibitor alleviates these changes, suggesting that NF-κB plays a crucial role in Apoe deficiency-dependent inflammation and oxidative stress. These findings highlight that Apoe-mediated NF-κB signaling may offer a new approach to various pharmacological targets for SCI, indicating that Apoe could be a potential therapeutic target for SCI.

Practical Implications

Therapeutic Target

ApoE could be explored as a potential therapeutic target for mitigating secondary injury after SCI.

NF-κB Inhibition

Targeting NF-κB signaling may provide a strategy for reducing inflammation and oxidative stress in SCI patients with ApoE deficiency.

Personalized Treatment

Consideration of ApoE status in SCI patients may enable personalized treatment approaches to optimize functional recovery.

Study Limitations

  • 1
    Function recovery by which PDTC treatment for inhibiting the NF-κB regulated inflammation in Apoe−/−mice after SCI, was not elaborated.
  • 2
    The study did not investigate secondary damage alleviation by APOE binding to its receptor
  • 3
    The functional discrepancy between Apoe and its isoforms may explain the results.

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