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  4. Local inhibition of matrix metalloproteinases reduced M2 macrophage activity and impeded recovery in spinal cord transected rats after treatment with fibroblast growth factor-1 and nerve grafts

Local inhibition of matrix metalloproteinases reduced M2 macrophage activity and impeded recovery in spinal cord transected rats after treatment with fibroblast growth factor-1 and nerve grafts

Neural Regeneration Research, 2018 · DOI: 10.4103/1673-5374.235302 · Published: August 1, 2018

Spinal Cord InjuryImmunologyGenetics

Simple Explanation

This study investigates how blocking the movement of macrophages, a type of immune cell, affects recovery in rats with spinal cord injuries treated with nerve grafts and a growth factor. The researchers found that inhibiting the migration of M2 macrophages, which are believed to help with tissue repair, reduced the benefits of the treatment. This suggests that the movement of these M2 macrophages is crucial for the treatment's success and needs to be considered when developing new spinal cord injury therapies.

Study Duration
8 weeks
Participants
Young adult female Sprague-Dawley (SD) rats (250–280 g, ~8 weeks old)
Evidence Level
Not specified

Key Findings

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    MMP-9, but not MMP-2, was upregulated in the graft area of rats treated with fibroblast growth factor-1 and peripheral nerve grafts, suggesting a role in the regenerative process.
  • 2
    Local application of an MMP inhibitor reduced the ratio of arginase-1 (M2 macrophage subset)/inducible nitric oxide synthase-postive cells, indicating a decrease in M2 macrophage activity.
  • 3
    Inhibition of MMPs at 8 weeks postoperation led to a loss of partial functional recovery and a decrease in brain-derived neurotrophic factor levels in the nerve graft.

Research Summary

This study examined the impact of matrix metalloproteinase (MMP) inhibition on macrophage migration and spinal function recovery in rats with completely transected spinal cords treated with fibroblast growth factor-1 and peripheral nerve grafts. The researchers found that MMP-9 was upregulated in the graft area, and inhibiting MMPs reduced M2 macrophage activity, which led to a loss of functional recovery and decreased brain-derived neurotrophic factor levels. The findings suggest that M2 macrophage migration, regulated by MMPs, is crucial for the success of the combined treatment and should be carefully considered in spinal cord injury therapies.

Practical Implications

Therapeutic Considerations

Simultaneous application of MMP inhibitors or promotion of MMP activity for spinal cord injury needs to be considered if the coadministered treatment involves M2 recruitment.

M2 Macrophage Targeting

The study indicates that promoting M2 macrophage activity could be a beneficial strategy for spinal cord injury recovery, but MMP inhibition may compromise this activity.

Drug Development

Future drug development for spinal cord injury should consider the role of MMPs in M2 macrophage migration and the potential impact on treatment efficacy.

Study Limitations

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