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  4. Proinflammatory and Immunomodulatory Gene and Protein Expression Patterns in Spinal Cord and Spleen Following Acute and Chronic High Thoracic Injury

Proinflammatory and Immunomodulatory Gene and Protein Expression Patterns in Spinal Cord and Spleen Following Acute and Chronic High Thoracic Injury

Journal of Inflammation Research, 2023 · DOI: https://doi.org/10.2147/JIR.S417435 · Published: August 8, 2023

Spinal Cord InjuryImmunologyNeurology

Simple Explanation

This study examines how spinal cord injury (SCI) at the upper thoracic level affects the immune system, specifically looking at the expression of certain proteins (TNFα and IFNγ) in the spinal cord and spleen of rats. Researchers found that spleen size decreases after SCI and that the levels of TNFα protein increase in the thoracic spinal cord shortly after the injury. These changes could provide insights into the development of autonomic dysreflexia and immune dysfunction following SCI. The findings suggest that targeting TNFα in the acute phase of SCI could potentially mitigate some of the negative consequences, such as autonomic dysreflexia and immune suppression.

Study Duration
8 weeks
Participants
77 adult female Wistar rats
Evidence Level
Not specified

Key Findings

  • 1
    Spleen weight decreases acutely at 3 days post-injury (DPI) and again after 8 weeks compared to naïve age-matched controls, indicating a biphasic atrophy pattern.
  • 2
    TNFα protein levels increase significantly in the thoracic spinal cord segments from 3 to 14 days post-injury, but not in the lumbosacral segments or spleen.
  • 3
    IFNγ mRNA levels decrease significantly in the spleen at 3 days post-injury, while IFNγ protein levels show increasing trends chronically in both the spleen and lumbosacral spinal cord, though not statistically significant.

Research Summary

This study investigates the temporal and spatial changes in the expression of TNFα and IFNγ in the spinal cord and spleen following high thoracic SCI in rats to understand the development of autonomic dysreflexia and immune dysfunction. The study reveals a biphasic pattern of spleen atrophy and a transient increase in TNFα protein levels in the thoracic spinal cord after SCI. These findings provide insights into the inflammatory and immunomodulatory responses post-injury. The researchers underscore the importance of considering factors such as species, source, and innate variability when measuring organ tissues in SCI studies.

Practical Implications

Therapeutic targets

Targeting TNFα in the acute phase of SCI may help mitigate autonomic dysreflexia and immune suppression.

Understanding SCI pathology

The temporal-spatial expression profiles of cytokines provide a better understanding of maladaptive intraspinal plasticity.

Experimental design

Careful consideration of species, sources, and innate variability is important for organ tissue measurements in SCI studies.

Study Limitations

  • 1
    High variability in age-matched naïve control spleen weights.
  • 2
    The study only assessed female rats, potentially missing sex-dependent responses.
  • 3
    Trends for increased IFNγ protein levels were observed but not statistically significant due to variability.

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