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  4. The immunomodulator decoy receptor 3 improves locomotor functional recovery after spinal cord injury

The immunomodulator decoy receptor 3 improves locomotor functional recovery after spinal cord injury

Journal of Neuroinflammation, 2016 · DOI: 10.1186/s12974-016-0623-6 · Published: June 13, 2016

Spinal Cord InjuryImmunology

Simple Explanation

Spinal cord injury (SCI) leads to neuron and axon loss, impairing motor and sensory functions. Inflammation follows SCI, with immune cells infiltrating the injury site. Decoy receptor 3 (DcR3), an immunomodulator, can differentiate macrophages into the M2 phenotype and boost angiogenesis. The study aimed to investigate whether DcR3 benefits locomotor functional recovery in rats after SCI by promoting M2 macrophage infiltration and angiogenesis at the lesion site. The research found that DcR3.Fc administration improved locomotor function, reduced secondary injury, increased vascularization, and modulated cytokine levels, suggesting its potential as a therapeutic agent for SCI.

Study Duration
6 Weeks
Participants
Adult female Sprague-Dawley (SD) rats (225–250 g)
Evidence Level
Not specified

Key Findings

  • 1
    Intrathecal administration of DcR3.Fc significantly improved locomotor function and reduced secondary injury with a smaller wound cavity and increased myelin sparing at the lesion site.
  • 2
    DcR3.Fc-treated rats had increased vascularization at the injury epicenter along with higher levels of interleukin (IL)-4 and IL-10 and lower level of IL-1β on DcR3.Fc-treated rats at day 7 after SCI.
  • 3
    Higher levels of arginase I (Arg I) and CD206 (M2 macrophage markers) and RECA-1 (endothelial marker) were observed in the epicenter on day 7 after SCI by immunofluorescence staining.

Research Summary

This study investigates the potential therapeutic effects of DcR3.Fc in SCI rats, finding that it promotes locomotor functional recovery and enhances tissue repair after contusive SCI. The research notes increased infiltration of M2 macrophages with enhanced angiogenesis in the epicenter of the lesion site, along with a higher expression of anti-inflammatory cytokines and downregulation of inflammatory cytokines. The observations suggest that DcR3.Fc has the potential to become a therapeutic agent for SCI in the future due to its ability to modulate the macrophage response and facilitate tissue sparing and functional recovery.

Practical Implications

Therapeutic Potential

DcR3.Fc may become a promising therapeutic agent for SCI patients.

Macrophage Modulation

DcR3.Fc can modulate the macrophage response to SCI to facilitate tissue sparing and functional recovery.

Combinatorial Strategies

Multiple injections of DcR3.Fc in conjunction with other agents may improve locomotor functions after SCI.

Study Limitations

  • 1
    Effectiveness confirmation needed
  • 2
    Optimal therapeutic window, dosages, and timing determination required
  • 3
    Need for combinatorial strategies

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