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Turner et al.                                                                                                                                                                          LPS preconditioning neuroprotective



































           Figure 6: Colocalization of GFAP and OSMR with DAPI. GFAP (green) and OSMR (red) were significantly increased in the same cells
           (merged yellow) following TBI. LPS preconditioning prevented OSMR upregulation. *P < 0.05. LPS: lipopolysaccharide; TBI: traumatic brain
           injuries; GFAP: glial fibrillary acidic protein; OSMR: oncostatin M receptor
           the same astrocyte. This was partially mitigated by   closed-head model of diffuse axonal injury. LPS
           LPS preconditioning (overlap coefficient r = 0.478).  preconditioning has previously been shown to be
                                                              protective in penetrating models, but there was
           DISCUSSION                                         significant vascular disruption in these models and
                                                              they were generally more severe than our model
           Diffuse axonal injury is induced consistently by the   of diffuse axonal injury. The findings of the present
           weight drop method without producing a grossly     study are significant in that they demonstrate that
           visible lesion. [23]  We have previously confirmed that   LPS preconditioning regulates microglia and OSMR
           the injury parameters used in this study induce    in a model of diffuse axonal injury. Furthermore,
           diffuse axonal injury by measuring  β-amyloid      these protective effects are sustained at one week
           precursor protein expression. [24]   The weight drop   post-injury.  Protection  was  established  in  a  mild
           model is ideal for testing neuroprotective strategies   injury model with no mortality or gross pathological
           because it induces consistent axonal damage and a   changes, indicating that LPS pretreatment may also
                                                              protect against mild neurotrauma.
           characteristic progression of traumatic axonal injury in
           rodents. [25]  Axonal injury reduces cerebral blood flow   Longhi  et al.  showed that LPS preconditioning
                                                                           [2]
           following neurotrauma. [26]  Therefore, it is potentially   alters IL-6  and  OSM  expression  following  TBI.  In
           worthwhile to investigate compounds that contribute   this study, we demonstrated that LPS may exert a
           to vascular preconditioning. Vascular preconditioning   neuroprotective effect against diffuse axonal injury
           by heat activation reduces TBI severity and the extent   through modulation of neurodegeneration and the
           of axonal damage by selectively activating hypoxia-  gliosis response. This supports the notion that LPS
           inducible  factor  1α. [27]   Low-dose  LPS  pretreatment   induces neuroprotective effects originally proposed
           has also been used for successful vascular         by Longhi  et al.  We observed a transient acute
                                                                             [2]
           preconditioning in penetrating models of  TBI. [28]    sickness induced by LPS pretreatment. However,
           One proposed mechanism for LPS is a reduction of   LPS preconditioning had the following effects,
           inflammatory mediators before injury. [29]  Inflammatory   including: reduced FJB, OSMR, GFAP, and CD68
           mediators can activate gliosis. [30]               expression. Decreased FJB staining was indicative
                                                              of reduced neurodegeneration.  This has been
           In this study, we show for the first time that low-  demonstrated  in  vitro  by  Zhu  et  al., [31]   and  our
           dose LPS preconditioning is protective in a        findings have now confirmed this in vivo. Increased
             12                                                                   Neuroimmunology and Neuroinflammation ¦ Volume 4 ¦ January 20, 2017
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