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2016 ; 13
(1
): 244
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Heme oxygenase-1-mediated neuroprotection in subarachnoid hemorrhage via
intracerebroventricular deferoxamine
#MMPMID27618864
LeBlanc RH 3rd
; Chen R
; Selim MH
; Hanafy KA
J Neuroinflammation
2016[Sep]; 13
(1
): 244
PMID27618864
show ga
BACKGROUND: Subarachnoid hemorrhage (SAH) is a devastating disease that affects
over 30,000 Americans per year. Previous animal studies have explored the
therapeutic effects of deferoxamine (DFX) via its iron-chelating properties after
SAH, but none have assessed the necessity of microglial/macrophage heme
oxygenase-1 (HO-1 or Hmox1) in DFX neuroprotection, nor has the efficacy of an
intracerebroventricular (ICV) administration route been fully examined. We
explored the therapeutic efficacy of systemic and ICV DFX in a SAH mouse model
and its effect on microglial/macrophage HO-1. METHODS: Wild-type (WT) mice were
split into the following treatment groups: SAH sham?+?vehicle, SAH?+?vehicle,
SAH?+?intraperitoneal (IP) DFX, and SAH?+?ICV DFX. For each experimental group,
neuronal damage, cognitive outcome, vasospasm, cerebral and hematogenous myeloid
cell populations, cerebral IL-6 concentration, and mitochondrial superoxide anion
production were measured. HO-1 co-localization to microglia was measured using
confocal images. Trans-wells with WT or HO-1(-/-) microglia and hippocampal
neurons were treated with vehicle, red blood cells (RBCs), or RBCs with DFX;
neuronal damage, TNF-? concentration, and microglial HO-1 expression were
measured. HO-1 conditional knockouts were used to study myeloid, neuronal, and
astrocyte HO-1 involvement in DFX-induced neuroprotection and cognitive recovery.
RESULTS: DFX treatment after SAH decreased cortical damage and improved cognitive
outcome after SAH yet had no effect on vasospasm; ICV DFX was most
neuroprotective. ICV DFX treatment after SAH decreased cerebral IL-6
concentration and trended towards decreased mitochondrial superoxide anion
production. ICV DFX treatment after SAH effected an increase in HO-1
co-localization to microglia. DFX treatment of WT microglia with RBCs in the
trans-wells showed decreased neuronal damage; this effect was abolished in
HO-1(-/-) microglia. ICV DFX after SAH decreased neuronal damage and improved
cognition in Hmox1 (fl/fl) control and Nes (Cre) :Hmox1 (fl/fl) mice, but not
LyzM (Cre) :Hmox1 (fl/fl) mice. CONCLUSIONS: DFX neuroprotection is independent
of vasospasm. ICV DFX treatment provides superior neuroprotection in a mouse
model of SAH. Mechanisms of DFX neuroprotection after SAH may involve
microglial/macrophage HO-1 expression. Monitoring patient HO-1 expression during
DFX treatment for hemorrhagic stroke may help clinicians identify patients that
are more likely to respond to treatment.
|Animals
[MESH]
|Calcium-Binding Proteins/metabolism
[MESH]
|Cells, Cultured
[MESH]
|Cognition Disorders/etiology/prevention & control
[MESH]