Subarachnoid Hemorrhage Induces Dynamic Immune Cell Reactions in the Choroid Plexus

Subarachnoid hemorrhage (SAH) is a specific form of hemorrhagic stroke that frequently causes intracranial hypertension. The choroid plexus (CP) of the brain ventricles is responsible for producing cerebrospinal fluid and forms the blood – cerebrospinal fluid barrier. The aim of the current study wa...

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Main Authors: Peter Solár, Ilona Klusáková, Radim Jančálek, Petr Dubový, Marek Joukal
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-02-01
Series:Frontiers in Cellular Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fncel.2020.00018/full
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author Peter Solár
Peter Solár
Ilona Klusáková
Radim Jančálek
Petr Dubový
Marek Joukal
author_facet Peter Solár
Peter Solár
Ilona Klusáková
Radim Jančálek
Petr Dubový
Marek Joukal
author_sort Peter Solár
collection DOAJ
description Subarachnoid hemorrhage (SAH) is a specific form of hemorrhagic stroke that frequently causes intracranial hypertension. The choroid plexus (CP) of the brain ventricles is responsible for producing cerebrospinal fluid and forms the blood – cerebrospinal fluid barrier. The aim of the current study was to determine whether SAH induces an immune cell reaction in the CP and whether the resulting increase in intracranial pressure (ICP) itself can lead to cellular changes in the CP. SAH was induced by injecting non-heparinized autologous blood to the cisterna magna. Artificial cerebrospinal fluid (ACSF) instead of blood was used to assess influence of increased ICP alone. SAH and ACSF animals were left to survive for 1, 3, and 7 days. SAH induced significantly increased numbers of M1 (ED1+, CCR7+) and M2 (ED2+, CD206+) macrophages as well as MHC-II+ antigen presenting cells (APC) compared to naïve and ACSF animals. Increased numbers of ED1+ macrophages and APC were found in the CP only 3 and 7 days after ACSF injection, while ED2+ macrophage number did not increase. CD3+ T cells were not found in any of the animals. Following SAH, proliferation activity in the CP gradually increased over time while ACSF application induced higher cellular proliferation only 1 and 3 days after injection. Our results show that SAH induces an immune reaction in the CP resulting in an increase in the number of several macrophage types in the epiplexus position. Moreover, we also found that increased ICP due to ACSF application induced both an immune reaction and increased proliferation of epiplexus cells in the CP. These findings indicate that increased ICP, and not just blood, contributes to cellular changes in the CP following SAH.
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spelling doaj.art-1d550f30ee814408bb8a73e1647374d72022-12-21T21:09:29ZengFrontiers Media S.A.Frontiers in Cellular Neuroscience1662-51022020-02-011410.3389/fncel.2020.00018509398Subarachnoid Hemorrhage Induces Dynamic Immune Cell Reactions in the Choroid PlexusPeter Solár0Peter Solár1Ilona Klusáková2Radim Jančálek3Petr Dubový4Marek Joukal5Department of Anatomy, Cellular and Molecular Neurobiology Research Group, Faculty of Medicine, Masaryk University, Brno, CzechiaDepartment of Neurosurgery, Faculty of Medicine, Masaryk University and St. Anne’s University Hospital Brno, Brno, CzechiaDepartment of Anatomy, Cellular and Molecular Neurobiology Research Group, Faculty of Medicine, Masaryk University, Brno, CzechiaDepartment of Neurosurgery, Faculty of Medicine, Masaryk University and St. Anne’s University Hospital Brno, Brno, CzechiaDepartment of Anatomy, Cellular and Molecular Neurobiology Research Group, Faculty of Medicine, Masaryk University, Brno, CzechiaDepartment of Anatomy, Cellular and Molecular Neurobiology Research Group, Faculty of Medicine, Masaryk University, Brno, CzechiaSubarachnoid hemorrhage (SAH) is a specific form of hemorrhagic stroke that frequently causes intracranial hypertension. The choroid plexus (CP) of the brain ventricles is responsible for producing cerebrospinal fluid and forms the blood – cerebrospinal fluid barrier. The aim of the current study was to determine whether SAH induces an immune cell reaction in the CP and whether the resulting increase in intracranial pressure (ICP) itself can lead to cellular changes in the CP. SAH was induced by injecting non-heparinized autologous blood to the cisterna magna. Artificial cerebrospinal fluid (ACSF) instead of blood was used to assess influence of increased ICP alone. SAH and ACSF animals were left to survive for 1, 3, and 7 days. SAH induced significantly increased numbers of M1 (ED1+, CCR7+) and M2 (ED2+, CD206+) macrophages as well as MHC-II+ antigen presenting cells (APC) compared to naïve and ACSF animals. Increased numbers of ED1+ macrophages and APC were found in the CP only 3 and 7 days after ACSF injection, while ED2+ macrophage number did not increase. CD3+ T cells were not found in any of the animals. Following SAH, proliferation activity in the CP gradually increased over time while ACSF application induced higher cellular proliferation only 1 and 3 days after injection. Our results show that SAH induces an immune reaction in the CP resulting in an increase in the number of several macrophage types in the epiplexus position. Moreover, we also found that increased ICP due to ACSF application induced both an immune reaction and increased proliferation of epiplexus cells in the CP. These findings indicate that increased ICP, and not just blood, contributes to cellular changes in the CP following SAH.https://www.frontiersin.org/article/10.3389/fncel.2020.00018/fullsubarachnoid hemorrhagechoroid plexusintracranial hypertensionmacrophagesblood-cerebrospinal fluid barrier
spellingShingle Peter Solár
Peter Solár
Ilona Klusáková
Radim Jančálek
Petr Dubový
Marek Joukal
Subarachnoid Hemorrhage Induces Dynamic Immune Cell Reactions in the Choroid Plexus
Frontiers in Cellular Neuroscience
subarachnoid hemorrhage
choroid plexus
intracranial hypertension
macrophages
blood-cerebrospinal fluid barrier
title Subarachnoid Hemorrhage Induces Dynamic Immune Cell Reactions in the Choroid Plexus
title_full Subarachnoid Hemorrhage Induces Dynamic Immune Cell Reactions in the Choroid Plexus
title_fullStr Subarachnoid Hemorrhage Induces Dynamic Immune Cell Reactions in the Choroid Plexus
title_full_unstemmed Subarachnoid Hemorrhage Induces Dynamic Immune Cell Reactions in the Choroid Plexus
title_short Subarachnoid Hemorrhage Induces Dynamic Immune Cell Reactions in the Choroid Plexus
title_sort subarachnoid hemorrhage induces dynamic immune cell reactions in the choroid plexus
topic subarachnoid hemorrhage
choroid plexus
intracranial hypertension
macrophages
blood-cerebrospinal fluid barrier
url https://www.frontiersin.org/article/10.3389/fncel.2020.00018/full
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