Interleukin‐23 Secreted by Activated Macrophages Drives γδT Cell Production of Interleukin‐17 to Aggravate Secondary Injury After Intracerebral Hemorrhage

BackgroundNeuroinflammation plays a key role in intracerebral hemorrhage (ICH)–induced secondary brain injury, but the specific roles of peripheral inflammatory cells such as macrophages and lymphocytes remain unknown. The purpose of this study was to explore the roles of macrophages, T lymphocytes,...

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Main Authors: Qi Zhong, Kai Zhou, Qiao‐Li Liang, Sen Lin, Yan‐Chun Wang, Xiao‐Yi Xiong, Zhao‐You Meng, Ting Zhao, Wen‐Yao Zhu, Yuan‐Rui Yang, Mao‐Fan Liao, Qiu‐Wen Gong, Liang Liu, Ao Xiong, Junwei Hao, Jian Wang, Qing‐Wu Yang
Format: Article
Language:English
Published: Wiley 2016-10-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.116.004340
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author Qi Zhong
Kai Zhou
Qiao‐Li Liang
Sen Lin
Yan‐Chun Wang
Xiao‐Yi Xiong
Zhao‐You Meng
Ting Zhao
Wen‐Yao Zhu
Yuan‐Rui Yang
Mao‐Fan Liao
Qiu‐Wen Gong
Liang Liu
Ao Xiong
Junwei Hao
Jian Wang
Qing‐Wu Yang
author_facet Qi Zhong
Kai Zhou
Qiao‐Li Liang
Sen Lin
Yan‐Chun Wang
Xiao‐Yi Xiong
Zhao‐You Meng
Ting Zhao
Wen‐Yao Zhu
Yuan‐Rui Yang
Mao‐Fan Liao
Qiu‐Wen Gong
Liang Liu
Ao Xiong
Junwei Hao
Jian Wang
Qing‐Wu Yang
author_sort Qi Zhong
collection DOAJ
description BackgroundNeuroinflammation plays a key role in intracerebral hemorrhage (ICH)–induced secondary brain injury, but the specific roles of peripheral inflammatory cells such as macrophages and lymphocytes remain unknown. The purpose of this study was to explore the roles of macrophages, T lymphocytes, and the cytokines they secrete as potential targets for treating secondary brain injury after ICH. Methods and ResultsOur results showed that peripheral macrophages and T lymphocytes successively infiltrated the brain, with macrophage counts peaking 1 day after ICH and T‐lymphocyte counts peaking after 4 days. These peaks in cellular infiltration corresponded to increases in interleukin (IL)‐23 and IL‐17 expression, respectively. We found that hemoglobin from the hematoma activated IL‐23 secretion by infiltrating macrophages by inducing the formation of toll‐like receptor (TLR) 2/4 heterodimer. This increased IL‐23 expression stimulated γδT‐cell production of IL‐17, which increased brain edema and neurologic deficits in the model mice as a proinflammatory factor. Finally, we found that sparstolonin B (SsnB) could ameliorate brain edema and neurologic deficits in ICH model mice via inhibition of TLR2/TLR4 heterodimer formation, and notably, SsnB interacted with myeloid differentiation factor 88 Arg196. ConclusionsTogether, our results reveal the importance of the IL‐23/IL‐17 inflammatory axis in secondary brain injury after ICH and thus provide a new therapeutic target for ICH treatment.
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spelling doaj.art-d2bacaa3ff504407b6bf925cfb45ef112022-12-21T21:10:30ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802016-10-0151010.1161/JAHA.116.004340Interleukin‐23 Secreted by Activated Macrophages Drives γδT Cell Production of Interleukin‐17 to Aggravate Secondary Injury After Intracerebral HemorrhageQi Zhong0Kai Zhou1Qiao‐Li Liang2Sen Lin3Yan‐Chun Wang4Xiao‐Yi Xiong5Zhao‐You Meng6Ting Zhao7Wen‐Yao Zhu8Yuan‐Rui Yang9Mao‐Fan Liao10Qiu‐Wen Gong11Liang Liu12Ao Xiong13Junwei Hao14Jian Wang15Qing‐Wu Yang16Department of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaNanjing University of Chinese Medicine, Jiangsu Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, Nanjing, ChinaDepartment of Anatomy, Histology and Embryology, Chengdu Medical College, Chengdu, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaBasic Medical College, Zhengzhou University, Zhengzhou, ChinaDepartment of Neurology, Key Laboratory of Neurorepair and Regeneration, Tianjin and Ministry of Education, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Anesthesiology/Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, MDDepartment of Neurology, Xinqiao Hospital, the Third Military Medical University, Chongqing, ChinaBackgroundNeuroinflammation plays a key role in intracerebral hemorrhage (ICH)–induced secondary brain injury, but the specific roles of peripheral inflammatory cells such as macrophages and lymphocytes remain unknown. The purpose of this study was to explore the roles of macrophages, T lymphocytes, and the cytokines they secrete as potential targets for treating secondary brain injury after ICH. Methods and ResultsOur results showed that peripheral macrophages and T lymphocytes successively infiltrated the brain, with macrophage counts peaking 1 day after ICH and T‐lymphocyte counts peaking after 4 days. These peaks in cellular infiltration corresponded to increases in interleukin (IL)‐23 and IL‐17 expression, respectively. We found that hemoglobin from the hematoma activated IL‐23 secretion by infiltrating macrophages by inducing the formation of toll‐like receptor (TLR) 2/4 heterodimer. This increased IL‐23 expression stimulated γδT‐cell production of IL‐17, which increased brain edema and neurologic deficits in the model mice as a proinflammatory factor. Finally, we found that sparstolonin B (SsnB) could ameliorate brain edema and neurologic deficits in ICH model mice via inhibition of TLR2/TLR4 heterodimer formation, and notably, SsnB interacted with myeloid differentiation factor 88 Arg196. ConclusionsTogether, our results reveal the importance of the IL‐23/IL‐17 inflammatory axis in secondary brain injury after ICH and thus provide a new therapeutic target for ICH treatment.https://www.ahajournals.org/doi/10.1161/JAHA.116.004340IL‐17IL‐23intracerebral hemorrhagelymphocytemacrophageTLR2
spellingShingle Qi Zhong
Kai Zhou
Qiao‐Li Liang
Sen Lin
Yan‐Chun Wang
Xiao‐Yi Xiong
Zhao‐You Meng
Ting Zhao
Wen‐Yao Zhu
Yuan‐Rui Yang
Mao‐Fan Liao
Qiu‐Wen Gong
Liang Liu
Ao Xiong
Junwei Hao
Jian Wang
Qing‐Wu Yang
Interleukin‐23 Secreted by Activated Macrophages Drives γδT Cell Production of Interleukin‐17 to Aggravate Secondary Injury After Intracerebral Hemorrhage
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
IL‐17
IL‐23
intracerebral hemorrhage
lymphocyte
macrophage
TLR2
title Interleukin‐23 Secreted by Activated Macrophages Drives γδT Cell Production of Interleukin‐17 to Aggravate Secondary Injury After Intracerebral Hemorrhage
title_full Interleukin‐23 Secreted by Activated Macrophages Drives γδT Cell Production of Interleukin‐17 to Aggravate Secondary Injury After Intracerebral Hemorrhage
title_fullStr Interleukin‐23 Secreted by Activated Macrophages Drives γδT Cell Production of Interleukin‐17 to Aggravate Secondary Injury After Intracerebral Hemorrhage
title_full_unstemmed Interleukin‐23 Secreted by Activated Macrophages Drives γδT Cell Production of Interleukin‐17 to Aggravate Secondary Injury After Intracerebral Hemorrhage
title_short Interleukin‐23 Secreted by Activated Macrophages Drives γδT Cell Production of Interleukin‐17 to Aggravate Secondary Injury After Intracerebral Hemorrhage
title_sort interleukin 23 secreted by activated macrophages drives γδt cell production of interleukin 17 to aggravate secondary injury after intracerebral hemorrhage
topic IL‐17
IL‐23
intracerebral hemorrhage
lymphocyte
macrophage
TLR2
url https://www.ahajournals.org/doi/10.1161/JAHA.116.004340
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