CXCL13 expressed on inflamed cerebral blood vessels recruit IL-21 producing TFH cells to damage neurons following stroke

Abstract Background Ischemic stroke is a leading cause of mortality worldwide, largely due to the inflammatory response to brain ischemia during post-stroke reperfusion. Despite ongoing intensive research, there have not been any clinically approved drugs targeting the inflammatory component to stro...

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Main Authors: Aditya Rayasam, Julie A. Kijak, Lee Kissel, Yun Hwa Choi, Taehee Kim, Martin Hsu, Dinesh Joshi, Collin J. Laaker, Peter Cismaru, Anders Lindstedt, Krisztian Kovacs, Raghu Vemuganti, Shing Yan Chiu, Thanthrige Thiunuwan Priyathilaka, Matyas Sandor, Zsuzsanna Fabry
Format: Article
Language:English
Published: BMC 2022-05-01
Series:Journal of Neuroinflammation
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Online Access:https://doi.org/10.1186/s12974-022-02490-2
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author Aditya Rayasam
Julie A. Kijak
Lee Kissel
Yun Hwa Choi
Taehee Kim
Martin Hsu
Dinesh Joshi
Collin J. Laaker
Peter Cismaru
Anders Lindstedt
Krisztian Kovacs
Raghu Vemuganti
Shing Yan Chiu
Thanthrige Thiunuwan Priyathilaka
Matyas Sandor
Zsuzsanna Fabry
author_facet Aditya Rayasam
Julie A. Kijak
Lee Kissel
Yun Hwa Choi
Taehee Kim
Martin Hsu
Dinesh Joshi
Collin J. Laaker
Peter Cismaru
Anders Lindstedt
Krisztian Kovacs
Raghu Vemuganti
Shing Yan Chiu
Thanthrige Thiunuwan Priyathilaka
Matyas Sandor
Zsuzsanna Fabry
author_sort Aditya Rayasam
collection DOAJ
description Abstract Background Ischemic stroke is a leading cause of mortality worldwide, largely due to the inflammatory response to brain ischemia during post-stroke reperfusion. Despite ongoing intensive research, there have not been any clinically approved drugs targeting the inflammatory component to stroke. Preclinical studies have identified T cells as pro-inflammatory mediators of ischemic brain damage, yet mechanisms that regulate the infiltration and phenotype of these cells are lacking. Further understanding of how T cells migrate to the ischemic brain and facilitate neuronal death during brain ischemia can reveal novel targets for post-stroke intervention. Methods To identify the population of T cells that produce IL-21 and contribute to stroke, we performed transient middle cerebral artery occlusion (tMCAO) in mice and performed flow cytometry on brain tissue. We also utilized immunohistochemistry in both mouse and human brain sections to identify cell types and inflammatory mediators related to stroke-induced IL-21 signaling. To mechanistically demonstrate our findings, we employed pharmacological inhibitor anti-CXCL13 and performed histological analyses to evaluate its effects on brain infarct damage. Finally, to evaluate cellular mechanisms of stroke, we exposed mouse primary neurons to oxygen glucose deprivation (OGD) conditions with or without IL-21 and measured cell viability, caspase activity and JAK/STAT signaling. Results Flow cytometry on brains from mice following tMCAO identified a novel population of cells IL-21 producing CXCR5+ CD4+ ICOS-1+ T follicular helper cells (TFH) in the ischemic brain early after injury. We observed augmented expression of CXCL13 on inflamed brain vascular cells and demonstrated that inhibition of CXCL13 protects mice from tMCAO by restricting the migration and influence of IL-21 producing TFH cells in the ischemic brain. We also illustrate that neurons express IL-21R in the peri-infarct regions of both mice and human stroke tissue in vivo. Lastly, we found that IL-21 acts on mouse primary ischemic neurons to activate the JAK/STAT pathway and induce caspase 3/7-mediated apoptosis in vitro. Conclusion These findings identify a novel mechanism for how pro-inflammatory T cells are recruited to the ischemic brain to propagate stroke damage and provide a potential new therapeutic target for stroke.
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spelling doaj.art-e710bc3210a84704b042530e013319942022-12-22T03:21:32ZengBMCJournal of Neuroinflammation1742-20942022-05-0119111510.1186/s12974-022-02490-2CXCL13 expressed on inflamed cerebral blood vessels recruit IL-21 producing TFH cells to damage neurons following strokeAditya Rayasam0Julie A. Kijak1Lee Kissel2Yun Hwa Choi3Taehee Kim4Martin Hsu5Dinesh Joshi6Collin J. Laaker7Peter Cismaru8Anders Lindstedt9Krisztian Kovacs10Raghu Vemuganti11Shing Yan Chiu12Thanthrige Thiunuwan Priyathilaka13Matyas Sandor14Zsuzsanna Fabry15Department of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonNeuroscience Training Program, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonDepartment of Physiology, University of Wisconsin School of MedicineDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonNeuroscience Training Program, University of Wisconsin-MadisonNeuroscience Training Program, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonDepartment of Pathology and Laboratory Medicine, School of Medicine and Public Health, University of Wisconsin-MadisonAbstract Background Ischemic stroke is a leading cause of mortality worldwide, largely due to the inflammatory response to brain ischemia during post-stroke reperfusion. Despite ongoing intensive research, there have not been any clinically approved drugs targeting the inflammatory component to stroke. Preclinical studies have identified T cells as pro-inflammatory mediators of ischemic brain damage, yet mechanisms that regulate the infiltration and phenotype of these cells are lacking. Further understanding of how T cells migrate to the ischemic brain and facilitate neuronal death during brain ischemia can reveal novel targets for post-stroke intervention. Methods To identify the population of T cells that produce IL-21 and contribute to stroke, we performed transient middle cerebral artery occlusion (tMCAO) in mice and performed flow cytometry on brain tissue. We also utilized immunohistochemistry in both mouse and human brain sections to identify cell types and inflammatory mediators related to stroke-induced IL-21 signaling. To mechanistically demonstrate our findings, we employed pharmacological inhibitor anti-CXCL13 and performed histological analyses to evaluate its effects on brain infarct damage. Finally, to evaluate cellular mechanisms of stroke, we exposed mouse primary neurons to oxygen glucose deprivation (OGD) conditions with or without IL-21 and measured cell viability, caspase activity and JAK/STAT signaling. Results Flow cytometry on brains from mice following tMCAO identified a novel population of cells IL-21 producing CXCR5+ CD4+ ICOS-1+ T follicular helper cells (TFH) in the ischemic brain early after injury. We observed augmented expression of CXCL13 on inflamed brain vascular cells and demonstrated that inhibition of CXCL13 protects mice from tMCAO by restricting the migration and influence of IL-21 producing TFH cells in the ischemic brain. We also illustrate that neurons express IL-21R in the peri-infarct regions of both mice and human stroke tissue in vivo. Lastly, we found that IL-21 acts on mouse primary ischemic neurons to activate the JAK/STAT pathway and induce caspase 3/7-mediated apoptosis in vitro. Conclusion These findings identify a novel mechanism for how pro-inflammatory T cells are recruited to the ischemic brain to propagate stroke damage and provide a potential new therapeutic target for stroke.https://doi.org/10.1186/s12974-022-02490-2LymphocytesNeuroinflammationStrokeImmuneBrainIL-21
spellingShingle Aditya Rayasam
Julie A. Kijak
Lee Kissel
Yun Hwa Choi
Taehee Kim
Martin Hsu
Dinesh Joshi
Collin J. Laaker
Peter Cismaru
Anders Lindstedt
Krisztian Kovacs
Raghu Vemuganti
Shing Yan Chiu
Thanthrige Thiunuwan Priyathilaka
Matyas Sandor
Zsuzsanna Fabry
CXCL13 expressed on inflamed cerebral blood vessels recruit IL-21 producing TFH cells to damage neurons following stroke
Journal of Neuroinflammation
Lymphocytes
Neuroinflammation
Stroke
Immune
Brain
IL-21
title CXCL13 expressed on inflamed cerebral blood vessels recruit IL-21 producing TFH cells to damage neurons following stroke
title_full CXCL13 expressed on inflamed cerebral blood vessels recruit IL-21 producing TFH cells to damage neurons following stroke
title_fullStr CXCL13 expressed on inflamed cerebral blood vessels recruit IL-21 producing TFH cells to damage neurons following stroke
title_full_unstemmed CXCL13 expressed on inflamed cerebral blood vessels recruit IL-21 producing TFH cells to damage neurons following stroke
title_short CXCL13 expressed on inflamed cerebral blood vessels recruit IL-21 producing TFH cells to damage neurons following stroke
title_sort cxcl13 expressed on inflamed cerebral blood vessels recruit il 21 producing tfh cells to damage neurons following stroke
topic Lymphocytes
Neuroinflammation
Stroke
Immune
Brain
IL-21
url https://doi.org/10.1186/s12974-022-02490-2
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