Lymphocytes Contribute to the Pathophysiology of Neonatal Brain Injury

BackgroundPeriventricular leukomalacia (PVL) is the most common form of preterm brain injury affecting the cerebral white matter. This type of injury involves a multiphase process and is induced by many factors, including hypoxia–ischemia (HI) and infection. Previous studies have suggested that lymp...

Full description

Bibliographic Details
Main Authors: Arshed Nazmi, Anna-Maj Albertsson, Eridan Rocha-Ferreira, Xiaoli Zhang, Regina Vontell, Aura Zelco, Mary Rutherford, Changlian Zhu, Gisela Nilsson, Carina Mallard, Henrik Hagberg, Jacqueline C. Y. Lai, Jianmei W. Leavenworth, Xiaoyang Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-03-01
Series:Frontiers in Neurology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fneur.2018.00159/full
id doaj-1acfdcdfafea4d7b84e1098d16cd3f9f
record_format Article
collection DOAJ
language English
format Article
sources DOAJ
author Arshed Nazmi
Anna-Maj Albertsson
Eridan Rocha-Ferreira
Xiaoli Zhang
Xiaoli Zhang
Xiaoli Zhang
Regina Vontell
Aura Zelco
Mary Rutherford
Changlian Zhu
Changlian Zhu
Changlian Zhu
Gisela Nilsson
Carina Mallard
Henrik Hagberg
Henrik Hagberg
Henrik Hagberg
Jacqueline C. Y. Lai
Jianmei W. Leavenworth
Jianmei W. Leavenworth
Xiaoyang Wang
Xiaoyang Wang
spellingShingle Arshed Nazmi
Anna-Maj Albertsson
Eridan Rocha-Ferreira
Xiaoli Zhang
Xiaoli Zhang
Xiaoli Zhang
Regina Vontell
Aura Zelco
Mary Rutherford
Changlian Zhu
Changlian Zhu
Changlian Zhu
Gisela Nilsson
Carina Mallard
Henrik Hagberg
Henrik Hagberg
Henrik Hagberg
Jacqueline C. Y. Lai
Jianmei W. Leavenworth
Jianmei W. Leavenworth
Xiaoyang Wang
Xiaoyang Wang
Lymphocytes Contribute to the Pathophysiology of Neonatal Brain Injury
Frontiers in Neurology
lymphocytes
preterm
brain damage
mouse models
hypoxia–ischemia
brain
author_facet Arshed Nazmi
Anna-Maj Albertsson
Eridan Rocha-Ferreira
Xiaoli Zhang
Xiaoli Zhang
Xiaoli Zhang
Regina Vontell
Aura Zelco
Mary Rutherford
Changlian Zhu
Changlian Zhu
Changlian Zhu
Gisela Nilsson
Carina Mallard
Henrik Hagberg
Henrik Hagberg
Henrik Hagberg
Jacqueline C. Y. Lai
Jianmei W. Leavenworth
Jianmei W. Leavenworth
Xiaoyang Wang
Xiaoyang Wang
author_sort Arshed Nazmi
title Lymphocytes Contribute to the Pathophysiology of Neonatal Brain Injury
title_short Lymphocytes Contribute to the Pathophysiology of Neonatal Brain Injury
title_full Lymphocytes Contribute to the Pathophysiology of Neonatal Brain Injury
title_fullStr Lymphocytes Contribute to the Pathophysiology of Neonatal Brain Injury
title_full_unstemmed Lymphocytes Contribute to the Pathophysiology of Neonatal Brain Injury
title_sort lymphocytes contribute to the pathophysiology of neonatal brain injury
publisher Frontiers Media S.A.
series Frontiers in Neurology
issn 1664-2295
publishDate 2018-03-01
description BackgroundPeriventricular leukomalacia (PVL) is the most common form of preterm brain injury affecting the cerebral white matter. This type of injury involves a multiphase process and is induced by many factors, including hypoxia–ischemia (HI) and infection. Previous studies have suggested that lymphocytes play a significant role in the pathogenesis of brain injury, and the aim of this study was to determine the contribution of lymphocyte subsets to preterm brain injury.MethodsImmunohistochemistry on brain sections from neonatal mice was performed to evaluate the extent of brain injury in wild-type and T cell and B cell-deficient neonatal mice (Rag1−/− mice) using a mouse model of HI-induced preterm brain injury. Flow cytometry was performed to determine the presence of different types of immune cells in mouse brains following HI. In addition, immunostaining for CD3 T cells and CD20 B cells was performed on postmortem preterm human infant brains with PVL.ResultsMature lymphocyte-deficient Rag1−/− mice showed protection from white matter loss compared to wild type mice as indicated by myelin basic protein immunostaining of mouse brains. CD3+ T cells and CD20+ B cells were observed in the postmortem preterm infant brains with PVL. Flow cytometry analysis of mouse brains after HI-induced injury showed increased frequency of CD3+ T, αβT and B cells at 7 days after HI in the ipsilateral (injured) hemisphere compared to the contralateral (control, uninjured) hemisphere.ConclusionLymphocytes were found in the injured brain after injury in both mice and humans, and lack of mature lymphocytes protected neonatal mice from HI-induced brain white matter injury. This finding provides insight into the pathology of perinatal brain injury and suggests new avenues for the development of therapeutic strategies.
topic lymphocytes
preterm
brain damage
mouse models
hypoxia–ischemia
brain
url http://journal.frontiersin.org/article/10.3389/fneur.2018.00159/full
work_keys_str_mv AT arshednazmi lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT annamajalbertsson lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT eridanrochaferreira lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT xiaolizhang lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT xiaolizhang lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT xiaolizhang lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT reginavontell lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT aurazelco lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT maryrutherford lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT changlianzhu lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT changlianzhu lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT changlianzhu lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT giselanilsson lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT carinamallard lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT henrikhagberg lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT henrikhagberg lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT henrikhagberg lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT jacquelinecylai lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT jianmeiwleavenworth lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT jianmeiwleavenworth lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT xiaoyangwang lymphocytescontributetothepathophysiologyofneonatalbraininjury
AT xiaoyangwang lymphocytescontributetothepathophysiologyofneonatalbraininjury
_version_ 1725188291284697088
spelling doaj-1acfdcdfafea4d7b84e1098d16cd3f9f2020-11-25T01:06:47ZengFrontiers Media S.A.Frontiers in Neurology1664-22952018-03-01910.3389/fneur.2018.00159330936Lymphocytes Contribute to the Pathophysiology of Neonatal Brain InjuryArshed Nazmi0Anna-Maj Albertsson1Eridan Rocha-Ferreira2Xiaoli Zhang3Xiaoli Zhang4Xiaoli Zhang5Regina Vontell6Aura Zelco7Mary Rutherford8Changlian Zhu9Changlian Zhu10Changlian Zhu11Gisela Nilsson12Carina Mallard13Henrik Hagberg14Henrik Hagberg15Henrik Hagberg16Jacqueline C. Y. Lai17Jianmei W. Leavenworth18Jianmei W. Leavenworth19Xiaoyang Wang20Xiaoyang Wang21Department of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Clinical Sciences, Sahlgrenska University Hospital, Gothenburg, SwedenDepartment of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Pediatrics, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaHenan Key Laboratory of Child Brain Injury, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Perinatal Imaging and Health, Centre for the Developing Brain, King’s College London, St. Thomas’ Hospital, London, United KingdomDepartment of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Perinatal Imaging and Health, Centre for the Developing Brain, King’s College London, St. Thomas’ Hospital, London, United KingdomDepartment of Pediatrics, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaHenan Key Laboratory of Child Brain Injury, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Neuroscience and Physiology, Center for Brain Repair and Rehabilitation, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Clinical Sciences, Sahlgrenska University Hospital, Gothenburg, SwedenDepartment of Perinatal Imaging and Health, Centre for the Developing Brain, King’s College London, St. Thomas’ Hospital, London, United KingdomDepartment of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Pediatrics, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaBackgroundPeriventricular leukomalacia (PVL) is the most common form of preterm brain injury affecting the cerebral white matter. This type of injury involves a multiphase process and is induced by many factors, including hypoxia–ischemia (HI) and infection. Previous studies have suggested that lymphocytes play a significant role in the pathogenesis of brain injury, and the aim of this study was to determine the contribution of lymphocyte subsets to preterm brain injury.MethodsImmunohistochemistry on brain sections from neonatal mice was performed to evaluate the extent of brain injury in wild-type and T cell and B cell-deficient neonatal mice (Rag1−/− mice) using a mouse model of HI-induced preterm brain injury. Flow cytometry was performed to determine the presence of different types of immune cells in mouse brains following HI. In addition, immunostaining for CD3 T cells and CD20 B cells was performed on postmortem preterm human infant brains with PVL.ResultsMature lymphocyte-deficient Rag1−/− mice showed protection from white matter loss compared to wild type mice as indicated by myelin basic protein immunostaining of mouse brains. CD3+ T cells and CD20+ B cells were observed in the postmortem preterm infant brains with PVL. Flow cytometry analysis of mouse brains after HI-induced injury showed increased frequency of CD3+ T, αβT and B cells at 7 days after HI in the ipsilateral (injured) hemisphere compared to the contralateral (control, uninjured) hemisphere.ConclusionLymphocytes were found in the injured brain after injury in both mice and humans, and lack of mature lymphocytes protected neonatal mice from HI-induced brain white matter injury. This finding provides insight into the pathology of perinatal brain injury and suggests new avenues for the development of therapeutic strategies.http://journal.frontiersin.org/article/10.3389/fneur.2018.00159/fulllymphocytespretermbrain damagemouse modelshypoxia–ischemiabrain