PMID- 23717624 OWN - NLM STAT- MEDLINE DCOM- 20131125 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 5 DP - 2013 TI - The prevalence and phenotype of activated microglia/macrophages within the spinal cord of the hyperostotic mouse (twy/twy) changes in response to chronic progressive spinal cord compression: implications for human cervical compressive myelopathy. PG - e64528 LID - 10.1371/journal.pone.0064528 [doi] LID - e64528 AB - BACKGROUND: Cervical compressive myelopathy, e.g. due to spondylosis or ossification of the posterior longitudinal ligament is a common cause of spinal cord dysfunction. Although human pathological studies have reported neuronal loss and demyelination in the chronically compressed spinal cord, little is known about the mechanisms involved. In particular, the neuroinflammatory processes that are thought to underlie the condition are poorly understood. The present study assessed the localized prevalence of activated M1 and M2 microglia/macrophages in twy/twy mice that develop spontaneous cervical spinal cord compression, as a model of human disease. METHODS: Inflammatory cells and cytokines were assessed in compressed lesions of the spinal cords in 12-, 18- and 24-weeks old twy/twy mice by immunohistochemical, immunoblot and flow cytometric analysis. Computed tomography and standard histology confirmed a progressive spinal cord compression through the spontaneously development of an impinging calcified mass. RESULTS: The prevalence of CD11b-positive cells, in the compressed spinal cord increased over time with a concurrent decrease in neurons. The CD11b-positive cell population was initially formed of arginase-1- and CD206-positive M2 microglia/macrophages, which later shifted towards iNOS- and CD16/32-positive M1 microglia/macrophages. There was a transient increase in levels of T helper 2 (Th2) cytokines at 18 weeks, whereas levels of Th1 cytokines as well as brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF) and macrophage antigen (Mac)-2 progressively increased. CONCLUSIONS: Spinal cord compression was associated with a temporal M2 microglia/macrophage response, which may act as a possible repair or neuroprotective mechanism. However, the persistence of the neural insult also associated with persistent expression of Th1 cytokines and increased prevalence of activated M1 microglia/macrophages, which may lead to neuronal loss and demyelination despite the presence of neurotrophic factors. This understanding of the aetiopathology of chronic spinal cord compression is of importance in the development of new treatment targets in human disease. FAU - Hirai, Takayuki AU - Hirai T AD - Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medical Sciences, University of Fukui, Eiheiji, Fukui, Japan. FAU - Uchida, Kenzo AU - Uchida K FAU - Nakajima, Hideaki AU - Nakajima H FAU - Guerrero, Alexander Rodriguez AU - Guerrero AR FAU - Takeura, Naoto AU - Takeura N FAU - Watanabe, Shuji AU - Watanabe S FAU - Sugita, Daisuke AU - Sugita D FAU - Yoshida, Ai AU - Yoshida A FAU - Johnson, William E B AU - Johnson WE FAU - Baba, Hisatoshi AU - Baba H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130524 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Cytokines) RN - 0 (Nerve Growth Factors) SB - IM MH - Animals MH - Cytokines/metabolism MH - Disease Models, Animal MH - Humans MH - Hyperostosis/*complications/diagnosis MH - *Macrophage Activation MH - Macrophages/*immunology/metabolism MH - Mice MH - Microglia/*immunology/metabolism MH - Nerve Growth Factors/metabolism MH - Neurons/metabolism/pathology MH - Phagocytosis/immunology MH - *Phenotype MH - Prevalence MH - Spinal Cord/immunology/metabolism/pathology MH - Spinal Cord Compression/diagnosis/*etiology MH - T-Lymphocytes, Helper-Inducer/immunology/metabolism MH - Th2 Cells MH - Tomography, X-Ray Computed PMC - PMC3663759 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/05/30 06:00 MHDA- 2013/12/16 06:00 PMCR- 2013/05/24 CRDT- 2013/05/30 06:00 PHST- 2013/01/12 00:00 [received] PHST- 2013/04/16 00:00 [accepted] PHST- 2013/05/30 06:00 [entrez] PHST- 2013/05/30 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] PHST- 2013/05/24 00:00 [pmc-release] AID - PONE-D-13-02138 [pii] AID - 10.1371/journal.pone.0064528 [doi] PST - epublish SO - PLoS One. 2013 May 24;8(5):e64528. doi: 10.1371/journal.pone.0064528. Print 2013.