PMID- 28685618 OWN - NLM STAT- MEDLINE DCOM- 20190805 LR - 20191008 IS - 1559-7016 (Electronic) IS - 0271-678X (Print) IS - 0271-678X (Linking) VI - 38 IP - 8 DP - 2018 Aug TI - Minocycline plus N-acteylcysteine induces remyelination, synergistically protects oligodendrocytes and modifies neuroinflammation in a rat model of mild traumatic brain injury. PG - 1312-1326 LID - 10.1177/0271678X17718106 [doi] AB - Mild traumatic brain injury afflicts over 2 million people annually and little can be done for the underlying injury. The Food and Drug Administration-approved drugs Minocycline plus N-acetylcysteine (MINO plus NAC) synergistically improved cognition and memory in a rat mild controlled cortical impact (mCCI) model of traumatic brain injury.(3) The underlying cellular and molecular mechanisms of the drug combination are unknown. This study addressed the effect of the drug combination on white matter damage and neuroinflammation after mCCI. Brain tissue from mCCI rats given either sham-injury, saline, MINO alone, NAC alone, or MINO plus NAC was investigated via histology and qPCR at four time points (2, 4, 7, and 14 days post-injury) for markers of white matter damage and neuroinflammation. MINO plus NAC synergistically protected resident oligodendrocytes and decreased the number of oligodendrocyte precursor cells. Activation of microglia/macrophages (MP/MG) was synergistically increased in white matter two days post-injury after MINO plus NAC treatment. Patterns of M1 and M2 MP/MG were also altered after treatment. The modulation of neuroinflammation is a potential mechanism to promote remyelination and improve cognition and memory. These data also provide new and important insights into how drug treatments can induce repair after traumatic brain injury. FAU - Haber, Margalit AU - Haber M AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - James, Jessica AU - James J AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - Kim, Justine AU - Kim J AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - Sangobowale, Michael AU - Sangobowale M AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - Irizarry, Rachel AU - Irizarry R AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - Ho, Johnson AU - Ho J AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - Nikulina, Elena AU - Nikulina E AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - Grin'kina, Natalia M AU - Grin'kina NM AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - Ramadani, Albana AU - Ramadani A AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - Hartman, Isabella AU - Hartman I AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. FAU - Bergold, Peter J AU - Bergold PJ AD - Department of Physiology and Pharmacology, Robert F. Furchgott Center for Neural and Behavioral Science, SUNY-Downstate Medical Center, NY, USA. LA - eng GR - R01 NS076693/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20170707 PL - United States TA - J Cereb Blood Flow Metab JT - Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism JID - 8112566 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Antioxidants) RN - FYY3R43WGO (Minocycline) RN - WYQ7N0BPYC (Acetylcysteine) MH - Acetylcysteine/*therapeutic use MH - Animals MH - Anti-Inflammatory Agents/*therapeutic use MH - Antioxidants/*therapeutic use MH - Brain Injuries, Traumatic/complications/*drug therapy/pathology MH - Disease Models, Animal MH - Drug Synergism MH - Inflammation/complications/drug therapy/pathology MH - Male MH - Minocycline/*therapeutic use MH - Oligodendroglia/*drug effects/pathology MH - Rats MH - Rats, Sprague-Dawley MH - Remyelination/*drug effects PMC - PMC6092769 OTO - NOTNLM OT - Brain trauma OT - immunohistochemistry OT - inflammation OT - microglia OT - oligodendrocytes OT - white matter EDAT- 2017/07/08 06:00 MHDA- 2019/08/06 06:00 PMCR- 2019/08/01 CRDT- 2017/07/08 06:00 PHST- 2017/07/08 06:00 [pubmed] PHST- 2019/08/06 06:00 [medline] PHST- 2017/07/08 06:00 [entrez] PHST- 2019/08/01 00:00 [pmc-release] AID - 10.1177_0271678X17718106 [pii] AID - 10.1177/0271678X17718106 [doi] PST - ppublish SO - J Cereb Blood Flow Metab. 2018 Aug;38(8):1312-1326. doi: 10.1177/0271678X17718106. Epub 2017 Jul 7.