PMID- 31229624 OWN - NLM STAT- MEDLINE DCOM- 20200203 LR - 20200203 IS - 1872-7972 (Electronic) IS - 0304-3940 (Linking) VI - 708 DP - 2019 Aug 24 TI - Nitrogen-doped carbon nanocages and human umbilical cord mesenchymal stem cells cooperatively inhibit neuroinflammation and protect against ischemic stroke. PG - 134346 LID - S0304-3940(19)30447-1 [pii] LID - 10.1016/j.neulet.2019.134346 [doi] AB - AIMS: This study aimed to explore the synergistic effects of nitrogen-doped carbon nanocages (NCNCs) and human umbilical cord mesenchymal stem cells (HUC-MSCs) on ischemic stroke and investigate the potential underlying mechanisms. MAIN METHODS: The properties of NCNCs were analyzed by transmission electron microscopy, and the markers of HUC-MSCs were detected by flow cytometry. The cell toxicity of NCNCs was evaluated by MTT. Mice were induced cerebral infarction by transient middle cerebral artery occlusion (MCAO). NCNCs or HUC-MSCs or HUC-MSCs-NCNCs were intravenously injected thirty minutes after reperfusion. The infarct volume was examined by 2,3,5-triphenyltetrazolium chloride (TTC) staining, and behavior tests were evaluated by the modified Neurological Severity Score (mNSS) and rotarod test. The mRNA levels of TNF-alpha and IL-10 were detected by real-time PCR. The protein levels of TNF-alpha stimulated gene/protein 6 (TSG-6) and prostaglandin 2 (PGE2) were detected by ELISA. The microglia markers (CD86 and CD206) and the protein levels of TNF-alpha and IL-10 were examined by flow cytometry. The protein levels of Iba1 and CD16 were determined by immunostaining. KEY FINDINGS: NCNCs enhanced the therapeutic effects of HUC-MSCs on MCAO mice, including reducing infarct volume, improving behavior scores and inhibiting inflammation response. In addition, NCNCs and HUC-MSCs cooperatively inhibit the mRNA and protein levels of TNF-alpha, and increased the mRNA and protein levels of IL-10 and protein levels of PGE2 and TSG-6 in LPS-treated microglia. Furthermore, NCNCs exerted synergistic effects with HUC-MSCs on remodeling microglia polarization. SIGNIFICANCE: NCNCs enhance the therapeutic effects of HUC-MSCs on cerebral infarction in a mouse MCAO model, and inhibit the microglia reactivation and neuroinflammation, which indicates it as a potential treatment for ischemic stroke. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Zhai, Lili AU - Zhai L AD - Department of Neurology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China; Jiangsu Key Laboratory for Molecular Medicine, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China. Electronic address: 15850770596@163.com. FAU - Maimaitiming, Zaitunamu AU - Maimaitiming Z AD - Department of Neurology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China; Jiangsu Key Laboratory for Molecular Medicine, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China. Electronic address: zaitunam@163.com. FAU - Cao, Xiang AU - Cao X AD - Department of Neurology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China; Jiangsu Key Laboratory for Molecular Medicine, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China. Electronic address: Xiangcao1988@163.com. FAU - Xu, Yun AU - Xu Y AD - Department of Neurology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China; Jiangsu Key Laboratory for Molecular Medicine, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China. Electronic address: xuyun20042001@aliyun.com. FAU - Jin, Jiali AU - Jin J AD - Department of Neurology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China; Jiangsu Key Laboratory for Molecular Medicine, Medical School of Nanjing University, Nanjing, Jiangsu 210008, PR China. Electronic address: jjllily@126.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190620 PL - Ireland TA - Neurosci Lett JT - Neuroscience letters JID - 7600130 RN - 7440-44-0 (Carbon) SB - IM MH - Animals MH - Brain Ischemia/etiology/metabolism/*prevention & control MH - *Carbon/chemistry MH - Cell Polarity MH - Cells, Cultured MH - *Cord Blood Stem Cell Transplantation MH - Humans MH - Infarction, Middle Cerebral Artery/complications MH - Inflammation/metabolism/therapy MH - Male MH - *Mesenchymal Stem Cell Transplantation MH - Mice, Inbred C57BL MH - Microglia/physiology MH - *Nanostructures/chemistry/toxicity MH - Stroke/etiology/metabolism/*prevention & control OTO - NOTNLM OT - HUC-MSCs OT - Ischemic stroke OT - NCNCs OT - Neuroinflammation OT - Synergistic effects EDAT- 2019/06/24 06:00 MHDA- 2020/02/06 06:00 CRDT- 2019/06/24 06:00 PHST- 2019/03/29 00:00 [received] PHST- 2019/06/17 00:00 [revised] PHST- 2019/06/19 00:00 [accepted] PHST- 2019/06/24 06:00 [pubmed] PHST- 2020/02/06 06:00 [medline] PHST- 2019/06/24 06:00 [entrez] AID - S0304-3940(19)30447-1 [pii] AID - 10.1016/j.neulet.2019.134346 [doi] PST - ppublish SO - Neurosci Lett. 2019 Aug 24;708:134346. doi: 10.1016/j.neulet.2019.134346. Epub 2019 Jun 20.