PMID- 33727099 OWN - NLM STAT- MEDLINE DCOM- 20211004 LR - 20211004 IS - 1090-2430 (Electronic) IS - 0014-4886 (Linking) VI - 341 DP - 2021 Jul TI - Role of TREM-1 in the development of early brain injury after subarachnoid hemorrhage. PG - 113692 LID - S0014-4886(21)00097-2 [pii] LID - 10.1016/j.expneurol.2021.113692 [doi] AB - Triggering receptor expressed on myeloid cells-1 (TREM-1) was found to be induced in the context of subarachnoid hemorrhage (SAH) before. This study further investigates its role in the development of SAH-induced early brain injury (EBI). Firstly, rats were randomly divided into Sham and SAH groups for analysis of temporal patterns and cellular localization of TREM-1. Secondly, TREM-1 intervention was administrated to produce Sham, vehicle, antagonist and agonist groups, for analyzing TREM-1, Toll-like receptor 4 (TLR4), myeloid differentiation factor 88 (MyD88) and NF-kappaB expressions at 24 h post-modeling, and EBI assessment at 24 h and 72 h. Thirdly, TLR4 inhibitor (TAK-242) was exploited to produce Sham, Sham+TAK-242, SAH, and SAH + TAK-242 groups to analyze the effects of TLR4 inhibition on TREM-1 induction and EBI evaluation at 72 h. Fourthly, the relationship of soluble TREM-1 (sTREM-1) levels in cerebrospinal fluid of SAH patients with Hunt-Hess grades were explored. The results showed that TREM-1 increased in the brain after experimental SAH (eSAH) early at 6 h and peaked at 48 h, which was found to be located in microglia and endothelial cells. TREM-1 inhibition attenuated EBI associated with TLR4/MyD88/NF-kappaB suppression, while enhancement had the opposite effects. Contrarily, TLR4 inhibition prevented TREM-1 induction and ameliorated EBI. In addition, sTREM-1 levels in SAH patients positively correlated with Hunt-Hess grades. Overall, the present study provides new evidence that TREM-1 increases dynamically in the brain after eSAH and it is located in microglia and endothelial cells, which may aggravate EBI by interacting with TLR4 pathway. And sTREM-1 in patients might act as a monitoring biomarker of EBI, providing new insights for future studies. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Sun, Xin-Gang AU - Sun XG AD - Department of Neurology, the Second Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. Electronic address: sunyanxia820701@163.com. FAU - Zhang, Mi-Mi AU - Zhang MM AD - Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. FAU - Liu, Shao-Yu AU - Liu SY AD - Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. FAU - Chu, Xue-Hong AU - Chu XH AD - Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. FAU - Xue, Guo-Qiang AU - Xue GQ AD - Department of Neurosurgery, Yuncheng Hospital Affiliated to Shanxi Medical University, Yuncheng, Shanxi 044000, People's Republic of China. FAU - Zhang, Bao-Chen AU - Zhang BC AD - Department of Neurosurgery, Yuncheng Hospital Affiliated to Shanxi Medical University, Yuncheng, Shanxi 044000, People's Republic of China. FAU - Zhu, Jia-Bao AU - Zhu JB AD - Department of Neurosurgery, Yuncheng Hospital Affiliated to Shanxi Medical University, Yuncheng, Shanxi 044000, People's Republic of China. FAU - Godje Godje, Ivan Steve AU - Godje Godje IS AD - Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. FAU - Zhu, Li-Juan AU - Zhu LJ AD - Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. FAU - Hu, Hui-Yu AU - Hu HY AD - Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. FAU - Hai-Wang AU - Hai-Wang AD - Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. FAU - Shen, Ying-Jie AU - Shen YJ AD - Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. FAU - Wang, Gai-Qing AU - Wang GQ AD - Department of Neurology, the Second Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi 030000, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210313 PL - United States TA - Exp Neurol JT - Experimental neurology JID - 0370712 RN - 0 (Triggering Receptor Expressed on Myeloid Cells-1) SB - IM MH - Aged MH - Animals MH - Blood-Brain Barrier/metabolism/pathology MH - Brain/metabolism/pathology MH - Brain Injuries/*metabolism/*pathology MH - Endothelial Cells/metabolism/pathology MH - Female MH - Humans MH - Male MH - Microglia/metabolism/pathology MH - Middle Aged MH - Rats MH - Rats, Sprague-Dawley MH - Subarachnoid Hemorrhage/*metabolism/*pathology MH - Time Factors MH - Triggering Receptor Expressed on Myeloid Cells-1/*metabolism OTO - NOTNLM OT - Early brain injury OT - MyD88 OT - NF-kappaB OT - Subarachnoid hemorrhage OT - TLR4 OT - TREM-1 EDAT- 2021/03/18 06:00 MHDA- 2021/10/05 06:00 CRDT- 2021/03/17 06:06 PHST- 2021/01/01 00:00 [received] PHST- 2021/02/23 00:00 [revised] PHST- 2021/03/11 00:00 [accepted] PHST- 2021/03/18 06:00 [pubmed] PHST- 2021/10/05 06:00 [medline] PHST- 2021/03/17 06:06 [entrez] AID - S0014-4886(21)00097-2 [pii] AID - 10.1016/j.expneurol.2021.113692 [doi] PST - ppublish SO - Exp Neurol. 2021 Jul;341:113692. doi: 10.1016/j.expneurol.2021.113692. Epub 2021 Mar 13.