PMID- 38468459 OWN - NLM STAT- MEDLINE DCOM- 20240313 LR - 20240513 IS - 1755-5949 (Electronic) IS - 1755-5930 (Print) IS - 1755-5930 (Linking) VI - 30 IP - 3 DP - 2024 Mar TI - CD4(+) CD11b(+) T cells infiltrate and aggravate the traumatic brain injury depending on brain-to-cervical lymph node signaling. PG - e14673 LID - 10.1111/cns.14673 [doi] LID - e14673 AB - AIM: We aim to identify the specific CD4(+) T-cell subtype influenced by brain-to-CLN signaling and explore their role during the acute phase of traumatic brain injury (TBI). METHOD: Cervical lymphadenectomy or cervical afferent lymphatic ligation was performed before TBI. Cytokine array and western blot were used to detect cytokines, while the motor function was assessed using mNss and rotarod test. CD4(+) T-cell subtypes in blood, brain, and CLNs were analyzed with Cytometry by time-of-flight analysis (CyTOF) or fluorescence-activated cell sorting (FACS). Brain edema and volume changes were measured by 9.4T MRI. Neuronal apoptosis was evaluated by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining. RESULTS: Cervical lymphadenectomy and ligation of cervical lymphatic vessels resulted in a decreased infiltration of CD4(+) T cells, specifically CD11b-positive CD4(+) T cells, within the affected region. The population of CD4(+) CD11b(+) T cells increased in ligated CLNs, accompanied by a decrease in the average fluorescence intensity of sphingosine-1-phosphate receptor-1 (S1PR1) on these cells. Administration of CD4(+) CD11b(+) T cells sorted from CLNs into the lateral ventricle reversed the attenuated neurologic deficits, brain edema, and lesion volume following cervical lymphadenectomy. CONCLUSION: The infiltration of CD4(+) CD11b(+) T cells exacerbates secondary brain damage in TBI, and this process is modulated by brain-to-CLN signaling. CI - (c) 2024 The Authors. CNS Neuroscience & Therapeutics published by John Wiley & Sons Ltd. FAU - Jiang, Weiwei AU - Jiang W AUID- ORCID: 0009-0008-3131-5212 AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Liu, Xuanhui AU - Liu X AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Chen, Yupeng AU - Chen Y AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Liu, Mingqi AU - Liu M AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Yuan, Jiangyuan AU - Yuan J AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Nie, Meng AU - Nie M AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Fan, Yibing AU - Fan Y AD - Department of Neurosurgery, Tianjin First Central Hospital, Tianjin, China. FAU - Wu, Di AU - Wu D AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Qian, Yu AU - Qian Y AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Sha, Zhuang AU - Sha Z AUID- ORCID: 0000-0002-8110-1481 AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Dong, Shiying AU - Dong S AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Wu, Chenrui AU - Wu C AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Liu, Tao AU - Liu T AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Huang, Jinhao AU - Huang J AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Zhang, Jianning AU - Zhang J AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Gao, Chuang AU - Gao C AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. FAU - Jiang, Rongcai AU - Jiang R AUID- ORCID: 0000-0002-9119-0115 AD - Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin, China. AD - State Key Laboratory of Experimental Hematology, Tianjin, China. AD - Tianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neurorepair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, China. LA - eng GR - 82001323/National Natural Science Foundation of China/ GR - 82071390/National Natural Science Foundation of China/ GR - 82271394/National Natural Science Foundation of China/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - CNS Neurosci Ther JT - CNS neuroscience & therapeutics JID - 101473265 RN - 0 (Cytokines) SB - IM MH - Humans MH - Animals MH - *Brain Edema/pathology MH - T-Lymphocytes MH - *Brain Injuries, Traumatic/pathology MH - Brain/pathology MH - Apoptosis MH - Cytokines MH - *Lymphatic Vessels/pathology MH - CD4-Positive T-Lymphocytes MH - Lymph Nodes/diagnostic imaging/pathology MH - Disease Models, Animal PMC - PMC10928342 OTO - NOTNLM OT - CD4+ T cell OT - brain-to-cervical lymph node signaling OT - immunoregulation OT - traumatic brain injury COIS- The authors declare that they have no competing interests. EDAT- 2024/03/12 06:43 MHDA- 2024/03/13 06:46 PMCR- 2024/03/11 CRDT- 2024/03/12 02:33 PHST- 2023/12/28 00:00 [revised] PHST- 2023/09/01 00:00 [received] PHST- 2024/02/16 00:00 [accepted] PHST- 2024/03/13 06:46 [medline] PHST- 2024/03/12 06:43 [pubmed] PHST- 2024/03/12 02:33 [entrez] PHST- 2024/03/11 00:00 [pmc-release] AID - CNS14673 [pii] AID - 10.1111/cns.14673 [doi] PST - ppublish SO - CNS Neurosci Ther. 2024 Mar;30(3):e14673. doi: 10.1111/cns.14673.