High-dose corticosteroids after spinal cord injury reduce neural progenitor cell proliferation

A Schröter1, R M Lustenberger, F J Obermair

  • 1Brain Research Institute, University of Zurich, Zurich, Switzerland.

Neuroscience
|April 15, 2009
PubMed

Insights

Methylprednisolone (MP) treatment after spinal cord injury (SCI) reduces progenitor cell proliferation in the spinal cord and hippocampus. This anti-inflammatory drug may limit the central nervous system

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pharmacology

Background:

  • Spinal cord injury (SCI) triggers inflammatory responses and affects neural progenitor cells (NPCs).
  • Methylprednisolone (MP), a potent anti-inflammatory drug, is used clinically after SCI.
  • The impact of MP on endogenous progenitor cells post-SCI remains incompletely understood.

Purpose of the Study:

  • To investigate the effect of a clinical dose of MP on spinal cord and hippocampal progenitor cells following acute SCI in adult mice.
  • To determine if MP influences microglia/macrophage activation and NPC proliferation and differentiation.
  • To explore the direct effects of MP on progenitor cells in vitro.

Main Methods:

  • Adult mice received MP (30 mg/kg) immediately and 24 hours after thoracic dorsal hemisection SCI.
  • Cell proliferation was assessed using 5-Bromo-2-deoxyuridine (BrdU) labeling at acute (1-6 days) and late (22-27 days) time points.
  • Microglia/macrophage reaction, NPC proliferation, and differentiation were analyzed at 7 and 28 days post-lesion.
  • In vitro experiments tested MP's effect on adult spinal cord and hippocampal progenitor cells.

Main Results:

  • MP treatment reduced acute cell proliferation in the spinal cord and hippocampus post-SCI.
  • MP decreased microglia/macrophage activation and proliferation, and reduced oligodendrocyte progenitor cell (OPC) numbers.
  • Chronic effects indicated altered OPC proliferation and numbers, while late proliferating cells were unaffected.
  • In vitro studies demonstrated MP's inhibitory effect on progenitor cell proliferation, mediated by glucocorticoid and mineralocorticoid receptors.

Conclusions:

  • MP reduces OPC proliferation after SCI, potentially through direct effects on progenitor cells or via anti-inflammatory actions.
  • The findings raise concerns about MP's potential to limit endogenous repair capacity following central nervous system injury.
  • Further research is needed to elucidate the long-term consequences of MP treatment on neural repair mechanisms.

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