Role for microglia in sex differences after ischemic stroke: importance of M2

Sheetal Bodhankar1,2, Andrew Lapato1,2, Yingxin Chen3

  • 1Neuroimmunology Research, R&D-31, VA Portland Health Care System, 3710 SW U.S. Veterans Hospital Rd., Portland, OR, 97239, USA.

Insights

Interleukin-10-producing B-cells reduce inflammation after ischemic stroke by modulating microglia activation. Female mice show heightened sensitivity to these regulatory effects, suggesting sex-specific therapeutic potential.

Area of Science:

  • Neuroimmunology
  • Stroke Pathophysiology
  • Cellular Immunology

Background:

  • Inflammation is key in ischemic stroke, driven by activated microglia releasing proinflammatory factors.
  • Previous work showed Interleukin-10 (IL-10)-producing B-cells reduce stroke damage in male mice.
  • Sex differences in immune responses to stroke are increasingly recognized.

Purpose of the Study:

  • To investigate sex-based differences in the immunoregulatory effects of IL-10-producing B-cells on microglia.
  • To determine how IL-10-producing B-cells influence microglia activation and cytokine production in male versus female mice post-stroke.

Main Methods:

  • Primary microglia cultures from male and female mice (naïve and stroke-induced) were treated with IL-10, IL-4, or IL-10(+) B-cells post-lipopolysaccharide activation.
  • Flow cytometry was used to assess the production of pro- and anti-inflammatory factors and M2 marker expression (CD206).
  • Receptor expression for IL-4 and IL-10 on microglia was also evaluated.

Main Results:

  • IL-10(+) B-cells significantly decreased microglia production of TNF-α, IL-1β, and CCL3 after middle cerebral artery occlusion (MCAO).
  • IL-10(+) B-cells enhanced the expression of the anti-inflammatory M2 marker CD206 on microglia via cell-cell interactions.
  • Female microglia exhibited higher expression of IL-4 and IL-10 receptors and increased IL-4 production, particularly after IL-10(+) B-cell treatment.

Conclusions:

  • IL-10-producing B-cells are crucial in regulating microglia activation, reducing proinflammatory cytokine release, and inducing an M2 phenotype post-stroke.
  • Female microglia demonstrate heightened sensitivity to IL-4 and IL-10, indicating sex-specific mechanisms in stroke immunomodulation.
  • These findings provide a mechanistic basis for B-cell-mediated neuroprotection in stroke, highlighting sex differences.

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