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Methylene Blue Mitigates Acute Neuroinflammation after Spinal Cord Injury through Inhibiting NLRP3 Inflammasome
Zhi-Hang Lin1, Si-Yuan Wang2, Li-Li Chen3
1Department of Pharmacy, Affiliated Quanzhou First Hospital of Fujian Medical University, Quanzhou, China.
Abstract:
The spinal cord injury (SCI) is a detrimental neurological disease involving the primary mechanical injury and secondary inflammatory damage. Curtailing the detrimental neuroinflammation would be beneficial for spinal cord function recovery. Microglia reside in the spinal cord and actively participate in the onset, progression and perhaps resolution of post-SCI neuroinflammation. In the current study, we tested the effects of methylene blue on microglia both in vitro and in a rat SCI model. We found that methylene blue inhibited the protein levels of IL-1β and IL-18 rather than their mRNA levels in activated microglia. Further investigation indicated that methylene blue deceased the activation of NLRP3 inflammasome and NLRC4 inflammasome in microglia in vitro. Moreover, in the rat SCI model, the similar effect of methylene blue on post-SCI microglia was also observed, except that the activation of NLRC4 inflammasome was not seen. The inhibition of microglia NLRP3 inflammasome was associated with down-regulation of intracellular reactive oxygen species (ROS). The administration of methylene blue mitigated the overall post-SCI neuroinflammation, demonstrated by decreased pro-inflammatory cytokine production and leukocyte infiltrates. Consequently, the neuronal apoptosis was partially inhibited and the hind limb locomotor function was ameliorated by methylene blue treatment. Our research highlights the role of methylene blue in inhibiting post-SCI neuroinflammation, and suggests that methylene blue might be used for SCI therapy.
Insights
Methylene blue reduces harmful neuroinflammation after spinal cord injury (SCI) by inhibiting microglia activation. This treatment partially protects neurons and improves hind limb function in SCI rats.
Area of Science:
- Neuroscience
- Immunology
- Pharmacology
Background:
- Spinal cord injury (SCI) causes significant neurological damage due to primary injury and secondary neuroinflammation.
- Microglia play a critical role in the inflammatory response following SCI.
- Targeting neuroinflammation is a key strategy for improving functional recovery after SCI.
Purpose of the Study:
- To investigate the therapeutic potential of methylene blue in mitigating neuroinflammation post-SCI.
- To examine the effects of methylene blue on microglia activation and inflammasome pathways in vitro and in vivo.
Main Methods:
- In vitro studies on activated microglia to assess methylene blue's impact on cytokine production and inflammasome activation.
- In vivo studies using a rat SCI model to evaluate methylene blue's effects on microglia, neuroinflammation, neuronal apoptosis, and locomotor function.
- Measurement of cytokine protein and mRNA levels, inflammasome activation markers, reactive oxygen species (ROS), leukocyte infiltration, and functional recovery.
Main Results:
- Methylene blue inhibited protein levels of IL-1β and IL-18 in activated microglia, decreasing NLRP3 and NLRC4 inflammasome activation.
- In the SCI rat model, methylene blue reduced neuroinflammation, including pro-inflammatory cytokine production and leukocyte infiltration.
- Methylene blue treatment led to partial inhibition of neuronal apoptosis and amelioration of hind limb locomotor function.
Conclusions:
- Methylene blue effectively inhibits microglia-mediated neuroinflammation following spinal cord injury.
- The mechanism involves the down-regulation of inflammasome pathways and reactive oxygen species.
- Methylene blue shows promise as a therapeutic agent for spinal cord injury.
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