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Aging-associated inflammation and fibrosis in arachnoid membrane
Hime Suzuki1, Takeshi Mikami2, Naotoshi Iwahara3
1Department of Neurosurgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Background:
The physiological and pathological significance of the arachnoid membrane (AM) is still unknown. In this study, we investigated various characteristics of the AM, focusing on the influence of inflammation and fibrosis.
Methods:
Small pieces of AM sample were obtained during neurosurgical procedures from 74 cases. The clinical and pathological characteristics of the hyperplastic AM group (≥ 50 μm) and the non-hyperplastic AM group (< 50 μm) were compared. Then, potential correlations between AM thickness and clinical characteristics were analyzed. Moreover, VEGFα, TGFβ, and TGFα levels were quantitated by real time PCR. Then, the potential correlations between AM thickness and these inflammatory or anti-inflammatory markers, and the influence of the original disease were calculated.
Results:
The median age of the patients in hyperplastic AM group was significantly older than that of the non-hyperplastic AM group. Moreover, the number of fibroblasts, CD68+ cells, CD86+ cells, and CD206+ cells in the hyperplastic AM group was significantly higher than that in the non-hyperplastic AM group. The AM thickness was significantly correlated to age and number of fibroblasts, CD68+ cells, CD86+ cells, and CD206+ cells. The thickness of the AM was significantly correlated to the messenger RNA expression levels of VEGFα (ρ = 0.337), and the VEGFα expression levels were significantly correlated with TGFβ and TNFα.
Conclusions:
The AM hyperplasia was influenced by aging and could be a result of inflammation and fibrosis through cytokine secretion from the inflammatory cells and fibroblasts in the AM.
Insights
Arachnoid membrane (AM) thickness increases with age and is linked to inflammation and fibrosis. This study reveals AM hyperplasia is influenced by aging and inflammatory cell cytokine secretion.
Area of Science:
- Neuroscience
- Pathology
- Immunology
Background:
- The physiological and pathological significance of the arachnoid membrane (AM) remains largely unknown.
- This study investigates AM characteristics, focusing on the impact of inflammation and fibrosis.
Purpose of the Study:
- To investigate the factors influencing arachnoid membrane (AM) thickness.
- To explore the relationship between AM hyperplasia, aging, inflammation, and fibrosis.
Main Methods:
- Collected 74 arachnoid membrane (AM) samples during neurosurgery.
- Compared clinical and pathological characteristics of hyperplastic (≥50 μm) and non-hyperplastic (<50 μm) AM groups.
- Quantified VEGFα, TGFβ, and TGFα mRNA levels using real-time PCR and analyzed correlations.
Main Results:
- Hyperplastic AM group patients were significantly older.
- Increased fibroblasts and inflammatory cells (CD68+, CD86+, CD206+) were found in the hyperplastic AM group.
- AM thickness correlated with age, fibroblast count, inflammatory cell counts, and VEGFα mRNA expression, which in turn correlated with TGFβ and TNFα.
Conclusions:
- Arachnoid membrane (AM) hyperplasia is influenced by aging.
- AM hyperplasia may result from inflammation and fibrosis.
- Cytokine secretion from inflammatory cells and fibroblasts within the AM contributes to hyperplasia.
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