Tlr4 Deletion Modulates Cytokine and Extracellular Matrix Expression in Chronic Spinal Cord Injury, Leading to

Fari Ryan1, Isaac Francos-Quijorna2, Gerard Hernández-Mir3

  • 1Centre for Research in Neuroscience and BRaIN Program, Research Institute of the McGill University Health Centre, Montreal, Quebec H3G 1A4, Canada.

Insights

Toll-like receptor 4 (TLR4) signaling exacerbates chronic spinal cord injury (SCI) by promoting inflammation and cell death. Blocking TLR4 in mice improved recovery and reduced damage, suggesting late-stage TLR4 inhibition as a potential SCI therapy.

Area of Science:

  • Neuroscience
  • Immunology
  • Regenerative Medicine

Background:

  • Toll-like receptors (TLRs) are crucial for innate immunity following central nervous system (CNS) injury.
  • The specific role of Toll-like receptor 4 (TLR4) in the chronic phase of spinal cord injury (SCI) remains largely unknown.

Purpose of the Study:

  • To investigate the function of TLR4 signaling in chronic SCI.
  • To evaluate the impact of TLR4 deficiency on secondary damage, inflammation, cell death, extracellular matrix (ECM) remodeling, and functional recovery after SCI.

Main Methods:

  • Spinal cord contusion injury was induced in adult female TLR4 null and wild-type mice.
  • Analyses included secondary damage assessment, transcriptome and protein profiling of inflammatory and cell death markers, ECM molecule evaluation, immune cell infiltration assessment, and locomotor recovery testing at 1 day, 7 days, and 8 weeks post-injury.

Main Results:

  • Lack of TLR4 signaling led to reduced neuronal and myelin loss, decreased NFκB activation, and lower expression of inflammatory cytokines and necroptotic cell death markers at 8 weeks post-injury.
  • TLR4 null mice exhibited reduced deposition of scar-related ECM molecules and increased ECM associated with perineuronal nets.
  • Absence of TLR4 signaling promoted serotonergic fiber sprouting and enhanced locomotor recovery in chronic SCI models.

Conclusions:

  • TLR4 signaling plays a significant role in chronic SCI, influencing late-stage inflammation, cell death, and ECM deposition.
  • Targeting TLR4 during the chronic phase of SCI may offer a novel therapeutic strategy for improving functional recovery.