C7-24
ANTIBODY-MEDIATED AUTOIMMUNITY AFTER CERVI-
CAL SPINAL CORD INJURY: DISTINCT ROLES FOR IGG
AND IGM
Antigona Ulndreaj
1,2
, Apostolia Tzekou
2
, Andrea Mothe
2
, Charles
Tator
1–3
, Emina Torlakovic
4
, Michael Fehlings
1–3
1
University of Toronto, Institute of Medical Science, Toronto, Canada
2
Toronto Western Hospital, Krembil Neuroscience Center, Toronto,
Canada
3
University of Toronto, University of Toronto Spine Program, Tor-
onto, Canada
4
University of Toronto, Department of Laboratory Hematology, Tor-
onto, Canada
Generation of autoantibodies has emerged as an important component
in the pathophysiology of spinal cord injury (SCI) and was shown to
impair functional recovery in low thoracic SCI models. However, the
development of autoantibodies and their role in the outcome of cer-
vical SCI has not been described. The objective of this study was to
determine whether autoantibodies of the IgG and IgM class are gen-
erated after cervical SCI in a rat model of contusion/compression
injury. A C7/T1 clip injury was induced in Wistar rats, whereas sham
animals received only a laminectomy. Samples were collected at 2, 10
and 20 weeks post injury. Spinal cords and spleens were stained for
IgM and IgG antibodies. Levels of total antibodies in serum were
quantified with ELISA. Our results demonstrated increased binding of
IgG and IgM in the gracile fasciculus, at 2 weeks post injury. In
addition, IgG showed increased binding in the anterior white com-
missure. Importantly, we detected IgG
+
cells that were reminiscent of
antibody secreting cells (ASCs), suggesting intraspinal IgG synthesis.
Moreover, at 20 weeks, we detected high levels of IgG and IgG
+
ASCs in the dorsal horn of injured rats. Despite the chronic presence
of IgG in the spinal cord, systemic levels of IgG antibodies and
splenic IgG
+
ASCs declined after injury. Contrary, systemic IgM
immunity was pronounced as we detected higher levels of serum IgM
and higher IgM
+
ASCs in the spleen of injured rats. Overall, our data
indicate that IgG autoantibodies persist in the spinal cord, whereas
IgM antibodies persist peripherally in SCI animals. This work has
important implications for our understanding of the key immunolog-
ical changes after cervical SCI.
Keywords: Spinal cord injury, Autoimmunity, IgM, IgG immuno-
globulins
C7-25
EVALUATION OF POLYUNSATURATED FATTY ACID DE-
RIVED MEDIATORS OF INFLAMMATION TO AMELIO-
RATE PRIMARY BLAST WAVE INJURIES IN RATS
James DeMar
, Miya Hill, Donna Wilder, John Rosenberger, Meghan
Mccuistion, Joseph Long
Walter Reed Army Institute of Research, Center for Military Psy-
chiatry and Neuroscience Research, Silver Spring, USA
Blast injury is arguably the greatest current threat to Warfighters, and
is a leading cause of vision loss from non-penetrating trauma to the
eyes or brain, caused by the shock waves. In light of the terrible
disability loss of vision presents, there is an urgent need for new drug
therapies that can ameliorate neurodegeneration in the eyes (retina)
and brain as the result of blast wave exposure. Our hypothesis is that
metabolites of polyunsaturated fatty acids, known to be potent pro-
resolving mediators of inflammation, i.e., lipoxins, neuroprotectins,
and resolvins, will aid as drugs to promote healing of neurons critical
to visual function after blast injury. In a rat model of blast wave
exposure, we have used electroretinography (ERG), visual discrimi-
nation behavior, and histopathology to show, by 14 days post-blast,
visual dysfunction occurs along with underlying neurodegeneration of
the retinas and brain optic tracts. Blast injury was produced in an-
esthetized rats that were secured in a compressed air driven shock tube
and then exposed to a single blast over pressure wave (20 psi, 8 msec).
For therapeutic drug evaluations, rats received one of four com-
pounds, lipoxin A4, protectin DX, resolvin D1, and resolvin E1
(n
=
12), which was intravenously administered immediately post-
insult and then every other day out to 14 days. Likewise, shams and
blasted controls were given saline. Retina and brain status were as-
sessed as found above. Surprisingly, our results suggest these drugs
provide slight, if any, neuroprotection towards the blasted rat’s visual
system. Failure of our approach may be due to ineffective drug de-
livery to neuronal injury sites from systemic dilution, transient half-
lives, and poor penetration of the blood brain retinal barriers. These
obstacles might be overcome using tissue targeted drug delivery
platforms, e.g., nanoparticles, which if successful will provide an
important therapeutic tool for blast injuries.
Keywords: Blast wave, Rat, Eye, Retina, Brain, Polyunsaturated
Fatty Acids
C7-26
ACUTE AND SUBACUTE MICRORNA MODULATION FOL-
LOWING PBBI
David Johnson
, Angela Boutte, Kara Schmid, Jitendra Dave, Frank
Tortella, Casandra Cartagena
Walter Reed Army Institute of Research, Psychiatry and Neu-
roscience, Silver Spring, USA
MicroRNAs (miRNAs) are small regulatory RNAs that have recently
been exploited as potential biomarkers for several diseases. These
RNAs regulate several physiological processes through translational
repression or degradation. In this study we investigated novel
miRNA changes in our severe penetrating ballistic-like brain injury
(PBBI) model. Briefly, this model produces a cavity disrupting 10%
of brain volume in injured rats, while a craniotomy is produced in
sham controls. Ipsilateral brain tissue and serum were collected (4h,
1d, 3d, 7d) post injury or post sham to examine miRNAs (n
=
10 per
group). Each animal was run as an independent single array. Our
reporting was limited to miRNAs with p value
<
0.05 and 1.2 fold
(20%) or greater change. At 4h, 4 miRNAs were downregulated and
19 miRNAs were upregulated. At 1d post PBBI 3 miRNAs were
attenuated and 4 miRNAs were significantly enhanced. At 3d post
injury, 5 miRNAs were decreased and 2 were increased. Seven days
post PBBI revealed 9 attenuated miRNAs and surprisingly over 30
were significantly enhanced. Of the miRNAs changed in tissue
8 miRNAs were changed across at least 2 time points including
miR-147b, miR-21#, miR- 223, miR-142-3p, miR-142-5p, miR-21,
miR-685, miR-34b-5p. These identified miRNAs will be utilized as
injury markers in the evaluation of prospective therapeutics. In se-
rum 5 miRNAs were decreased 4h, 6 miRNAs decreased and 1
miRNA increased at 1d, 2 miRNAs decreased and 8 were increased
at 3d, and 5 miRNAs were decreased and 2 miRNAs were increased
at 7d. Of the altered miRNAs in serum, 1 corresponded with changes
in tissue, miR-150. These altered serum miRNAs will be further
evaluated for their usefulness as clinically relevant prognostics or
theragnostics.
Keywords: microRNA, TBI, Array
A-95