scholarly journals Endothelial-derived exosomes demonstrate a link between endothelial innate inflammation and brain dysfunction and injury in aging

2019 ◽  
Author(s):  
F.M. Elahi ◽  
D. Harvey ◽  
M. Altendahl ◽  
K.B. Casaletto ◽  
N. Fernandes ◽  
...  
Keyword(s):  
White Matter ◽  
Human Subjects ◽  
Positive Association ◽  
Regulatory Proteins ◽  
White Matter Injury ◽  
White Matter Hyperintensity ◽  
Grey Matter Volume ◽  
Older Individuals ◽  
Significant Positive Association

ABSTRACTWe test the hypothesis that endothelial cells take on an inflammatory phenotype in functionally intact human subjects with radiographic evidence of white matter injury. Markers within all three complement effector pathways and regulatory proteins were quantified from endothelial-derived exosomes (EDE) of subjects (age 70-82) with (n=11) and without (n=16) evidence of white matter hyperintensity on MRI. Group differences and associations with systemic markers of immune activation (IL6, ICAM1), cognition and neuroimaging were calculated via regression modelling.EDE complement factors within the alternative and classical pathways were found to be higher and regulatory proteins lower in subjects with WMH. EDE levels of several factors demonstrated significant associations with cognitive slowing and systolic blood pressure. The inhibitor of the membrane attack complex, CD46, showed a significant positive association with cerebral grey matter volume. Systemic inflammatory markers, IL6 and ICAM1, were positively associated with EDE levels of several factors.These findings provide the first in vivo evidence of the association of endothelial cell inflammation with white matter injury, cognition, and brain degeneration in functionally normal older individuals, and form the basis for future biomarker development in early or preclinical stages of vascular cognitive impairment and dementia.

scholarly journals Elevated complement mediator levels in endothelial-derived plasma exosomes implicate endothelial innate inflammation in diminished brain function of aging humans

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
F. M. Elahi ◽  
D. Harvey ◽  
M. Altendahl ◽  
N. Brathaban ◽  
N. Fernandes ◽  
...  
Keyword(s):  
White Matter ◽  
Regulatory Proteins ◽  
White Matter Hyperintensity ◽  
Grey Matter Volume ◽  
Older Individuals ◽  
Cognitive Changes ◽  
Complement Components ◽  
Significant Positive Association ◽  
Elevated Systolic Blood Pressure

AbstractWe test the hypothesis that endothelial cells adopt an inflammatory phenotype in functionally intact aged human subjects with radiographic evidence of white matter hyperintensity (WMH) suggestive of small cerebrovascular disease. Components of all three complement effector pathways and regulatory proteins were quantified in extracts of plasma endothelial-derived exosomes (EDE) of 11 subjects (age 70–82) with and 15 without evidence of WMH on MRI. Group differences and associations with plasma markers of immune activation (IL6, ICAM1), cognition and neuroimaging were calculated via regression modelling. EDE complement factors within the alternative and classical pathways were found to be higher and regulatory proteins lower in subjects with WMH. EDE levels of some complement components demonstrated significant associations with cognitive slowing and elevated systolic blood pressure. The inhibitor of the membrane attack complex, CD46, showed a significant positive association with cerebral grey matter volume. Plasma inflammatory markers, IL6 and ICAM1, were positively associated with EDE levels of several complement components. These findings provide the first in vivo evidence of the association of endothelial cell inflammation with white matter disease, age-associated cognitive changes, and brain degeneration in functionally normal older individuals. Future endothelial biomarker development may permit recognition of early or preclinical stages of vascular contributions to cognitive impairment and dementia.

[P2-420]: A COMPARISON OF BRAIN WHITE MATTER HYPERINTENSITY BURDEN ASSESSED IN VIVO AND EX VIVO

2017 ◽  
Vol 13 (7S_Part_16) ◽  
pp. P794-P795
Author(s):  
Arman P. Kulkarni ◽  
Arnold M. Evia ◽  
Julie A. Schneider ◽  
David A. Bennett ◽  
Konstantinos Arfanakis
Keyword(s):  
White Matter ◽  
Ex Vivo ◽  
White Matter Hyperintensity ◽  
Brain White Matter

scholarly journals Trial of remote ischaemic preconditioning in vascular cognitive impairment (TRIC-VCI): protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e040466
Author(s):  
Aravind Ganesh ◽  
Philip Barber ◽  
Sandra E Black ◽  
Dale Corbett ◽  
Thalia S Field ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Cognitive Impairment ◽  
White Matter ◽  
Diffusion Tensor ◽  
Vascular Cognitive Impairment ◽  
White Matter Injury ◽  
White Matter Hyperintensity ◽  
Limb Ischaemia ◽  
Ischaemic Brain

IntroductionCerebral small vessel disease (cSVD) accounts for 20%–25% of strokes and is the most common cause of vascular cognitive impairment (VCI). In an animal VCI model, inducing brief periods of limb ischaemia-reperfusion reduces subsequent ischaemic brain injury with remote and local protective effects, with hindlimb remote ischaemic conditioning (RIC) improving cerebral blood flow, decreasing white-matter injury and improving cognition. Small human trials suggest RIC is safe and may prevent recurrent strokes. It remains unclear what doses of chronic daily RIC are tolerable and safe, whether effects persist after treatment cessation, and what parameters are optimal for treatment response.Methods and analysisThis prospective, open-label, randomised controlled trial (RCT) with blinded end point assessment and run-in period, will recruit 24 participants, randomised to one of two RIC intensity groups: one arm treated once daily or one arm twice daily for 30 consecutive days. RIC will consistent of 4 cycles of blood pressure cuff inflation to 200 mm Hg for 5 min followed by 5 min deflation (total 35 min). Selection criteria include: age 60–85 years, evidence of cSVD on brain CT/MRI, Montreal Cognitive Assessment (MoCA) score 13–24 and preserved basic activities of living. Outcomes will be assessed at 30 days and 90 days (60 days after ceasing treatment). The primary outcome is adherence (completing ≥80% of sessions). Secondary safety/tolerability outcomes include the per cent of sessions completed and pain/discomfort scores from patient diaries. Efficacy outcomes include changes in cerebral blood flow (per arterial spin-label MRI), white-matter hyperintensity volume, diffusion tensor imaging, MoCA and Trail-Making tests.Ethics and disseminationResearch Ethics Board approval has been obtained. The results will provide information on feasibility, dose, adherence, tolerability and outcome measures that will help design a phase IIb RCT of RIC, with the potential to prevent VCI. Results will be disseminated through peer-reviewed publications, organisations and meetings.Trial registration numberNCT04109963.

scholarly journals Rajyoga meditation induces grey matter volume changes in regions that process reward and happiness

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
M. G. Ramesh Babu ◽  
Rajagopal Kadavigere ◽  
Prakashini Koteshwara ◽  
Brijesh Sathian ◽  
Kiranmai S. Rai
Keyword(s):  
Neural Plasticity ◽  
Grey Matter ◽  
Positive Association ◽  
Structural Mri ◽  
Reward Processing ◽  
Anterior Cingulate ◽  
Grey Matter Volume ◽  
Significant Positive Association ◽  
Superior Frontal Gyrus ◽  
Matter Volume

Abstract Studies provide evidence that practicing meditation enhances neural plasticity in reward processing areas of brain. No studies till date, provide evidence of such changes in Rajyoga meditation (RM) practitioners. The present study aimed to identify grey matter volume (GMV) changes in reward processing areas of brain and its association with happiness scores in RM practitioners compared to non-meditators. Structural MRI of selected participants matched for age, gender and handedness (n = 40/group) were analyzed using voxel-based morphometric method and Oxford Happiness Questionnaire (OHQ) scores were correlated. Significant increase in OHQ happiness scores were observed in RM practitioners compared to non-meditators. Whereas, a trend towards significance was observed in more experienced RM practitioners, on correlating OHQ scores with hours of meditation experience. Additionally, in RM practitioners, higher GMV were observed in reward processing centers—right superior frontal gyrus, left inferior orbitofrontal cortex (OFC) and bilateral precuneus. Multiple regression analysis showed significant association between OHQ scores of RM practitioners and reward processing regions right superior frontal gyrus, left middle OFC, right insula and left anterior cingulate cortex. Further, with increasing hours of RM practice, a significant positive association was observed in bilateral ventral pallidum. These findings indicate that RM practice enhances GMV in reward processing regions associated with happiness.

scholarly journals HDAC inhibition reduces white matter injury after intracerebral hemorrhage

2020 ◽  
pp. 0271678X2094261
Author(s):  
Heng Yang ◽  
Wei Ni ◽  
Pengju Wei ◽  
Sicheng Li ◽  
Xinjie Gao ◽  
...  
Keyword(s):  
White Matter ◽  
Intracerebral Hemorrhage ◽  
Hdac Inhibitor ◽  
Histone Deacetylases ◽  
Macrophage Polarization ◽  
Conditional Knockout ◽  
White Matter Injury ◽  
Hdac Inhibition

Inhibition of histone deacetylases (HDACs) has been shown to reduce inflammation and white matter damage after various forms of brain injury via modulation of microglia/macrophage polarization. Previously we showed that the HDAC inhibitor scriptaid could attenuate white matter injury (WMI) after ICH. To access whether modulation of microglia/macrophage polarization might underlie this protection, we investigated the modulatory role of HDAC2 in microglia/macrophage polarization in response to WMI induced by intracerebral hemorrhage (ICH) and in primary microglia and oligodendrocyte co-cultures. HDAC2 activity was inhibited via conditional knockout of the Hdac2 gene in microglia or via administration of scriptaid. Conditional knockout of the Hdac2 gene in microglia and HDAC inhibition with scriptaid both improved neurological functional recovery and reduced WMI after ICH. Additionally, HDAC inhibition shifted microglia/macrophage polarization toward the M2 phenotype and reduced proinflammatory cytokine secretion after ICH in vivo. In vitro, a transwell co-culture model of microglia and oligodendrocytes also demonstrated that the HDAC inhibitor protected oligodendrocytes by modulating microglia polarization and mitigating neuroinflammation. Moreover, we found that scriptaid decreased the expression of pJAK2 and pSTAT1 in cultured microglia when stimulated with hemoglobin. Thus, HDAC inhibition ameliorated ICH-mediated neuroinflammation and WMI by modulating microglia/macrophage polarization.

scholarly journals Breastfeeding Duration Is Associated with Regional, but Not Global, Differences in White Matter Tracts

2019 ◽  
Vol 10 (1) ◽  
pp. 19
Author(s):  
Christopher E. Bauer ◽  
James W. Lewis ◽  
Julie Brefczynski-Lewis ◽  
Chris Frum ◽  
Margeaux M. Schade ◽  
...  
Keyword(s):  
White Matter ◽  
Corpus Callosum ◽  
Diffusion Tensor ◽  
Positive Association ◽  
Breastfeeding Duration ◽  
Neurocognitive Performance ◽  
Superior Longitudinal Fasciculus ◽  
Significant Positive Association ◽  
White Matter Tracts ◽  
White Matter Connectivity

Extended breastfeeding through infancy confers benefits on neurocognitive performance and intelligence tests, though few have examined the biological basis of these effects. To investigate correlations with breastfeeding, we examined the major white matter tracts in 4–8 year-old children using diffusion tensor imaging and volumetric measurements of the corpus callosum. We found a significant correlation between the duration of infant breastfeeding and fractional anisotropy scores in left-lateralized white matter tracts, including the left superior longitudinal fasciculus and left angular bundle, which is indicative of greater intrahemispheric connectivity. However, in contrast to expectations from earlier studies, no correlations were observed with corpus callosum size, and thus no correlations were observed when using such measures of global interhemispheric white matter connectivity development. These findings suggest a complex but significant positive association between breastfeeding duration and white matter connectivity, including in pathways known to be functionally relevant for reading and language development.

scholarly journals Relationship between Prolactin Plasma Levels and White Matter Volume in Women with Multiple Sclerosis

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
L. De Giglio ◽  
F. Marinelli ◽  
L. Prosperini ◽  
G. M. Contessa ◽  
F. Gurreri ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
White Matter ◽  
Plasma Levels ◽  
Tissue Injury ◽  
Positive Association ◽  
Grey Matter Volume ◽  
White Matter Volume ◽  
Gadolinium Enhancement ◽  
Matter Volume

Background. The role of prolactin (PRL) on tissue injury and repair mechanisms in multiple sclerosis (MS) remains unclear. The aim of this work was to investigate the relationship between PRL plasma levels and brain damage as measured by magnetic resonance imaging (MRI).Methods. We employed a chemiluminescence immunoassay for measuring plasma levels of PRL. We used a 1.5 T scanner to acquire images and Jim 4.0 and SIENAX software to analyse them.Results. We included 106 women with relapsing remitting (RR) MS and stable disease in the last two months. There was no difference in PRL plasma levels between patients with and without gadolinium enhancement on MRI. PRL plasma levels correlated with white matter volume (WMV) (rho = 0.284,p=0.014) but not with grey matter volume (GMV). Moreover, PRL levels predicted changes in WMV (Beta: 984,p=0.034).Conclusions. Our data of a positive association between PRL serum levels and WMV support the role of PRL in promoting myelin repair as documented in animal models of demyelination. The lack of an increase of PRL in the presence of gadolinium enhancement, contrasts with the view considering this hormone as an immune-stimulating and detrimental factor in the inflammatory process associated with MS.

scholarly journals The immune-inflammatory response of oligodendrocytes in a murine model of preterm white matter injury: the role of TLR3 activation

2021 ◽  
Vol 12 (2) ◽  
Author(s):  
Marta Boccazzi ◽  
Juliette Van Steenwinckel ◽  
Anne-Laure Schang ◽  
Valérie Faivre ◽  
Tifenn Le Charpentier ◽  
...  
Keyword(s):  
White Matter ◽  
Primary Cultures ◽  
White Matter Injury ◽  
Poly I:C ◽  
Cytokines And Chemokines ◽  
Wide Range ◽  
Preterm Born ◽  
And Function

AbstractA leading cause of preterm birth is the exposure to systemic inflammation (maternal/fetal infection), which leads to neuroinflammation and white matter injury (WMI). A wide range of cytokines and chemokines are expressed and upregulated in oligodendrocytes (OLs) in response to inflammation and numerous reports show that OLs express several receptors for immune related molecules, which enable them to sense inflammation and to react. However, the role of OL immune response in WMI is unclear. Here, we focus our study on toll-like receptor-3 (TLR3) that is activated by double-strand RNA (dsRNA) and promotes neuroinflammation. Despite its importance, its expression and role in OLs remain unclear. We used an in vivo mouse model, which mimics inflammation-mediated WMI of preterm born infants consisting of intraperitoneal injection of IL-1β from P1 to P5. In the IL-1β-treated animals, we observed the upregulation of Tlr3, IL-1β, IFN-β, Ccl2, and Cxcl10 in both PDGFRα+ and O4+ sorted cells. This upregulation was higher in O4+ immature OLs (immOLs) as compared to PDGFRα+ OL precursor cells (OPCs), suggesting a different sensitivity to neuroinflammation. These observations were confirmed in OL primary cultures: cells treated with TLR3 agonist Poly(I:C) during differentiation showed a stronger upregulation of Ccl2 and Cxcl10 compared to cells treated during proliferation and led to decreased expression of myelin genes. Finally, OLs were able to modulate microglia phenotype and function depending on their maturation state as assessed by qPCR using validated markers for immunomodulatory, proinflammatory, and anti-inflammatory phenotypes and by phagocytosis and morphological analysis. These results show that during inflammation the response of OLs can play an autonomous role in blocking their own differentiation: in addition, the immune activation of OLs may play an important role in shaping the response of microglia during inflammation.

scholarly journals The white matter is a pro-differentiative niche for glioblastoma

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Lucy J. Brooks ◽  
Melanie P. Clements ◽  
Jemima J. Burden ◽  
Daniela Kocher ◽  
Luca Richards ◽  
...  
Keyword(s):  
Stem Cells ◽  
White Matter ◽  
Feedback Loop ◽  
White Matter Injury ◽  
Glioma Stem Cells ◽  
Oligodendrocyte Differentiation ◽  
Differentiation Potential ◽  
Tumour Infiltration ◽  
Proliferation And Invasion

AbstractGlioblastomas are hierarchically organised tumours driven by glioma stem cells that retain partial differentiation potential. Glioma stem cells are maintained in specialised microenvironments, but whether, or how, they undergo lineage progression outside of these niches remains unclear. Here we identify the white matter as a differentiative niche for glioblastomas with oligodendrocyte lineage competency. Tumour cells in contact with white matter acquire pre-oligodendrocyte fate, resulting in decreased proliferation and invasion. Differentiation is a response to white matter injury, which is caused by tumour infiltration itself in a tumoursuppressive feedback loop. Mechanistically, tumour cell differentiation is driven by selective white matter upregulation of SOX10, a master regulator of normal oligodendrogenesis. SOX10 overexpression or treatment with myelination-promoting agents that upregulate endogenous SOX10, mimic this response, leading to niche-independent pre-oligodendrocyte differentiation and tumour suppression in vivo. Thus, glioblastoma recapitulates an injury response and exploiting this latent programme may offer treatment opportunities for a subset of patients.

Abstract WP148: The Effect of Mitochondrial Migration From Astrocyte to Glial Cells Under Prolonged Cerebral Hypoperfusion

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Nobukazu Miyamoto ◽  
Shunsuke Magami ◽  
Yuji Ueno ◽  
Kenichiro Hira ◽  
Kazuo Yamashiro ◽  
...  
Keyword(s):  
Cell Culture ◽  
White Matter ◽  
Cerebral Metabolism ◽  
Cerebrovascular Disorders ◽  
White Matter Injury ◽  
Cerebral Hypoperfusion ◽  
The Central Nervous System ◽  
Common Carotid Arteries

Introduction: Astrocytes play broad roles in the Central nervous system, and are involved in the regulation of cerebral metabolism and blood flow. Normal astrocytes (A2) protect against oxidative stress and excitotoxicity, but unhealthy astrocytes (A1) may release deleterious factors. Oligodendrocytes (OLGs) differentiate from oligodendrocyte-precursor-cells (OPCs) for myelination in white matter, but OPC were vulnerable for ischemia. Therefore, differentiation is impaired when white matter injury occurs in a chronic cerebral hypoperfusion model. Thus, we examined the effects of the interaction between astrocyte and oligodendrocyte lineage cells on myelination focused on mitochondrial migration. Method: A microcoil was applied to the bilateral common carotid arteries in male C57BL/6 mice as an in vivo cerebral chronic hypoperfusion model (BCAS model). A nonlethal concentration of CoCl 2 was added to the primary cell culture from the postnatal rat cortex and incubated in vitro. Results: White matter injury progressed in the BCAS model as myelin decreased. The numbers of OPCs and astrocytes increased after the operation, whereas that of OLGs decreased at day 28. Increased astrocytes were mainly A1 type, and A2 type were decreased. OPC differentiation was disrupted under the stressed conditions in the cell culture, but improved after administration of astrocyte-conditioned medium (ACM), but injured ACM couldn’t improve maturation. Incubate with CoCl 2 change astrocyte A2 to A1, and mitochondrial migration also reduced. Trkβ agonist could change astrocyte A1 to A2 even in hyperperfused condition, and also help OPC maturation via mitochondrial migration and drug effect in vivo and in vitro. Conclusions: The reduction in incrementing A1 astrocytes protect white matter injury. and Trkβ agonist may play an important role in the impairment under chronic ischemic conditions. Mitochondrial migration could be a broad therapeutic strategy for cerebrovascular disorders.

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