Pharmacological complement inhibition at the C3 convertase level promotes neuronal survival, neuroprotective intracerebral gene expression, and neurological outcome after traumatic brain injury

Exp Neurol. 2006 Jun;199(2):454-64. doi: 10.1016/j.expneurol.2006.01.033. Epub 2006 Mar 20.

Abstract

The complement system represents an important mediator of neuroinflammation in traumatic brain injury. We have previously shown that transgenic mice with central nervous system-targeted overexpression of Crry, a potent murine complement inhibitor at the level of C3 convertases, are protected from complement-mediated neuropathological sequelae in brain-injured mice. This knowledge was expanded in the present study to a pharmacological approach by the use of a recombinant Crry molecule (termed Crry-Ig) which was recently made available in a chimeric form fused to the non-complement fixing mouse IgG1 Fc region. In a standardized model of closed head injury in mice, the systemic injection of 1 mg Crry-Ig at 1 h and 24 h after trauma resulted in a significant neurological improvement for up to 7 days, as compared to vehicle-injected control mice (P < 0.05, repeated measures ANOVA). Furthermore, the extensive neuronal destruction seen in the hippocampal CA3/CA4 sublayers in head-injured mice with vehicle injection only was shown to be preserved - to a similar extent as in "sham"-operated mice - by the posttraumatic injection of Crry-Ig. Real-time RT-PCR analysis revealed that the post-treatment with Crry-Ig resulted in a significant up-regulation of candidate neuroprotective genes in the injured hemisphere (Bcl-2, C1-Inh, CD55, CD59), as compared to the vehicle control group (P < 0.01, unpaired Student's t test). Increased intracerebral Bcl-2 expression by Crry-Ig treatment was furthermore confirmed at the protein level by Western blot analysis. These data suggest that pharmacological complement inhibition represents a promising approach for attenuation of neuroinflammation and secondary neurodegeneration after head injury.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Behavior, Animal / drug effects
  • Behavior, Animal / physiology
  • Blotting, Western / methods
  • Brain / drug effects*
  • Brain / metabolism
  • Brain / pathology
  • Brain Injuries* / drug therapy
  • Brain Injuries* / pathology
  • Brain Injuries* / physiopathology
  • Cell Survival / drug effects
  • Complement System Proteins / genetics
  • Complement System Proteins / metabolism
  • Disease Models, Animal
  • Gene Expression / drug effects*
  • Immunohistochemistry / methods
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Neurons / drug effects*
  • Neuroprotective Agents / administration & dosage*
  • Proto-Oncogene Proteins c-bcl-2 / genetics
  • Proto-Oncogene Proteins c-bcl-2 / metabolism
  • Psychomotor Performance / drug effects
  • RNA, Messenger / metabolism
  • Receptors, Complement / administration & dosage*
  • Receptors, Complement 3b
  • Reverse Transcriptase Polymerase Chain Reaction / methods
  • Time Factors
  • Trauma Severity Indices

Substances

  • Cr1l protein, mouse
  • Neuroprotective Agents
  • Proto-Oncogene Proteins c-bcl-2
  • RNA, Messenger
  • Receptors, Complement
  • Receptors, Complement 3b
  • Complement System Proteins