Tissue sparing and functional recovery following experimental traumatic brain injury is provided by treatment with an anti-myelin-associated glycoprotein antibody

Eur J Neurosci. 2006 Dec;24(11):3063-72. doi: 10.1111/j.1460-9568.2006.05197.x.

Abstract

Axonal injury is a hallmark of traumatic brain injury (TBI) and is associated with a poor clinical outcome. Following central nervous system injury, axons regenerate poorly, in part due to the presence of molecules associated with myelin that inhibit axonal outgrowth, including myelin-associated glycoprotein (MAG). The involvement of MAG in neurobehavioral deficits and tissue loss following experimental TBI remains unexplored and was evaluated in the current study using an MAG-specific monoclonal antibody (mAb). Anesthetized rats (n=102) were subjected to either lateral fluid percussion brain injury (n=59) or sham injury (n=43). In surviving animals, beginning at 1 h post-injury, 8.64 microg anti-MAG mAb (n=33 injured, n=21 sham) or control IgG (n=26 injured, n=22 sham) was infused intracerebroventricularly for 72 h. One group of these rats (n=14 sham, n=11 injured) was killed at 72 h post-injury for verification of drug diffusion and MAG immunohistochemistry. All other animals were evaluated up to 8 weeks post-injury using tests for neurologic motor, sensory and cognitive function. Hemispheric tissue loss was also evaluated at 8 weeks post-injury. At 72 h post-injury, increased immunoreactivity for MAG was seen in the ipsilateral cortex, thalamus and hippocampus of brain-injured animals, and anti-MAG mAb was detectable in the hippocampus, fimbria and ventricles. Brain-injured animals receiving anti-MAG mAb showed significantly improved recovery of sensorimotor function at 6 and 8 weeks (P<0.01) post-injury when compared with brain-injured IgG-treated animals. Additionally, at 8 weeks post-injury, the anti-MAG mAb-treated brain-injured animals demonstrated significantly improved cognitive function and reduced hemispheric tissue loss (P<0.05) when compared with their brain-injured controls. These results indicate that MAG may contribute to the pathophysiology of experimental TBI and treatment strategies that target MAG may be suitable for further evaluation.

Publication types

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

MeSH terms

  • Animals
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / pharmacology*
  • Antibodies, Monoclonal / therapeutic use
  • Axons / drug effects
  • Axons / immunology
  • Axons / pathology
  • Brain / drug effects
  • Brain / immunology
  • Brain / physiopathology
  • Brain Injuries / drug therapy*
  • Brain Injuries / immunology
  • Brain Injuries / physiopathology
  • Demyelinating Diseases / drug therapy*
  • Demyelinating Diseases / immunology
  • Demyelinating Diseases / physiopathology
  • Disease Models, Animal
  • Immunohistochemistry
  • Male
  • Myelin-Associated Glycoprotein / antagonists & inhibitors*
  • Myelin-Associated Glycoprotein / immunology
  • Nerve Regeneration / drug effects
  • Nerve Regeneration / immunology
  • Rats
  • Rats, Sprague-Dawley
  • Recovery of Function / drug effects*
  • Recovery of Function / immunology
  • Treatment Outcome
  • Wallerian Degeneration / drug therapy*
  • Wallerian Degeneration / immunology
  • Wallerian Degeneration / physiopathology

Substances

  • Antibodies, Monoclonal
  • Myelin-Associated Glycoprotein