Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2007-12-11
pubmed:abstractText
TNF-alpha has proved to be a successful target in the treatment of many peripheral inflammatory diseases, but the same interventions worsen immune-mediated CNS disease. However, anti-TNF-alpha strategies may offer promise as therapy for non-immune CNS injury. In this study, we have microinjected IL-1beta or lipopolysaccharide (LPS) into the rat brain as a simple model of brain injury and have systemically administered the TNF-alpha antagonist etanercept to discover whether hepatic TNF-alpha, produced as part of the acute-phase response to CNS injury, modulates the inflammatory response in the brain. We report a significant reduction in neutrophil numbers recruited to the IL-1beta- or LPS-challenged brain as a result of TNF-alpha inhibition. We also show an attenuation in the levels of hepatic mRNA including TNF-alpha mRNA and of TNF-alpha-induced genes, such as the chemokines CCL-2, CXCL-5, and CXCL-10, although other chemokines elevated by the injury were not significantly changed. The reduction in hepatic chemokine synthesis results in reduced numbers of circulating neutrophils, and also a reduction in the numbers recruited to the liver as a consequence of brain injury. These findings suggest that TNF-alpha inhibitors may reduce CNS inflammatory responses by targeting the hepatic acute-phase response, and thus therapies for brain injury need not cross the blood-brain barrier to be effective.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1471-4159
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
103
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2245-55
pubmed:meshHeading
pubmed-meshheading:17883399-Acute Disease, pubmed-meshheading:17883399-Acute-Phase Reaction, pubmed-meshheading:17883399-Animals, pubmed-meshheading:17883399-Brain, pubmed-meshheading:17883399-Brain Injuries, pubmed-meshheading:17883399-Chemokines, pubmed-meshheading:17883399-Disease Models, Animal, pubmed-meshheading:17883399-Encephalitis, pubmed-meshheading:17883399-Gene Expression Regulation, pubmed-meshheading:17883399-Immunoglobulin G, pubmed-meshheading:17883399-Immunosuppressive Agents, pubmed-meshheading:17883399-Inflammation Mediators, pubmed-meshheading:17883399-Liver, pubmed-meshheading:17883399-Male, pubmed-meshheading:17883399-Rats, pubmed-meshheading:17883399-Rats, Wistar, pubmed-meshheading:17883399-Receptors, Tumor Necrosis Factor, pubmed-meshheading:17883399-Tumor Necrosis Factor-alpha
pubmed:year
2007
pubmed:articleTitle
Immunomodulatory effects of etanercept in a model of brain injury act through attenuation of the acute-phase response.
pubmed:affiliation
Experimental Neuropathology, Department of Pharmacology, University of Oxford, Oxford, UK.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't