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      CD300LF + microglia impede the neuroinflammation following traumatic brain injury by inhibiting STING pathway

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          Abstract

          Introduction

          The diversity in microglial phenotypes and functions following traumatic brain injury (TBI) is poorly characterized. The aim of this study was to explore precise targets for improving the prognosis of TBI patients from a microglial perspective.

          Objectives

          To assess whether the prognosis of TBI can be improved by modulating microglia function.

          Results

          In CD300LF‐deficient mice, we observed an increase in glial cell proliferation, more extensive neuronal loss, and worsened neurological function post‐TBI. Transcriptomic comparisons between CD300LF‐positive and CD300LF‐negative microglia illuminated that the neuroprotective role of CD300LF is principally mediated by the inhibition of the STING signaling pathway. In addition, this protective effect can be augmented using the STING pathway inhibitor C‐176.

          Conclusions

          Our research indicates that CD300LF reduces neuroinflammation and promotes neurological recovery after TBI, and that microglia are integral to the protective effects of CD300LF in this context. In summary, our findings highlight CD300LF as a critical molecular regulator modulating the adverse actions of microglia following acute brain injury and propose a novel therapeutic approach to enhance outcomes for patients with TBI.

          Abstract

          CD300LF + microglia inhibit neuroinflammation after TBI and promote neurological recovery in TBI patients by inhibiting the cGAS‐STING pathway while promoting JAK2‐STAT6 signaling pathway activity.

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          Most cited references30

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          Microglial and macrophage polarization—new prospects for brain repair.

          The traditional view of the adult brain as a static organ has changed in the past three decades, with the emergence of evidence that it remains plastic and has some regenerative capacity after injury. In the injured brain, microglia and macrophages clear cellular debris and orchestrate neuronal restorative processes. However, activation of these cells can also hinder CNS repair and expand tissue damage. Polarization of macrophage populations toward different phenotypes at different stages of injury might account for this dual role. This Perspectives article highlights the specific roles of polarized microglial and macrophage populations in CNS repair after acute injury, and argues that therapeutic approaches targeting cerebral inflammation should shift from broad suppression of microglia and macrophages towards subtle adjustment of the balance between their phenotypes. Breakthroughs in the identification of regulatory molecules that control these phenotypic shifts could ultimately accelerate research towards curing brain disorders.
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            Microglia: active sensor and versatile effector cells in the normal and pathologic brain.

            Microglial cells constitute the resident macrophage population of the CNS. Recent in vivo studies have shown that microglia carry out active tissue scanning, which challenges the traditional notion of 'resting' microglia in the normal brain. Transformation of microglia to reactive states in response to pathology has been known for decades as microglial activation, but seems to be more diverse and dynamic than ever anticipated--in both transcriptional and nontranscriptional features and functional consequences. This may help to explain why engagement of microglia can be either neuroprotective or neurotoxic, resulting in containment or aggravation of disease progression. Moreover, little is known about the heterogeneity of microglial responses in different pathologic contexts that results from regional adaptations or from the progression of a disease. In this review, we focus on several key observations that illustrate the multi-faceted activities of microglia in the normal and pathologic brain.
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              The far-reaching scope of neuroinflammation after traumatic brain injury

              Neuroinflammation can cause acute secondary injury after traumatic brain injury (TBI), and has been linked to chronic neurodegenerative diseases; however, anti-inflammatory agents have failed to improve TBI outcomes in clinical trials. In this Review, the authors propose a new framework for targeted immunomodulation after TBI.
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                Author and article information

                Contributors
                ntfyliuqianqian@163.com
                yangyang200905@tmmu.edu.cn
                ntgpp@ntu.edu.cn
                Journal
                CNS Neurosci Ther
                CNS Neurosci Ther
                10.1111/(ISSN)1755-5949
                CNS
                CNS Neuroscience & Therapeutics
                John Wiley and Sons Inc. (Hoboken )
                1755-5930
                1755-5949
                04 July 2024
                July 2024
                : 30
                : 7 ( doiID: 10.1111/cns.v30.7 )
                : e14824
                Affiliations
                [ 1 ] Department of Neurosurgery Affiliated Hospital of Nantong University, Medical School of Nantong University Nantong Jiangsu China
                [ 2 ] Neuro‐Microscopy and Minimally Invasive Translational Medicine Innovation Center Affiliated Hospital of Nantong University Nantong Jiangsu China
                [ 3 ] Jiangsu Medical Innovation Centre, Neurological Disease Diagnosis and Treatment Center Affiliated Hospital of Nantong University Nantong Jiangsu China
                [ 4 ] Research Center of Clinical Medicine Affiliated Hospital of Nantong University Nantong Jiangsu China
                [ 5 ] Department of Neurosurgery, Zhejiang Provincial Hospital of Chinese Medicine The First Affiliated Hospital of Zhejiang Chinese Medical University Hangzhou China
                [ 6 ] Department of Biobank Affiliated Hospital of Nantong University Nantong Jiangsu China
                [ 7 ] Department of Pathology Affiliated Hospital of Nantong University Nantong Jiangsu China
                [ 8 ] Department of Orthopedics and Traumatology Wuxi TCM Hospital Affiliated to Nanjing University of Chinese Medicine Wuxi Jiangsu China
                [ 9 ] Department of General Surgery, Shanghai Key Laboratory of Biliary Tract Disease Research, Research Institute of Biliary Tract Disease Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai China
                [ 10 ] Department of Neurosurgery Wuxi Taihu Hosptial Wuxi China
                Author notes
                [*] [* ] Correspondence

                Peipei Gong and Qianqian Liu, Department of Neurosurgery, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, Jiangsu 226001, China.

                Email: ntgpp@ 123456ntu.edu.cn and ntfyliuqianqian@ 123456163.com

                Yang Yang, Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, China.

                Email: yangyang200905@ 123456tmmu.edu.cn

                Author information
                https://orcid.org/0000-0001-8873-732X
                https://orcid.org/0000-0001-6472-5578
                https://orcid.org/0009-0009-5695-1474
                Article
                CNS14824 CNSNT-2024-775.R1
                10.1111/cns.14824
                11224125
                38965803
                a3f6ed51-c478-4008-bf76-2fda4f9eaaa6
                © 2024 The Author(s). CNS Neuroscience & Therapeutics published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 07 June 2024
                : 25 April 2024
                : 17 June 2024
                Page count
                Figures: 8, Tables: 0, Pages: 16, Words: 9300
                Funding
                Funded by: National Natural Science Foundation of China , doi 10.13039/501100001809;
                Award ID: 82271415
                Award ID: 82301561
                Funded by: Jiangsu Provincial Medical Innovation Center
                Award ID: CXZX202212
                Funded by: Postgraduate Research & Practice Innovation Program of Jiangsu Province
                Award ID: KYCX24_3579
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                July 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.4.5 mode:remove_FC converted:05.07.2024

                Neurosciences
                cd300lf,microglia,neuroinflammation,single‐cell rna sequencing,sting,traumatic brain injury

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