Macrophages can be both beneficial and detrimental after CNS injury. We previously showed rapid accumulation of macrophages in injured immature brain acutely after ischemia-reperfusion. To determine whether these macrophages are microglia or invading monocytes, we subjected post-natal day 7 (P7) rats to transient 3 h middle cerebral artery (MCA) occlusion and used flow cytometry at 24 and 48 h postreperfusion to distinguish invading monocytes (CD45high/ CD11b+) from microglia (CD45low/medium/CD11b+). Inflammatory cytokines and chemokines were determined in plasma, injured and contralateral tissue 1-24 h post-reperfusion using ELISA-based cytokine multiplex assays. At 24 h, the number of CD45+/CD11b+ cells increased 3-fold in injured compared to uninjured brain tissue and CD45 expression shifted from low to medium with less than 10% of the population expressing CD45high. MCA occlusion induced rapid and transient asynchronous increases in the pro-inflammatory cytokine IL-b and chemokines cytokine-induced neutrophil chemoattractant protein 1 (CINC-1) and monocyte-chemoattractant protein 1 (MCP-1), first in systemic circulation and then in injured brain. Double immunofluorescence with celltype specific markers showed that multiple cell types in the injured brain produce MCP-1. Our findings show that despite profound increases in MCP-1 in injured regions, monocyte infiltration is low and the majority of macrophages in acutely injured regions are microglia. Keywords: cytokines, flow cytometry, inflammation, macrophage, microglia, neonatal stroke. Inflammation is a significant contributing factor to neurodegenerative diseases. Depending on injury setting, the relative involvement of systemic and local inflammation, and communication between the two compartments can vary (Carson and Sutcliffe 1999;Baggiolini 2001;Perry 2004). It is well known that stroke in adult triggers a robust inflammatory reaction, largely involving an influx of peripheral leukocytes into the brain parenchyma (for reviews, see Feuerstein et al. 1997;Dirnagl et al. 1999;Han and Yenari 2003) and disruption of the blood-brain barrier (BBB) (Gidday et al. 2005). In the adult, neutrophils are typically the first leukocyte type to infiltrate (Barone et al. 1991;Garcia et al. 1994;Matsuo et al. 1995) and are followed by macrophages and lymphocytes (Barone et al. 1991;Garcia et al. 1994). The damaging role of infiltrating neutrophils in ischemia was shown by studies in which neutrophil depletion (Garcia et al. 1994) or administration of anti-adhesion molecules (Kishimoto and Rothlein 1994;Fassbender et al. 1999) reversed the reduced local tissue perfusion, BBB disruption, and the release of free radicals, proteinases, and other cytotoxins seen after stroke. The key role of macrophages in cerebral ischemic injury has also been firmly established (Feuerstein et al. 1997;Dirnagl et al. 1999;Han and Yenari 2003). Macrophage populations in the injured brain, however, are diverse (Carson et al. 1998;Dalmau et al. 2003) Abbreviations used: BBB, blood-bra...

The incidence of neonatal stroke is high and currently there are no strategies to protect the neonatal brain from stroke or reduce the sequelae. Agents capable of modifying inflammatory processes hold promise. We set out to determine whether delayed administration of one such agent, minocycline, protects the immature brain in a model of transient middle cerebral artery (MCA) occlusion in 7-day-old rat pups. Injury volume in minocycline (45 mg/kg/dose, beginning at 2 h after MCA occlusion) and vehicle-treated pups was determined 24 h and 7 days after onset of reperfusion. Accumulation of activated microglia/macrophages, phosphorylation of mitogen-activated protein kinase (MAPK) p38 in the brain, and concentrations of inflammatory mediators in plasma and brain were determined at 24 h. Minocycline significantly reduced the volume of injury at 24 h but not 7 days after transient MCA occlusion. The beneficial effect of minocycline acutely after reperfusion was not associated with changed ED1 phenotype, nor was the pattern of MAPK p38 phosphorylation altered. Minocycline reduced accumulation of IL-1beta and CINC-1 in the systemic circulation but failed to affect the increased levels of IL-1beta, IL-18, MCP-1 or CINC-1 in the injured brain tissue. Therefore, minocycline provides early but transient protection, which is largely independent of microglial activation or activation of the MAPK p38 pathway.

Maternal infections are implicated in a variety of complications during pregnancy, including pregnancy loss, prematurity, and increased risk of neurodevelopmental disorders in the child. Here, we show in mice that even mild innate immune activation by low-dose lipopolysaccharide in early pregnancy causes hemorrhages in the placenta and increases the risk of pregnancy loss. Surviving fetuses exhibit hypoxia in the brain and impaired fetal neurogenesis. Maternal Toll-like receptor 4 signaling is a critical mediator of this process, and its activation is accompanied by elevated proinflammatory cytokines in the placenta. We evaluated the role of tumor necrosis factor-α (TNF-α) signaling and show that TNF receptor 1 (TNFR1) is necessary for the illness-induced placental pathology, accompanying fetal hypoxia, and neuroproliferative defects in the fetal brain. We also show that placental TNFR1 in the absence of maternal TNFR1 is sufficient for placental pathology to develop and that a clinically relevant TNF-α antagonist prevents placental pathology and fetal loss. Our observations suggest that the placenta is highly sensitive to proinflammatory signaling in early pregnancy and that TNF-α is an effective target for preventing illness-related placental defects and related risks to the fetus and fetal brain development.

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