Post-traumatic inflammatory reaction may contribute to progressive tissue damage after spinal cord injury (SCI). Two key transcription factors, nuclear factor B (NF-B) and activator protein-1 (AP-1), are activated in inflammation. An increase in NF-B binding activity has been shown in the injured spinal cord. We report activation of AP-1 after SCI. Electrophoretic mobility shift assay showed that AP-1 binding activity increased after SCI, starting at 1 hr, peaking at 8 hr, and declining to basal levels by 7 d. Methylprednisolone (MP) is the only therapeutic agent approved by the Food and Drug Administration for treating patients with acute traumatic SCI. MP reduced posttraumatic AP-1 activation. RU486, a glucocorticoid receptor (GR) antagonist, reversed MP inhibition of AP-1 activation. Immunostaining showed an increase in the expression of the Fos-B and c-Jun components of AP-1 in the injured cord. A c-fos antisense oligodeoxynucleotide (ODN) inhibited AP-1, but not NF-B, activation after SCI. AP-1 and NF-B can transactivate genes encoding matrix metalloproteinase-1 (MMP-1) and MMP-9. Western blotting and immunostaining show increased expression of MMP-1 and MMP-9 in the injured cord. MP inhibited MMP-1 and MMP-9 expression after SCI. RU486 reversed this MP effect. The c-fos antisense ODN, however, failed to suppress MMP-1 or MMP-9 expression. These findings demonstrate that MP may suppress post-traumatic inflammatory reaction by inhibiting both the AP-1 and NF-B transcription cascades via a GR mechanism. Expression of inflammatory genes such as MMP-1 and MMP-9 that are transactivated jointly by AP-1 and NF-B may not be suppressed by inhibiting only AP-1 activity.
Key words: inflammation; methylprednisolone; NF-B; protease; RU486; transcription factorMethylprednisolone (MP), a synthetic glucocorticoid (GC), is the only therapeutic agent approved by the Food and Drug Administration (FDA) for the treatment of acute traumatic spinal cord injury (SCI) in humans (Bracken, 1990). However, the effect of MP in SCI is modest (Nesathurai, 1998), and its mechanism of action remains to be fully delineated. GCs including MP are anti-inflammatory agents with a wide range of useful clinical applications (Barnes, 1998). A post-traumatic inflammatory reaction has been extensively documented in animal SCI models