Table 1A. Molecular signaling pathways |
Inflammatory mediator |
Animal line/model |
Purpose |
Major findings in animals exposed to TBI |
Reference |
IL-1 |
Anti-IL-1β antibody |
Blockade of IL-1β signaling |
Reductions in macrophages/microglia, neutrophils, and T cell numbers in the brain, improvement in learning tasks, and decreased tissue loss |
[289, 290] |
IL-1 R antagonist |
Neutralize IL-1 |
Higher expression of proinflammatory cytokines in macrophages |
[291] |
ASC |
Anti-ASC |
Limit inflammasome assembly |
Reduced caspase-1 activation and IL-1β production, decreased lesion volume |
[292] |
ASC knockout |
Abrogate inflammasome assembly |
No improvements in lesion volume, histopathology, cell death, or motor function |
[293] |
NLRP1 |
NLRP1 knockout |
Prevent NLRP1 inflammasome assembly |
No improvements in lesion volume, histopathology, cell death, or motor function |
[293] |
IL-6 |
IL-6 knockout |
Ablation of IL-6 signaling |
Fewer reactive astrocytes and macrophages, increased neuronal death |
[294] |
IL-6 knockout |
Ablation of IL-6 signaling |
Poor behavioral performance, higher IL-1β levels in the cortex |
[295] |
GFAP-IL-6 overexpression |
Increase IL-6 expression in astrocytes |
Greater recruitment of glia and immune cells to the lesion, decreased oxidative stress and neuronal death |
[296] |
Anti-IL-6 antibody |
Neutralize IL-6 |
Reduced some inflammatory and behavioral effects of post-injury hypoxia |
[297] |
TNF-α |
TNF-α inhibitor post-TBI |
Inhibit TNF-α signaling |
Early administration improved cognitive performance, and decreased neuronal apoptosis and astrogliosis |
[298] |
TNFR1 knockout |
Disrupt TNF-α signaling through TNFR1 |
Improved neurological function and neuronal survival/lesion volume, decreased numbers of CD11b+cells in the brain |
[299] |
TNFR2 knockout |
Reduce TNFR2 signaling |
Worsened neurological function and no protection from tissue loss |
[299] |
TNFR2/Fas knockout |
Abrogate TNF-α signaling through TNFR2 |
Impaired motor and cognitive performance |
[142] |
G-CSF |
G-CSF injection post-TBI |
Enhance G-CSF signalling |
Improved cognitive performance and increased hippocampal neurogenesis, higher glial activation and production of BDNF and GDNF |
[300] |
GM-CSF |
GM-CSF knockout |
Disrupt GM-CSF signalling |
Worsened cognitive deficits as well as cell and tissue loss, reduced astrogliosis |
[301] |
Type 1 IFN |
IFNAR knockout or IFNAR blocking antibody |
Block type 1 IFN signalling |
Reduced lesion volume, more anti-inflammatory cytokine signaling, increased glial activation, these effects were hematopoietic cell-dependent |
[302] |
IL-10 |
IL-10 knockout, IL-10 injection |
Modulate IL-10 signaling |
Diminished protective effects of hyperbaric oxygen treatment, including lesion volume, edema, cognitive improvement, and decreased cytokine production in IL-10 knockout mice, while IL-10 injection improved these outcomes |
[303] |
TGF-β |
TAK1 inhibition |
Disrupt signaling downstream of TGF-β |
Improved neuronal survival and motor function, decreased NF-κB signaling and inflammatory cytokine production |
[304] |
TGIF shRNAv knockdown |
Ablation of downstream TGF-β signalling |
Decreased infarct volume and microglia numbers, improved motor function |
[305] |
APOE |
APOEϵ4 overexpression |
APOEϵ4 overexpression |
Worsened brain pathology, BBB breakdown, and neurological impairments |
[306, 307] |
TREM2 |
TREM2 knockout |
Abrogate TREM2 signaling |
Altered macrophage distribution, hippocampal neuroprotection, and fewer cognitive deficits |
[308] |
Table 1B. Cellular mediators |
Cell type |
Animal line/model |
Purpose |
Major findings in animals exposed to TBI |
Reference |
Neutrophils |
IgM RP-3 |
Neutrophil depletion |
No significant decrease in BBB permeability |
[151] |
Anti-Gr1 antibody |
Neutrophil depletion |
Decreased edema, apoptosis, and microglia/macrophage activation, no significant changes in BBB integrity |
[153] |
CXCR2 knockout |
Reduce neutrophil infiltration |
Decreased cell death, no significant changes in BBB permeability or behavior |
[148] |
Neutrophil elastase knockout |
Reduce neutrophil effector functions |
Decreased edema and apoptotic neurons, but no decrease in tissue volume loss or behavioral improvement |
[154] |
Macrophages and microglia |
CD11b-TK |
Deplete CD11b-expressing cells |
Reductions in microglia numbers in the brain, no improvement in axonal injury, treatment toxic at high dosage |
[309] |
CD11b-DTR |
Deplete CD11b-expressing cells |
No change in lesion size, treatment caused inflammatory response without injury |
[310] |
CCX872 (CCR2 antagonist) |
Reduce CCR2 signaling functions |
Reduced macrophages in the brain, altered pro- and anti-inflammatory cytokine expression, less cognitive dysfunction |
[162] |
CCR2 knockout |
Limit CCR2-mediated recruitment of monocytes |
Reduced numbers of infiltrating monocytes, improved learning and memory |
[161] |
CCR2RFP/RFP |
Disrupt recruitment of monocytes |
Reduced monocyte recruitment, cavity volume, and axonal pathology |
[160] |
CX3CR1 knockout |
Abrogate CX3CR1 signaling functions in macrophages and microglia |
Short-term neuroprotection and lower inflammatory response, long-term functional impairments and elevated myeloid cell activation |
[311] |
T cells |
Rag1 knockout |
Genetic ablation of B and T cells |
No changes in neurological outcome, BBB integrity, pro- or anti-apoptotic mediators, hippocampal architecture, or astroglial activation |
[312] |
FTY720 |
Sequester lymphocytes and reduce their migration to the brain |
Decreased circulating lymphocytes, decreased neutrophils and macrophages/microglia in ipsilateral hemisphere |
[313] |