Bexarotene Enhances Macrophage Erythrophagocytosis and Hematoma Clearance in Experimental Intracerebral Hemorrhage

BACKGROUND AND PURPOSE—Enhancement of erythrophagocytosis by macrophages in a timely manner can limit the toxic effects of erythrocyte metabolites and promote brain recovery after intracerebral hemorrhage (ICH). In the current study, we investigated the therapeutic effect of retinoid X receptor agon...

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Veröffentlicht in:Stroke (1970) 2020-02, Vol.51 (2), p.612-618
Hauptverfasser: Chang, Che-Feng, Massey, Jordan, Osherov, Artem, Angenendt da Costa, Luís Henrique, Sansing, Lauren H.
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container_end_page 618
container_issue 2
container_start_page 612
container_title Stroke (1970)
container_volume 51
creator Chang, Che-Feng
Massey, Jordan
Osherov, Artem
Angenendt da Costa, Luís Henrique
Sansing, Lauren H.
description BACKGROUND AND PURPOSE—Enhancement of erythrophagocytosis by macrophages in a timely manner can limit the toxic effects of erythrocyte metabolites and promote brain recovery after intracerebral hemorrhage (ICH). In the current study, we investigated the therapeutic effect of retinoid X receptor agonist, bexarotene, in facilitating erythrophagocytosis and neurobehavioral recovery in 2 mouse models of ICH. METHODS—Bone marrow-derived macrophages and fluorescently labeled erythrocytes were used to study erythrophagocytosis in vitro with phenotypic changes quantified by gene expression. ICH was modeled in vivo using intrastriatal autologous blood and collagenase injection in mice with and without bexarotene treatment beginning 3 hours after ICH. In vivo phagocytosis, ability and hematoma clearance were evaluated by erythrophagocytosis assays, flow cytometry, and histological analysis. Neurological deficits and functional recovery were also quantified. RESULTS—Bexarotene increased macrophage expression of phagocytosis receptors and erythrophagocytosis and reduced macrophage TNF (tumor necrosis factor) production in vitro. In vivo, bexarotene treatment enhanced erythrophagocytosis, reduced hematoma volume, and ultimately improved neurological recovery after ICH in 2 distinct models of ICH. CONCLUSIONS—Bexarotene administration is beneficial for recovery after ICH by enhancing hemorrhage phagocytosis, modulating macrophage phenotype, and improving functional recovery.
doi_str_mv 10.1161/STROKEAHA.119.027037
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In the current study, we investigated the therapeutic effect of retinoid X receptor agonist, bexarotene, in facilitating erythrophagocytosis and neurobehavioral recovery in 2 mouse models of ICH. METHODS—Bone marrow-derived macrophages and fluorescently labeled erythrocytes were used to study erythrophagocytosis in vitro with phenotypic changes quantified by gene expression. ICH was modeled in vivo using intrastriatal autologous blood and collagenase injection in mice with and without bexarotene treatment beginning 3 hours after ICH. In vivo phagocytosis, ability and hematoma clearance were evaluated by erythrophagocytosis assays, flow cytometry, and histological analysis. Neurological deficits and functional recovery were also quantified. RESULTS—Bexarotene increased macrophage expression of phagocytosis receptors and erythrophagocytosis and reduced macrophage TNF (tumor necrosis factor) production in vitro. In vivo, bexarotene treatment enhanced erythrophagocytosis, reduced hematoma volume, and ultimately improved neurological recovery after ICH in 2 distinct models of ICH. CONCLUSIONS—Bexarotene administration is beneficial for recovery after ICH by enhancing hemorrhage phagocytosis, modulating macrophage phenotype, and improving functional recovery.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/STROKEAHA.119.027037</identifier><identifier>PMID: 31826730</identifier><language>eng</language><publisher>United States: American Heart Association, Inc</publisher><subject>Animals ; Bexarotene - pharmacology ; Brain - drug effects ; Brain - pathology ; Cerebral Hemorrhage - drug therapy ; Disease Models, Animal ; Erythrocytes - drug effects ; Erythrocytes - pathology ; Hematoma - drug therapy ; Hematoma - metabolism ; Macrophages - drug effects ; Macrophages - metabolism ; Microglia - drug effects ; Phagocytosis - drug effects</subject><ispartof>Stroke (1970), 2020-02, Vol.51 (2), p.612-618</ispartof><rights>American Heart Association, Inc.</rights><rights>2020 American Heart Association, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5537-13319e09f2cd82f35b3ce82d88831b21494b2a2b80722a98dfffb54481dfaa413</citedby><cites>FETCH-LOGICAL-c5537-13319e09f2cd82f35b3ce82d88831b21494b2a2b80722a98dfffb54481dfaa413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,3687,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31826730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, Che-Feng</creatorcontrib><creatorcontrib>Massey, Jordan</creatorcontrib><creatorcontrib>Osherov, Artem</creatorcontrib><creatorcontrib>Angenendt da Costa, Luís Henrique</creatorcontrib><creatorcontrib>Sansing, Lauren H.</creatorcontrib><title>Bexarotene Enhances Macrophage Erythrophagocytosis and Hematoma Clearance in Experimental Intracerebral Hemorrhage</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>BACKGROUND AND PURPOSE—Enhancement of erythrophagocytosis by macrophages in a timely manner can limit the toxic effects of erythrocyte metabolites and promote brain recovery after intracerebral hemorrhage (ICH). 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In vivo, bexarotene treatment enhanced erythrophagocytosis, reduced hematoma volume, and ultimately improved neurological recovery after ICH in 2 distinct models of ICH. 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In the current study, we investigated the therapeutic effect of retinoid X receptor agonist, bexarotene, in facilitating erythrophagocytosis and neurobehavioral recovery in 2 mouse models of ICH. METHODS—Bone marrow-derived macrophages and fluorescently labeled erythrocytes were used to study erythrophagocytosis in vitro with phenotypic changes quantified by gene expression. ICH was modeled in vivo using intrastriatal autologous blood and collagenase injection in mice with and without bexarotene treatment beginning 3 hours after ICH. In vivo phagocytosis, ability and hematoma clearance were evaluated by erythrophagocytosis assays, flow cytometry, and histological analysis. Neurological deficits and functional recovery were also quantified. RESULTS—Bexarotene increased macrophage expression of phagocytosis receptors and erythrophagocytosis and reduced macrophage TNF (tumor necrosis factor) production in vitro. 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source MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Animals
Bexarotene - pharmacology
Brain - drug effects
Brain - pathology
Cerebral Hemorrhage - drug therapy
Disease Models, Animal
Erythrocytes - drug effects
Erythrocytes - pathology
Hematoma - drug therapy
Hematoma - metabolism
Macrophages - drug effects
Macrophages - metabolism
Microglia - drug effects
Phagocytosis - drug effects
title Bexarotene Enhances Macrophage Erythrophagocytosis and Hematoma Clearance in Experimental Intracerebral Hemorrhage
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