Cytokine transport across the injured blood-spinal cord barrier

Curr Pharm Des. 2008;14(16):1620-4. doi: 10.2174/138161208784705450.

Abstract

Spinal cord injury (SCI) induces dynamic changes of the blood-spinal cord barrier and even the more distant blood-brain barrier. Besides an immediate increase of paracellular permeability resulting from the direct impact of the injury, the transport systems for selective cytokines undergo regulatory changes. Since many of the transported molecules play essential roles in neuroregeneration, we propose that this altered peripheral tissue / CNS interaction benefits remodeling of the spinal cord and functional recovery after SCI. This review examines the transport of cytokines and neurotrophic factors into the spinal cord, emphasizing the upregulation of two cytokines--tumor necrosis factor alpha (TNF) and leukemia inhibitory factor (LIF)--during the course of SCI. The increased transport of TNF and LIF after SCI remains saturable and does not coincide with generalized BBB disruption, highlighting a pivotal regulatory role for the blood-spinal cord barrier.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Cytokines* / biosynthesis
  • Cytokines* / blood
  • Cytokines* / metabolism
  • Disease Models, Animal
  • Humans
  • Protein Transport
  • Spinal Cord / immunology*
  • Spinal Cord Injuries* / blood
  • Spinal Cord Injuries* / immunology
  • Up-Regulation

Substances

  • Cytokines