Peripheral Administration of IL-13 Induces Anti-inflammatory Microglial/Macrophage Responses and Provides Neuroprotection in Ischemic Stroke

Neurotherapeutics. 2019 Oct;16(4):1304-1319. doi: 10.1007/s13311-019-00761-0.

Abstract

Neuroinflammation is strongly induced by cerebral ischemia. The early phase after the onset of ischemic stroke is characterized by acute neuronal injury, microglial activation, and subsequent infiltration of blood-derived inflammatory cells, including macrophages. Therefore, modulation of the microglial/macrophage responses has increasingly gained interest as a potential therapeutic approach for the ischemic stroke. In our study, we investigated the effects of peripherally administered interleukin 13 (IL-13) in a mouse model of permanent middle cerebral artery occlusion (pMCAo). Systemic administration of IL-13 immediately after the ischemic insult significantly reduced the lesion volume, alleviated the infiltration of CD45+ leukocytes, and promoted the microglia/macrophage alternative activation within the ischemic region, as determined by arginase 1 (Arg1) immunoreactivity at 3 days post-ischemia (dpi). Moreover, IL-13 enhanced the expression of M2a alternative activation markers Arg1 and Ym1 in the peri-ischemic (PI) area, as well as increased plasma IL-6 and IL-10 levels at 3 dpi. Furthermore, IL-13 treatment ameliorated gait disturbances at day 7 and 14 and sensorimotor deficits at day 14 post-ischemia, as analyzed by the CatWalk gait analysis system and adhesive removal test, respectively. Finally, IL-13 treatment decreased neuronal cell death in a coculture model of neuroinflammation with RAW 264.7 macrophages. Taken together, delivery of IL-13 enhances microglial/macrophage anti-inflammatory responses in vivo and in vitro, decreases ischemia-induced brain cell death, and improves sensory and motor functions in the pMCAo mouse model of cerebral ischemia.

Keywords: Interleukin-13; functional recovery; microglia/macrophage polarization; neuroinflammation; stroke.

MeSH terms

  • Administration, Intravenous
  • Animals
  • Anti-Inflammatory Agents / administration & dosage
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / drug therapy*
  • Cells, Cultured
  • Interleukin-13 / administration & dosage*
  • Macrophages / drug effects*
  • Macrophages / physiology
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Microglia / drug effects*
  • Microglia / physiology
  • Neuroprotection / drug effects*
  • Neuroprotection / physiology
  • Stroke / diagnostic imaging
  • Stroke / drug therapy*

Substances

  • Anti-Inflammatory Agents
  • Interleukin-13