机构:[1]Longhua Hospital, Shanghai University of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China[2]Spine Institute, ShanghaiUniversity of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China[3]School of Rehabilitation Science, Shanghai University ofTraditional Chinese Medicine, 1200 Cailun Road, 201203 Shanghai, China[4]Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry ofEducation (Shanghai University of Traditional Chinese Medicine), 1200 Cailun Road, 201203 Shanghai, China[5]Department of Anatomy, School of BasicMedicine, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, 201203 Shanghai, China[6]Department of Pathology and LaboratoryMedicine and Center for Musculoskeletal Research, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA[7]TheInternational Education College, Nanjing University of Chinese Medicine, 138 Xianlin Road, 210029 Nanjing, China[8]The Fourth Clinical Medical College,Guangzhou University of Traditional Chinese Medicine, 232 Huandong Road, 510006 Guangdong, China深圳市中医院深圳医学信息中心
Extravasated erythrocytes in cerebrospinal fluid (CSF) critically contribute to the pathogenesis of subarachnoid hemorrhage (SAH). Meningeal lymphatics have been reported to drain macromolecules and immune cells from CSF into cervical lymph nodes (CLNs). However, whether meningeal lymphatics are involved in clearing extravasated erythrocytes in CSF after SAH remains unclear. Here we show that a markedly higher number of erythrocytes are accumulated in the lymphatics of CLNs and meningeal lymphatics after SAH. When the meningeal lymphatics are depleted in a mouse model of SAH, the degree of erythrocyte aggregation in CLNs is significantly lower, while the associated neuroinflammation and the neurologic deficits are dramatically exacerbated. In addition, during SAH lymph flow is increased but without significant lymphangiogenesis and lymphangiectasia. Taken together, this work demonstrates that the meningeal lymphatics drain extravasated erythrocytes from CSF into CLNs after SAH, while suggesting that modulating this draining may offer therapeutic approaches to alleviate SAH severity.
基金:
This work was sponsored by research grants from National Key R&D
Program of China (2018YFC1704300 to Y.W.), National Natural Science Foundation
(81822050 and 81920108032 to Q.L., 81904227 to Y.W.), Leading medical talents in
Shanghai (2019LJ02 to Q.L.), Dawn plan of Shanghai Municipal Education Commission
(19SG39 to Q.L.), the program for innovative research team of Ministry of Science and
Technology of China (2015RA4002 to Y.W.), “Innovation Team” development projects
(IRT1270 to Y.W.), Shanghai TCM Medical Center of Chronic Disease (2017ZZ01010 to
Y.W.), Three Years Action to Accelerate the Development of Traditional Chinese
Medicine Plan (ZY(2018-2020)-CCCX-3003 to Y.W.), and the program of Longhua
Hospital (KY1932 to Y.W.).
第一作者机构:[1]Longhua Hospital, Shanghai University of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China[2]Spine Institute, ShanghaiUniversity of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China[3]School of Rehabilitation Science, Shanghai University ofTraditional Chinese Medicine, 1200 Cailun Road, 201203 Shanghai, China[4]Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry ofEducation (Shanghai University of Traditional Chinese Medicine), 1200 Cailun Road, 201203 Shanghai, China
通讯作者:
通讯机构:[1]Longhua Hospital, Shanghai University of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China[2]Spine Institute, ShanghaiUniversity of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China[3]School of Rehabilitation Science, Shanghai University ofTraditional Chinese Medicine, 1200 Cailun Road, 201203 Shanghai, China[4]Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry ofEducation (Shanghai University of Traditional Chinese Medicine), 1200 Cailun Road, 201203 Shanghai, China
推荐引用方式(GB/T 7714):
Jinman Chen,Linmei Wang,Hao Xu,et al.Meningeal lymphatics clear erythrocytes that arise from subarachnoid hemorrhage.[J].NATURE COMMUNICATIONS.2020,11(1):doi:10.1038/s41467-020-16851-z.
APA:
Jinman Chen,Linmei Wang,Hao Xu,Lianping Xing,Zixin Zhuang...&Yongjun Wang.(2020).Meningeal lymphatics clear erythrocytes that arise from subarachnoid hemorrhage..NATURE COMMUNICATIONS,11,(1)
MLA:
Jinman Chen,et al."Meningeal lymphatics clear erythrocytes that arise from subarachnoid hemorrhage.".NATURE COMMUNICATIONS 11..1(2020)