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Turchan-Cholewo, J.

Publications and source records attributed to Turchan-Cholewo, J..

3 recordsLinked to original sources

High-Low training is safe and effective in improving outcomes in a rodent model of chronic cervical spinal cord injury.

Repeated exposure to hypoxia (oxygen levels below sea-level atmospheric conditions, [~]21%) alternated with regular voluntary exercise, known colloquially as Living High, Training Low, or simply High-Low, is used by elite athletes to boost exercise benefits and athletic performance. While paradigms of High-Low training have been utilized by Olympic athletes for decades, the therapeutic potential of a High-Low regimen in the context of neurotrauma has yet to be investigated. This long-term experiment evaluated the independent and combined effects of repeated hypoxic exposure and voluntary exercise on functional outcomes within the context of preclinical spinal cord injury (SCI). We hypothesized that combinatorial High-Low training enhances functional recovery, beyond either exercise or repeated exposures to hypoxia alone, to improve outcomes after SCI. Adult female rats (n=62) underwent a high-cervical hemisection (LC2H) to model spinal cord injury. At 6 weeks post-SCI, treatment (access to exercise wheel, repeated exposure to normobaric hypoxia at rest, or alternation of both) began in the surviving subjects (n=49). Despite initiation of treatment beyond the acute post-injury phase, High-Low therapy significantly improved respiratory function and prevented the development of SCI-associated anxiety-like behaviors. Notably, repeated in vivo exposure to normobaric hypoxia induced a shift in peripheral T cell profiles, characterized by increased CD4+ and reduced CD8+ expression. These findings indicate that combining repeated exposure to hypoxia with voluntary exercise as a therapy could promote recovery in the existing spinal cord-injured population. Collectively, this work provides a foundational first step for further investigation of High-Low training as a rehabilitation therapy for individuals living with SCI.

neuroscience↗

Peripheral B cell populations tune spontaneous neuronal activity in the uninjured hippocampus after stroke

B cells infiltrate the contralesional hippocampus following stroke, but whether lymphocytes modulate post-stroke plasticity and neuronal network function remains unknown. To identify immune cell mechanism(s) supporting remote plasticity, we examined the impact of B cell depletion on synaptic and neuronal activity in the hippocampal circuit following stroke. Basal synaptic transmission in the contralesional dentate gyrus (DG) following a stroke in adult male mice was decreased with B cell depletion. Expanding our studies to encompass the CA1 and DG regions of the hippocampal circuit in male and female mice of different ages, we utilized synapsin-Cre/GCaMP6s mice to visualize spontaneous calcium activity during a 3-week B cell depletion with and without prior stroke. Systemic B cell depletion in the absence of injury altered neuronal activity in the DG, suggesting a novel neuromodulatory role for circulating immune cells. Stroke increased Ca2+ transient amplitudes in the contralesional DG and CA1, with B cell depletion again reducing DG amplitudes while increasing the frequency of Ca2+ transients. Robust linear regression revealed significant main effects and higher-order interactions (depletionxsexxagexinjury), including increased Ca2+ transient amplitudes in older post-stroke mice lowered by systemic B cell depletion, though overall the DG appears more sensitive to modulation versus CA1. These results suggest that circulating B cells can tune hippocampal network activity dependent on age, sex, and the presence of brain injury. The selective vulnerability of the DG to depletion-age-injury interactions opens an avenue for future studies on region-specific neuroimmune crosstalk during post-stroke cognitive recovery. Presubmission inquiry for NeuronWe uncover crucial insights on the capacity of circulating B cells to directly modulate hippocampal network activity, showing that B cells are not just passive players, but active neuromodulators whose effects are dependent on sex, age, and stroke injury status. In fact, B cells are central players to functional recovery whose evolving role shifts over time, from acutely beneficial and neurotrophic to chronically maladaptive, depending on timing, context, and responding B cell subset. Our study demonstrates a mechanistic link between systemic immune modulation and neuronal calcium activity. This integrative perspective aligns with Neurons mission to publish studies that link cellular processes to systems-level functions. These novel findings also add to a more unified model of neuro-immune interactions that highlights how immunotherapies could be harnessed to improve neuronal function during stroke and aging, with several FDA-approved immunotherapeutics available to modulate systemic adaptive immune responses.

neuroscience↗

CNS-resident B cells develop locally into a pro-inflammatory age-associated phenotype during aging and after stroke

Aging and age-related diseases like ischemic stroke induce chronic lymphocyte recruitment into the central nervous system (CNS). Conflicting effects on post-stroke functional recovery, however, are secondary to the differences in responding lymphocyte populations that shift immunophenotype with both ischemic injury and age. To better define CNS-localized B cell subsets, we used flow cytometry, single-cell RNA sequencing, and B cell receptor sequencing on B cells isolated from uninjured and post-stroke brains of aged male and female mice. We identified a novel B1b cell progenitor pool distinct from canonical pleural and peritoneal B1 niches. Trajectory analysis showed B1b progenitors transition into age-associated B cell (ABC) subsets, and clonal expansion of IgM+ ABCs (ABC/B1b) and plasma cells following ischemic stroke. We also confirmed analogous ABCs and developing B cell populations in post-mortem human parenchymal tissue isolated from aged brain donors. These studies reveal unique B cell populations that proliferate within the aging CNS and are associated with impaired post-stroke functional recovery in mice. Identification of inflammatory, CNS-resident ABC/B1b cells that are conserved across species is critical as they have the potential to be sequestered from peripheral immunotherapies and/or contribute to age-related neurodegenerative diseases.

neuroscience↗