Review Article

Cytokine and Growth Factor Activation In Vivo and In Vitro after Spinal Cord Injury

Table 1

Cytokines and chemokines after SCI.

ItemDetection timeframeRolesReference

IL-1α(i) Early 15 min, PL at 6 h AI(i) Important alarmin that induces inflammatory response 
(ii) Enhances vascular permeability 
(iii) Augments lymphocyte recruitment
[7, 88, 163]

IL-1β(i) Its production starts from 3 to 24 h, PL 12 h AI 
(ii) Upregulation at 14 days
(i) Astrocytic glutamate transporter inhibitor 
(ii) Vascular permeability enhancer and lymphocyte recruiter 
(iii) Low concentrations: 
 (a) Induces adhesion molecules 
 (b) Increases neurotrophin expression  
 (c) Mediates leukocyte activation/recruitment 
(iv) High concentrations activate the expression of NFκβ, AP1, ATF, COX-2, iNOS, and proinflammatory proteases in astrocytes, neutrophils, monocytes, and microglia
[104, 163]

IL-6(i) Early production at 15 min AI and could be found up to 3–24 h AI  
(ii) Detected serum levels 1 h AI, PL 24 h
(i) Activates PMN, macrophages, and microglia 
(ii) Induces the following: 
 (a) iNOS enzyme in astrocytes, neutrophils, monocytes, and microglia 
 (b) IL-17 production 
(iii) IL1β-like effects
[118, 136, 137]

TNFα(i) Early production at 15 min AI  
(ii) Upregulated 1–3 h AI with PL at 1–3 days AI
(i) Principal promoter of Wallerian degeneration 
(ii) Promotes immediate neutrophil recruitment to lesion site by the induction of adhesion molecules and IL-8 release  
(iii) iNOS induction in microglia, astrocytes, neutrophils, and monocytes
[118, 136, 137, 148, 182184]

LIF (i) Upregulated from 3 to 24 h AI(i) Microglia/macrophage activator 
(ii) Overexpression increases macrophage/microglia proliferation and astrocytic activation
[24, 101]

IFNγ(i) Detected from 1 to 12 h AI(i) TCD8+ cytolytic response induction 
(ii) Principal inductor of MHCI (STAT1 phosphorylation) 
(iii) Promotes the following: 
 (a) Proinflammatory cytokines and chemokines 
 (b) CNS macrophage recruitment 
 (c) Activation of CNS resident and infiltrating APC populations 
(iv) Low concentrations promote synaptic circuitry homeostasis
[118, 192]

IL-4(i) High levels 24 h AI, concentrations remain during 7 days and decrease 3 days AI(i) Neuroinflammatory regulation in various pathological conditions  
(ii) Confers regenerative properties to macrophages  
(iii) Controls free radical production in peripheral macrophages and microglia
[166, 193199]

IL-13(i) Detected 1 day AI(i) Macrophage activation onto M2 phenotype[166, 199]

IP-10/CXCL10(i) Expressed locally 30 min AI, increases at 1 h, PL at 6 h. Remains increased up to 5 days and decreases to the baseline by day 14(i) Recruits CD4 Th1 cells via CXCR3AR 
(ii) Inhibits angiogenesis, growth, and chemotaxis of endothelial cells via the CXCR3BR
[95, 184, 200]

IL-17(i) Detected from 1 h AI, PL at 24 h, and barely detected up to 72 h AI(i) Inflammation in autoimmune diseases[201204]

MIP-1α/CCL4(i) Locally produced from 30 to 60 min AI, PL 3–6 h, decreases by 1 day and remains barely detected up to 24 days AI(i) Macrophage infiltration[200, 205207]

MIP-1β(i) Detected 3–6 days AI, remains barely detected up to 
(ii) 24 days AI
(i) Macrophage infiltration[200, 205207]

MCP1/CCL2(i) Detected from 1 h AI with PL at 24 h and remains low up to 24 days AI (i) Macrophage and PMN infiltration mediator[106, 184, 200, 205, 206]

min: minutes; AI: after injury; PL: peak levels.