Abstract:Objective To observe the effects of exosomal microRNA (miR)-124 on microglial activation and inflammation of spinal cord in rats with acute traumatic spinal cord injury (ASCI).Methods Ten of the 35 rats were randomly selected as the sham operation group, where excision of vertebral plates was performed to expose the spinal cord. The rest 25 rats were used to establish the ASCI models, and the 20 rats successfully modeled were randomly divided into ASCI group and experimental group, each with 10 rats. Exosomes containing miR-124 were isolated and used for subsequent experiments after identification. Twenty-four hours after modeling, the experimental group was injected with 3×109 particles of exosomes via the tail vein, and the sham group and the ASCI group were injected with the same amount of PBS solution. The expression of miR-124 in spinal cord tissues was detected by quantitative real-time polymerase chain reaction. The proportion of microglia in spinal cord tissues was detected by flow cytometry. The levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and interleukin-8 (IL-8) in spinal cord tissues were detected by ELISA. The protein expression levels of nucleotide-binding oligomerization domain-like receptor 3 (NLRP3), Caspase-1, and P2X7 in the spinal cord tissues were detected by Western blotting.Results The relative expression of miR-124 was higher in the transfection group than that in the blank group (P < 0.05). Compared with the sham group and the ASCI group, the expression of miR-124 in the spinal cord of the experimental group was increased (P < 0.05). Compared with the sham group, the proportions of Iba-1+/CD32+ and Iba-1+ /CD206+ cells in the spinal cord tissues of the ASCI group were increased (P < 0.05). Compared with the ASCI group, the proportion of Iba-1+/CD32+ cells in the spinal cord tissues was decreased (P < 0.05), while the proportion of Iba-1+/CD206+ cells in the spinal cord tissues was increased in the experimental group (P < 0.05). Compared with the sham group, the levels of TNF-α, IL-6, and IL-8 in the spinal cord of the ASCI group were increased (P < 0.05). Compared with the ASCI group, the levels of TNF-α, IL-6, and IL-8 in the spinal cord of the experimental group were decreased (P < 0.05). Compared with the sham group, the expressions of NLRP3, Caspase-1 and P2X7 in the spinal cord of the ASCI group were increased (P < 0.05). Compared with the ASCI group, the expressions of NLRP3, Caspase-1, and P2X7 in the spinal cord of the experimental group were decreased (P < 0.05).Conclusions Exosomal miR-124 can promote the conversion of M1 microglia to M2 microglia and ameliorate the inflammation in the spinal cord of ASCI rats. It is speculated that its mechanism is related to the inhibition of P2X7-NLRP3/Caspase-1 signaling pathway.