Abstract:Objective To explore the role of roundabout guidance receptor 4 (Robo4) in M1/M2 polarization of microglia after cerebral ischemia-reperfusion injury (CIRI).Methods Sixty SD rats were selected and divided into Sham group, transient middle cerebral artery occlusion/reperfusion (tMCAO/R) group, tMCAO/R combined with Robo4 negative control lentiviral vectors ( tMCAO/R + Lv-scramble) group, and tMCAO/R combined with Robo4 overexpression lentiviral vectors (tMCAO/R + Lv-Robo4) group via the random number table method, with 15 rats in each group. The tMCAO/R + Lv-scramble group and the tMCAO/R + Lv-Robo4 group were injected with 5 μL of Lv-scramble (4×108 TU/mL) or Lv-Robo4 (1×109 TU/mL) 7 days before the induction of tMCAO. After 24 hours of tMCAO/R induction, the Longa score was applied to evaluate neurological deficits of rats. Besides, the cerebral infarct size was measured via the 2, 3, 5-triphenyltetrazolium chloride (TTC) method after 5 days of tMCAO/R induction. Quantitative real-time polymerase chain reaction (qRT-PCR) and Western blot were used to detect the expression of Robo4 in brain tissues, and the expressions of M1 microglia markers (iNOS and CD86), M2 microglia markers (Arg-1 and CD206) and proteins associated with the Notch signaling pathway (Notch-1, Hes1 and Hes5) were detected by Western blotting. The levels of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), interleukin-10 (IL-10) and transforming growth factor-β (TGF-β) were detected by ELISA.Results Compared with the Sham group, the tMCAO/R group had higher Longa score, larger cerebral infarction size, higher protein expressions of iNOS, CD86, Arg-1, CD206, Notch-1, Hes1 and Hes5 in the brain tissues, higher levels of TNF-α, IL-1β, IL-10 and TGF-β, and lower expressions of Robo4 (P < 0.05). Compared with the tMCAO/R + Lv-scramble group, the tMCAO/R + Lv-Robo4 group had lower Longa score, smaller cerebral infarct size, lower protein expressions of iNOS, CD86, Notch-1, Hes1 and Hes5 in the brain tissues, lower levels of TNF-α and IL-1β, higher expressions of Robo4, higher protein expressions of Arg-1 and CD206, and higher levels of IL-10 and TGF-β (P < 0.05).Conclusions Robo4 regulates the polarization of microglia after CIRI through the Notch signaling pathway, thereby promoting the recovery of neurological function.