Several studies suggest the involvement of the complement system in th
e pathophysiology of traumatic brain injury (TBI). Since the intrathec
al generation of anaphylatoxin C5a has been shown to mediate inflammat
ory effects within the central nervous system, we sought to characteri
ze the cellular expression of the mRNA for the C5a receptor (C5aR, CD8
8) in brains of rats with experimental diffuse axonal injury (DAI) by
in situ hybridization. Infiltrating leukocytes expressing C5aR mRNA we
re seen in meninges and lateral ventricles as early as 4 h after induc
tion of DAI. The number of infiltrating C5aR-positive cells increased
gradually up to 24 h after trauma. Within the brain parenchyma, up-reg
ulation of C5aR mRNA expression was first seen in cerebellar Purkinje
cells within 8 h. At 24 h after TBI, expression of C5aR mRNA was wides
pread bilaterally throughout the cortex and cerebellum, the cellular e
xpression being restricted to pyramidal neurons and Purkinje cells. Th
e intensity of C5aR transcript signals on neurons increased further up
to 96 h after trauma. Ligand binding of C5a to its receptor on neuron
s might mediate previously unknown functions, thus possibly leading to
neurotoxicity and secondary neuronal damage after TBI. (C) 1997 Elsev
ier Science B.V.