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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Aging Neurosci.</journal-id>
<journal-title>Frontiers in Aging Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Aging Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1663-4365</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnagi.2021.645649</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Transcriptome Analysis of Microglia Reveals That the TLR2/IRF7 Signaling Axis Mediates Neuroinflammation After Subarachnoid Hemorrhage</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Xu</surname> <given-names>Shenbin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/751530/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Mei</surname> <given-names>Shuhao</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1114135/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Lu</surname> <given-names>Jianan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wu</surname> <given-names>Haijian</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/959478/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Dong</surname> <given-names>Xiao</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1303327/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Shi</surname> <given-names>Ligen</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/885507/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhou</surname> <given-names>Jingyi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhang</surname> <given-names>Jianmin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c003"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/501180/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Brain Research Institute, Zhejiang University</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Collaborative Innovation Center for Brain Science, Zhejiang University</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Shuo Wang, Capital Medical University, China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Jianhua Peng, The Affiliated Hospital of Southwest Medical University, China; Myoung-gwi Ryou, Tarleton State University, United States</p></fn>
<corresp id="c001">&#x002A;Correspondence: Ligen Shi, <email>slg0904@zju.edu.cn</email></corresp>
<corresp id="c002">Jingyi Zhou, <email>2503027@zju.edu.cn</email></corresp>
<corresp id="c003">Jianmin Zhang, <email>zjm135@zju.edu.cn</email></corresp>
<fn fn-type="other" id="fn002"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>13</volume>
<elocation-id>645649</elocation-id>
<history>
<date date-type="received">
<day>23</day>
<month>12</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>04</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2021 Xu, Mei, Lu, Wu, Dong, Shi, Zhou and Zhang.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Xu, Mei, Lu, Wu, Dong, Shi, Zhou and Zhang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Microglia-mediated neuroinflammatory response in the early brain injury after subarachnoid hemorrhage (SAH) has been reported to have an impact on progress, and the mechanism is not completely understood. Here, we performed genome-wide transcriptome analysis of microglia purified from damaged hemisphere of adult mice at 3 days after SAH or sham operation. Robust transcriptional changes were observed between SAH-induced and healthy microglia, indicating rapid activation of microglia after suffering from SAH. We identified 1576 differentially expressed genes (DEGs; 928 upregulated and 648 downregulated) in SAH-induced microglia compared with sham microglia, representing a strong alteration of the genome (6.85% of total &#x223C;23,000 genes). Functional enrichment of these DEGs indicated that cell division, inflammatory response, cytokine production, and leukocyte chemotaxis were strongly activated in SAH-induced microglia. Moreover, we identified and proved that the TLR2/IRF7 signaling axis was involved in the regulation of this microglia-mediated inflammation in SAH mice by performing flow cytometry and immunofluorescence. Together, these results provided a perspective of microglia-mediated neuroinflammatory response in the early stage of SAH and might give a new therapeutic target for SAH.</p>
</abstract>
<kwd-group>
<kwd>subarachnoid hemorrhage</kwd>
<kwd>microglia</kwd>
<kwd>flow cytometry</kwd>
<kwd>bulk RNA-seq</kwd>
<kwd>early brain injury</kwd>
</kwd-group>
<counts>
<fig-count count="5"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="47"/>
<page-count count="11"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1">
<title>Introduction</title>
<p>Subarachnoid hemorrhage (SAH), which is mainly caused by intracranial aneurysm rupture, is a severe subtype of stroke with high mortality, disability, and poor outcomes (<xref ref-type="bibr" rid="B20">Macdonald and Schweizer, 2017</xref>). It accounts for 5% of strokes and has an annual incidence of 6&#x2013;10 cases per 100,000 persons (<xref ref-type="bibr" rid="B2">Amodio et al., 2020</xref>; <xref ref-type="bibr" rid="B20">Macdonald and Schweizer, 2017</xref>). Early brain injury (EBI), which occurs in the first 72 h after bleeding, has been considered as the most important pathophysiological mechanism contributing to delayed cerebral ischemia and poor prognosis (<xref ref-type="bibr" rid="B27">Rass and Helbok, 2019</xref>). EBI is associated with many pathological processes, such as neuroinflammation, brain edema, global ischemia, and excitotoxicity (<xref ref-type="bibr" rid="B12">Fujii et al., 2013</xref>). Among them, neuroinflammation are considered to play a crucial role in EBI (<xref ref-type="bibr" rid="B12">Fujii et al., 2013</xref>). Microglia, the main resident immune cells in the central nervous system (CNS), is the most significant mediator in neuroinflammation. They constantly surveil the microenvironment and respond to damage and pathogens, acting as double-edged swords in different pathological states (<xref ref-type="bibr" rid="B37">Soulet and Rivest, 2008</xref>; <xref ref-type="bibr" rid="B17">Liu et al., 2019</xref>).</p>
<p>In the context of SAH, remarkable accumulation of microglia was observed within the first 3 days (<xref ref-type="bibr" rid="B47">Zheng et al., 2020</xref>) and lasted 28 days after bleeding (<xref ref-type="bibr" rid="B30">Schneider et al., 2015</xref>). In the acute phase, microglia are activated and secrete cytokines [e.g., interleukin-1&#x03B2; (IL-1&#x03B2;), IL-6, and tumor necrosis factor-&#x03B1; (TNF-&#x03B1;)], chemokines, and other potentially toxic chemicals, leading to inflammatory response and cell death (<xref ref-type="bibr" rid="B30">Schneider et al., 2015</xref>). However, microglia are also responsible for phagocytosis and clearance of blood and cell debris, indicating that microglia exhibit neuroprotective functions after bleeding (<xref ref-type="bibr" rid="B29">Schallner et al., 2015</xref>). Given the complex function of microglia, the specific role and underlying mechanisms of microglia in SAH remain largely obscure.</p>
<p>Toll-like receptors (TLRs), a class of pattern recognition receptors (PRRs) that are highly enriched in microglia, recognize the pathogen-associated molecular pattern (PAMP) ligands and the endogenous danger-associated molecular pattern (DAMP) ligands. Under pathological conditions, microglia initiate innate immune response <italic>via</italic> TLRs (<xref ref-type="bibr" rid="B15">Lalancette-Hebert et al., 2017</xref>). A previous study has shown that soluble TLR2 is elevated in cerebrospinal fluid (CSF) in patients with SAH (<xref ref-type="bibr" rid="B35">Sokol et al., 2016</xref>). 6-MP and glycyrrhizin treatment can attenuate TLR2 expression and SAH-induced brain injury (<xref ref-type="bibr" rid="B6">Chang et al., 2014</xref>, <xref ref-type="bibr" rid="B7">2015</xref>). Additionally, TLR2 stimulation increases the leukocytosis in the CSF and blood flowing through choroid plexus (<xref ref-type="bibr" rid="B28">Rayasam et al., 2020</xref>). Interferon regulatory factor 7 (IRF7) is a multifunctional transcription factor that can be activated by PRRs (<xref ref-type="bibr" rid="B25">Ning et al., 2011</xref>). TLR2 can activate IRF7 in inflammatory monocytes and bone marrow-derived macrophages (<xref ref-type="bibr" rid="B3">Barbalat et al., 2009</xref>; <xref ref-type="bibr" rid="B10">Dietrich et al., 2010</xref>). Moreover, IRF7 participates in the M1-like microglial polarization switch (<xref ref-type="bibr" rid="B41">Tanaka et al., 2015</xref>). In conclusion, the TLR2/IRF7 signaling pathway may have influence on neuroinflammation. However, its exact function in mediating microglia, under SAH condition, is largely unknown.</p>
<p>To understand the microglial transcriptional changes after SAH and its potential role in SAH, we performed genome-wide transcriptome analysis of microglia isolated from damaged hemispheres of adult mice 3 days post-SAH and sham operation. We explored the functional implications of microglia in response to SAH and found that the microglia involved in neuroinflammation may be regulated by the TLR2/IRF7 signaling pathway.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>Animal</title>
<p>Eight- to 10-week-old male C57BL/6 mice (SLAC Laboratory Animal Co., Ltd., Shanghai, China) were housed in a temperature- and humidity-controlled room under a 12-h day/night cycle and had free access to food and water. All protocols were approved by the Institutional Ethics Committee of the Second Affiliated Hospital, Zhejiang University School of Medicine. The animal experiments were performed according to the National Institutes of Health&#x2019;s Guide for the Care and the Use of Laboratory Animals and the ARRIVE (Animal Research: Reporting <italic>in vivo</italic> Experiments) guidelines.</p>
</sec>
<sec id="S2.SS2">
<title>Microglia Depletion</title>
<p>As previously described, PLX3397 (Selleckchem, Houston, TX, United States) was formulated in AIN-76 A standard chow at a concentration of 290 ppm. Mice were fed with PLX3397 chow for 21 consecutive days (<xref ref-type="bibr" rid="B24">Najafi et al., 2018</xref>) until the end of experiments.</p>
</sec>
<sec id="S2.SS3">
<title>SAH Model</title>
<p>The endovascular perforation model was established as previously described (<xref ref-type="bibr" rid="B23">Muroi et al., 2015</xref>). Briefly, mice were anesthetized with pentobarbital sodium (40 mg/kg) <italic>via</italic> intraperitoneal injection. Left carotid artery and its bifurcation were exposed. Then, 5-0 sharpened nylon suture was inserted into the internal carotid artery (ICA) from the external carotid artery. Then, the suture was pushed until the tip reached the intracranial bifurcation of anterior cerebral artery and middle cerebral artery. The suture was pushed 1 mm further to perforate the vessel. The mice in the sham group underwent the same procedures except perforation. Since all procedures were performed on the left side, we collected the left hemisphere for all downstream experiments. Additionally, we assessed the degree of SAH <italic>via</italic> the grading system as previously described (<xref ref-type="bibr" rid="B38">Sugawara et al., 2008</xref>).</p>
</sec>
<sec id="S2.SS4">
<title>Neurological Assessment</title>
<p>Modified Garcia test (range, 0&#x2013;18) was used to assess the short-term neurological performance, by evaluating spontaneous activity, climbing, forelimb stretching, spontaneous movements of all limbs, body proprioception, and response to vibrissae touch (<xref ref-type="bibr" rid="B32">Shi et al., 2018</xref>).</p>
</sec>
<sec id="S2.SS5">
<title>Adhesive Removal Test</title>
<p>To access the motor coordination and sensory neglect after SAH, adhesive test was performed following previous studies (<xref ref-type="bibr" rid="B5">Bouet et al., 2009</xref>). Small adhesive tape strips (2 mm &#x00D7; 3 mm) were applied to mice forepaws. Contact time and removal time were recorded with a maximum observation time of 120 s.</p>
</sec>
<sec id="S2.SS6">
<title>Fluorescence-Activated Cell Sorting and Flow Cytometry</title>
<p>Mice were anesthetized with 40 mg/kg of pentobarbital sodium and transcardially perfused with ice-cold PBS. Brain tissues were obtained, and cerebrum was dissected and separated into ipsilateral and contralateral hemispheres. Ipsilateral hemispheres were mechanically dissociated using a razor blade and placed in a 15-ml conical tube with digestion solution [0.6 mg/ml of collagenase D (Sigma)]. Then, the mixture were incubated for 30 min at 37&#x00B0;C. After that, a 70-&#x03BC;m strainer was used to generate a single-cell suspension (BD FALCON). Cells were isolated by centrifugation (30 min, 800 &#x00D7; <italic>g</italic> at 23&#x00B0;C) using 30&#x2013;70% Percoll gradient solutions (GE Healthcare) (<xref ref-type="bibr" rid="B1">Agalave et al., 2020</xref>). Isolated cells were washed and resuspended in PBS with 0.01% bovine serum albumin (BSA) and then incubated with indicated anti-mouse antibodies for 30 min at 4&#x00B0;C [rat anti-mouse CD45 PerCP (BD Bioscience) and rat anti-mouse CD11b FITC (BD Bioscience)]. The population of microglia (CD45 positive and CD11b positive) was sorted.</p>
<p>In flow cytometry, rat anti-mouse Ly6G PE and rat anti-mouse Ly6C APC (BD Bioscience) antibodies were used and incubated with CD45 perCP and CD11b FITC.</p>
</sec>
<sec id="S2.SS7">
<title>RNA Extraction and Sorted Microglia Sequencing</title>
<p>Total RNA from microglia sorted by FACS was isolated using TRIzol (Invitrogen, CA, United States) according to the manufacturer&#x2019;s protocol. The total RNA quantity and purity were checked by an Agilent 2100 bioanalyzer. High-quality samples (RIN number &#x003E; 6.8) were used for downstream sequencing. Sequence libraries were constructed according to the standard SMART-seq protocol, and paired-end sequencing was performed with Illumina Novaseq 6000 (LC Bio) following the vendor&#x2019;s recommended protocol. Prior to assembly, low-quality reads that contain sequencing adaptors, sequencing primers, or low-quality nucleotides, were removed. The sequence quality was also checked with FastQC. HISAT was used to align and map reads to the UCSC<sup><xref ref-type="fn" rid="footnote1">1</xref></sup> GRCm38 mouse reference genome. The mapped reads of each sample were assembled using StringTie. Then, all transcriptomes from the samples were merged to reconstruct a comprehensive transcriptome using perl scripts. After the final transcriptome was generated, StringTie and edgeR were used to estimate the expression levels of all transcripts. StringTie was used to perform expression level for mRNAs by calculating Fragment per Kilobase of transcript per Million mapped reads (FPKM). All raw sequence data have been uploaded to GSE167957.</p>
</sec>
<sec id="S2.SS8">
<title>RNA-Seq Data Analysis</title>
<p>The expression matrixes were counter-checked to determine if there were any systematic errors or batch effects. The sva R package was used for identifying, estimating, and removing batch effects (<xref ref-type="bibr" rid="B16">Leek et al., 2012</xref>). The differentially expressed genes (DEGs) were selected with fold change &#x003E; 2 or fold change &#x003C; &#x2212;2 and with statistical significance (Benjamini&#x2013;Hochberg adjusted <italic>p</italic>-value &#x003C; 0.01) by DESeq2 package (<xref ref-type="bibr" rid="B18">Love et al., 2014</xref>). FPKM were used for gene expression and were log2(<italic>x</italic> + 1) transformed. Principal components analysis (PCA) was performed on normalized counts. R package pheatmap was used to generate heatmap.</p>
<p>Functional enrichment analysis was conducted using <italic>Metascape</italic><sup><xref ref-type="fn" rid="footnote2">2</xref></sup> (<xref ref-type="bibr" rid="B4">Bhattacharya et al., 2018</xref>). All genes in mouse genome were used as background genes, and the default settings were used as enrichment criteria (minimum overlap = 3, <italic>P</italic>-value cutoff = 0.01, minimum enrichment score = 1.5). A gene ontology term was considered activated/increased with a <italic>z</italic>-score &#x003E; 2 and a <italic>p</italic>-value &#x003C; 0.01, and was predicted inhibited/decreased with a <italic>z</italic>-score &#x003C; &#x2212;2 and a <italic>p</italic>-value &#x003C; 0.01.</p>
<p>Transcription factors (TFs) of selected DEGs were predicted using IRegulon plugin in Cytoscape (<xref ref-type="bibr" rid="B13">Janky et al., 2014</xref>). TFs were ranked by normalized enrichment score (NES), and NES &#x003E; 3 was set as threshold.</p>
<p>The protein&#x2013;protein interaction (PPI) network of selected DEGs was established using The Search Tool for the Retrieval of Interacting Genes (STRING<sup><xref ref-type="fn" rid="footnote3">3</xref></sup>) (<xref ref-type="bibr" rid="B40">Szklarczyk et al., 2015</xref>) and then visualized in Cytoscape (<xref ref-type="bibr" rid="B31">Shannon et al., 2003</xref>). A combined score &#x003E; 0.4 was set as a significant threshold. Furthermore, CytoHubba, a Cytoscape plugin, was used to explore hub genes in the constructed PPI network, and the top 10 genes were displayed based on degree method.</p>
</sec>
<sec id="S2.SS9">
<title>Immunofluorescence Staining</title>
<p>Immunofluorescence staining was performed as described previously (<xref ref-type="bibr" rid="B19">Lu et al., 2019</xref>). In brief, mice were sacrificed and transcardially perfused with 0.9% NaCl, followed by 4% paraformaldehyde. Brain tissues were harvested and immersed in 4% paraformaldehyde for 24 h and then cryoprotected in 30% sucrose solution. Frozen serial coronal brain sections (9 &#x03BC;m) were prepared and fixed on slides. Slices were blocked with 5% donkey serum for 1 h and then incubated at 4&#x00B0;C overnight with primary antibodies, including goat anti-Iba1 antibody (1:500, Abcam, ab5076), rabbit anti-Tlr2 antibody (1:100, Abcam, ab209216), and mice anti-Irf7 antibody (1:200, Santa Cruz, sc-74471). After washing, the cryosections were incubated at 37&#x00B0;C for 1 h with the following secondary antibodies: donkey-anti-goat IgG(H + L) Alexa Fluor 594 (1:500, Thermo Fisher, A-11058), donkey-anti-rabbit IgG (H + L) Alexa Fluor 488 (1:500, Thermo Fisher, A-21206), and goat-anti-mouse IgG (H + L) Alexa Fluor 488 (1:500, Thermo Fisher, A-11001). Finally, the sections were observed and images were taken using an Olympus fluorescence microscope (Olympus Co., Japan).</p>
</sec>
<sec id="S2.SS10">
<title>Statistical Analysis</title>
<p>RNA-seq data were analyzed as mentioned above. For other data, the statistical analyses were conducted using R software (version 3.6.3) and GraphPad Prism (version 8.0.2). Student&#x2019;s <italic>t</italic>-test and the Kruskal&#x2013;Wallis test were employed in the two-group comparisons. A two-tailed <italic>P</italic>-value of &#x003C;0.05 was considered statistically significant without specific annotation.</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3.SS1">
<title>Microglia Lead to Poor Neurological Outcome in Acute Stage After SAH</title>
<p>At first, we induced SAH in adult C57BL/6 mice; the neurological scores and behavior tests were assessed in both SAH and sham group (<xref ref-type="fig" rid="F1">Figure 1A</xref>). At 24 and 72 h after SAH, the average neurological scores were 11.714 &#x00B1; 0.881 and 14.167 &#x00B1; 1.675, respectively. SAH mice showed worse neurological scores than the sham group (<italic>p</italic> &#x003C; 0.001; <xref ref-type="fig" rid="F1">Figure 1B</xref>). At 24 h after SAH, compared with the sham group, SAH mice showed significantly increased contact times and removal times, respectively (<italic>p</italic> &#x003C; 0.001; <xref ref-type="fig" rid="F1">Figures 1C,D</xref>). Similarly, at 72 h, increased contact times and removal times were observed in SAH mice compared to sham mice (<italic>p</italic> &#x003C; 0.001; <xref ref-type="fig" rid="F1">Figures 1C,D</xref>). Representative images of Iba1 staining in cortex, striatum, and hippocampus are shown in <xref ref-type="fig" rid="F1">Figure 1E</xref>. Significant morphological changes, like larger bodies, thicker pseudopodia, and ameboid morphology, were displayed in SAH mice, indicating microglia activation at 72 h after SAH.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Microglia lead to poor neurological outcome in acute stage after SAH. <bold>(A)</bold> Schematic diagram of experimental design. <bold>(B)</bold> Comparison of neurologic deficit scores among sham and SAH groups at 1 and 3 days after SAH. <bold>(C,D)</bold> Comparison of adhesive removal test results among sham and SAH groups at 1 and 3 days after SAH. <bold>(E)</bold> Immunofluorescence staining results of microglia in sham and SAH mice at 3 days after SAH, <italic>n</italic> = 3 per mice group. <bold>(F)</bold> Schematic diagram of microglia clearance. <bold>(G)</bold> Flow cytometry results proved that PLX3397 can clear microglia cells. <bold>(H)</bold> Immunofluorescence staining results of microglia in SAH mice fed with PLX3397 or control diet at 3 days after SAH. <bold>(I)</bold> Comparison of neurologic deficit scores among control diet and PLX3397 groups at 3 days after SAH. <bold>(J,K)</bold> Comparison of adhesive removal test results among control diet and PLX3397 groups at 3 days after SAH. SAH, subarachnoid hemorrhage; &#x002A;<italic>P</italic> &#x003C; 0.05, &#x002A;&#x002A;&#x002A;<italic>P</italic> &#x003C; 0.001.</p></caption>
<graphic xlink:href="fnagi-13-645649-g001.tif"/>
</fig>
<p>To examine whether microglia play a detrimental role in SAH, we administrated the CSF1R inhibitor PLX3397 or control diet in chow to deplete microglia (<xref ref-type="fig" rid="F1">Figure 1F</xref>). The number of microglia (CD45<sup><italic>low</italic></sup>/CD11b<sup>+</sup>) was assessed through flow cytometry. Administration of PLX3397 to sham mice resulted in an 65% reduction in microglia compared to control mice (<italic>p</italic> &#x003C; 0.0001; <xref ref-type="fig" rid="F1">Figure 1G</xref>). Next, we induced SAH in mice pretreated with PLX3397 or control diet, and maintained their chow until sacrifice (<xref ref-type="fig" rid="F1">Figure 1F</xref>). Immunofluorescence showed that the number of microglia in the PLX3397-fed group was significantly lower than the control diet group at 72 h after SAH (<xref ref-type="fig" rid="F1">Figure 1H</xref>). PLX3397 treatment had no apparent effect on the neurological scores at 72 h after SAH (<xref ref-type="fig" rid="F1">Figure 1I</xref>). In the adhesive removal test, there was no difference in average contact times between the PLX3397-fed group and the control diet group (<xref ref-type="fig" rid="F1">Figure 1J</xref>). However, PLX3397-fed mice spent less time removing the tape at 72 h after SAH compared with the control diet group (<italic>p</italic> &#x003C; 0.05; <xref ref-type="fig" rid="F1">Figure 1K</xref>). Taken together, these data suggested that microglia were activated after SAH, and they may positively correlate with neurological dysfunction.</p>
</sec>
<sec id="S3.SS2">
<title>SAH Induces Strong Transcriptomic Alterations in Microglia</title>
<p>To elucidate the functional roles of microglia after SAH, we used FACS to purify the microglia population (CD45<sup>+</sup>/CD11b<sup>+</sup>) from the brains of mice 72 h after SAH or sham operation. Sorted microglia cells were subjected to bulk RNA-seq (<xref ref-type="fig" rid="F2">Figure 2A</xref>). We confirmed the high expression level of microglial marker in FACS-sorted cells, such as <italic>Itgam</italic> (encoding CD11b), <italic>Cx3cr1</italic>, <italic>Aif1</italic> (encoding Iba1), <italic>Csf1r</italic>, <italic>Mertk</italic>, <italic>Tmem119</italic>, <italic>Siglech</italic>, and <italic>P2ry12</italic> (<xref ref-type="fig" rid="F2">Figure 2B</xref>). The established markers of neurons (<italic>Map2</italic> and <italic>Rbfox3</italic>), astrocytes (<italic>S100b</italic> and <italic>Gfap</italic>), oligodendrocytes (<italic>Tppp3, Apc</italic>, and <italic>Cspg4</italic>), and other immune cells (<italic>Cd3e, Cd19, Ly6g, Mrc1</italic>, and <italic>Cd163</italic>) were all expressed at low level (<xref ref-type="fig" rid="F2">Figure 2C</xref>). The result of PCA performed on RNA-seq data showed that samples in the same group clustered together, and samples in different groups separated clearly (<xref ref-type="fig" rid="F2">Figure 2D</xref>), indicating robust transcriptomic differences between the SAH and Sham group.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Subarachnoid hemorrhage induces strong transcriptomic alterations in microglia. <bold>(A)</bold> Microglia cell sorting strategy. <bold>(B)</bold> mRNA expression levels of microglia marker genes. <bold>(C)</bold> mRNA expression levels of microglia (<italic>Aif1</italic>), neuron (<italic>Map2, Rabfox3</italic>), astrocyte (<italic>S100b</italic>, <italic>Gfap</italic>), ependymal cell (<italic>Tppp3</italic>), oligodendrocyte progenitor cells (<italic>Apc</italic>, <italic>Cspg4</italic>), T cell (<italic>Cd3e</italic>), B cell (<italic>Cd19</italic>), neutrophil (<italic>Ly6g</italic>), macrophage (<italic>Mrc1</italic>, <italic>Cd163</italic>), and marker genes. <bold>(D)</bold> PCA plots of microglia transcriptome sequencing results. <bold>(E)</bold> Volcano plots show the DEGs (fold change &#x003E; 2 or &#x003C;&#x2013;2, adj_pval &#x003C; 0.01) in microglia from SAH brain versus sham brain. <bold>(F)</bold> Shown are the percentages of significantly overrepresented GO terms. Twelve major clusters of functions were identified.</p></caption>
<graphic xlink:href="fnagi-13-645649-g002.tif"/>
</fig>
<p>Next, to determine the transcriptomic changes of microglia induced by SAH, differential expression analysis was performed. A total of 1576 genes were identified as DEGs (fold change &#x003E; 2 or &#x003C;&#x2212;2, Benjamini&#x2013;Hochberg adjusted <italic>p</italic>-value &#x003C; 0.01), which contained 928 upregulated genes and 648 downregulated genes in post-SAH microglia compared with sham hemispheres (<xref ref-type="fig" rid="F2">Figure 2E</xref> and <xref ref-type="supplementary-material" rid="TS1">Supplementary Table 1</xref>), indicating strong alterations of the genome (6.85% of total &#x223C;23,000 genes). To elucidate the functional alterations in post-SAH microglia, pathway enrichment analysis was performed on the DEGs by an online tool <italic>Metascape</italic>. Regulation of biological process (21.79%), immune system process (18.18%), and chemotaxis and adhesion (9.36%) accounted for a major proportion of GO terms obtained from <italic>Metascape</italic> (<xref ref-type="fig" rid="F2">Figure 2F</xref>). The top 20 clustered GO terms and specific GO terms obtained by <italic>Metascape</italic> are shown in <xref ref-type="supplementary-material" rid="TS1">Supplementary Tables 2</xref>, <xref ref-type="supplementary-material" rid="TS3">3</xref>, respectively.</p>
</sec>
<sec id="S3.SS3">
<title>Immune Response and Chemotaxis Were Activated in Post-SAH Microglia</title>
<p>We analyzed the biological processes related to <italic>immune inflammatory responses</italic> in microglia after SAH, and the Top 20 GO terms predicted to be activated (<italic>z</italic>-score &#x003E; 2) are shown in <xref ref-type="fig" rid="F3">Figure 3A</xref>. The inflammatory response, defense response, innate immune response, adaptive immune response, and neuroinflammatory response were all involved.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Immune response and chemotaxis term were activated in post-SAH microglia. <bold>(A)</bold> GO enrichment analysis was performed by Metascape on all DEGs in sham and SAH microglia. Shown are the <italic>z</italic>-scores of biological functions on inflammatory and immune response-related pathways. <bold>(B)</bold> Shown are the <italic>z</italic>-scores of biological functions on cytokine and chemokine-related pathways. <bold>(C)</bold> Expression profiles of DEGs (fold change &#x003E; 2, adj_pval &#x003C; 0.01) in SAH microglia related to leukocyte recruitment pathways. <bold>(D&#x2013;F)</bold> Flow cytometric analysis showed that the number of Ly6c+ and Ly6g+ cells increased after SAH, <italic>n</italic> = 4 per mice group. DEG, differentially expressed gene. &#x002A;<italic>P</italic> &#x003C; 0.05, &#x002A;&#x002A;&#x002A;<italic>P</italic> &#x003C; 0.001.</p></caption>
<graphic xlink:href="fnagi-13-645649-g003.tif"/>
</fig>
<p>As chemotaxis was a large cluster that participates in immune inflammatory response, we further compared the pathways that related to cytokines and chemokines. 17 GO terms were exhibited in <xref ref-type="fig" rid="F3">Figure 3B</xref>, all of them were predicted to be activated (<italic>z</italic>-score &#x003E; 2). We also screened the expression level of a panel of cytokine and chemokine genes (<xref ref-type="bibr" rid="B4">Bhattacharya et al., 2018</xref>), and there were 17 significantly upregulated genes. The upregulated genes involved seven chemokine-encoding genes (<italic>Cxcl1</italic>, <italic>Cxcl2</italic>, <italic>Cxcl3</italic>, <italic>Cxcl10</italic>, <italic>Cxcl11</italic>, <italic>Cxcl14</italic>, and <italic>Cxcl16</italic>), and 10 cytokine-encoding genes, such as <italic>Ccl6</italic>, <italic>Ccl9</italic>, <italic>Il1b</italic>, <italic>Il23a</italic>, <italic>Ifng</italic>, <italic>Il33</italic>, and <italic>Mif</italic> (<xref ref-type="fig" rid="F3">Figure 3C</xref>). These data indicated that a variety of pro-inflammatory cytokines and chemokines were released from post-SAH microglia, to recruit peripheral immune cells into brain parenchyma, and it also suggested that myeloid cells were the main target of upregulated cytokines and chemokines (<xref ref-type="fig" rid="F3">Figure 3C</xref>). Then, we detected the different populations of myeloid cells in ipsilateral hemispheres of SAH and sham mice by flow cytometry. Compared to sham mice, there were significant increases in the amount of infiltrating immune cells in post-SAH hemispheres, such as CD45<sup>+</sup>Ly6C<sup>+</sup>Ly6G<sup>&#x2013;</sup> monocytes (<italic>p</italic> &#x003C; 0.01) and CD45<sup>+</sup>Ly6C<sup>&#x2013;</sup>Ly6G<sup>+</sup> neutrophils (<italic>p</italic> &#x003C; 0.05) (<xref ref-type="fig" rid="F3">Figures 3D&#x2013;F</xref>).</p>
</sec>
<sec id="S3.SS4">
<title>Irf7 Is a Master Regulator Involved in the Post-SAH Microglia</title>
<p>Next, we investigated the DEGs involved in cytokine- and chemokine-related pathways. These upregulated products could also be defined as receptors (e.g., TLR2), cytokines (e.g., IFNG and IL1B), and chemokines (e.g., CXCL1 and CXCL10). The top 15 genes, including <italic>Ifng</italic>, <italic>Cxcl1</italic>, <italic>Cxcl10</italic>, <italic>Tlr2</italic>, and <italic>Il1b</italic>, were associated with at least three functional subcategories of cytokine- and chemokine-related pathways (<xref ref-type="fig" rid="F4">Figure 4A</xref>). In addition, we also screened out the genes that contribute multiple steps in immune inflammatory response, including inflammatory response, regulation of innate immune response, neuroinflammatory response, and so on (<xref ref-type="fig" rid="F4">Figure 4B</xref>). The products of these genes predicted to be active included TFs (e.g., NR1H3 and IRF7), receptors on the membrane (e.g., CD40 and TLR2), nuclear receptor (e.g., PLSCR1), enzyme (e.g., DNASE1L3), and inflammatory-related proteins (e.g., ADAM8, RSAD2, and ZBP1).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Irf7 is a transcription factor involved in the post-SAH microglia. <bold>(A)</bold> Circular plot showed the DEGs involved in cytokine- and chemokine-related pathways. <bold>(B)</bold> Circular plot showed the DEGs involved in inflammatory and immune response-related pathways. <bold>(C)</bold> Expression profiles of differentially expressed transcriptional factors (fold change &#x003E; 2, adj_pval &#x003C; 0.01) in SAH microglia. <bold>(D)</bold> Regulatory network of <italic>Irf7</italic>. <bold>(E)</bold> Shown are the <italic>z</italic>-scores of biological functions that are correlated with <italic>Irf7</italic>. <bold>(F)</bold> Immunofluorescence staining results of Irf7 and Iba1 in sham and ICH mice, <italic>n</italic> = 3 per mice group. DEG, differentially expressed gene.</p></caption>
<graphic xlink:href="fnagi-13-645649-g004.tif"/>
</fig>
<p>In order to investigate the upstream regulators of these biological processes, the interactions between all DEGs, which consisted of 985 nodes and 11,456 edges, were constructed based on STRING database (<xref ref-type="supplementary-material" rid="TS3">Supplementary Table 5</xref>). Then, the nodes related to high-frequency DEGs in <xref ref-type="fig" rid="F4">Figures 4A,B</xref> were retrieved, out of which 11 unigenes were TFs (<xref ref-type="fig" rid="F4">Figure 4C</xref>). In our dataset, the expression of <italic>Irf7</italic>, <italic>Spib</italic>, and <italic>Parp12</italic> were significantly upregulated, whereas <italic>Nfkb1</italic> was downregulated in post-SAH microglia. The upstream regulator analysis was performed by IRegulon, a plugin in Cytoscape. The top 10 potential TFs that target the selected DEGs are shown in <xref ref-type="table" rid="T1">Table 1</xref>. According to the transcriptional level and the results from IRegulon, IRF7 was predicted to be a potent master regulator of the transcriptional processes related to <italic>immune inflammatory response</italic> and <italic>chemotaxis</italic>. In the TF target gene network, IRF7 was predicted to target 19 genes in the selected high-frequency DEGs (e.g., <italic>Cd40</italic>, <italic>Il1b</italic>, <italic>Cxcl10</italic>, and <italic>Il23a</italic>) (<xref ref-type="fig" rid="F4">Figure 4D</xref>). Moreover, <xref ref-type="fig" rid="F4">Figure 4E</xref> demonstrated that IRF7 involved a GO term that was predicted to be activated. Using dual immunofluorescence staining of Iba1 and IRF7, we confirmed that IRF7 expression was induced in microglia at 72 h after SAH (<xref ref-type="fig" rid="F4">Figure 4F</xref>). IRF7 immunosignal was detected in the cortex from sham mice, while the IRF7 was hardly colocalized with Iba1.</p>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>Top 10 transcription factors obtained by IRegulon.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Transcription factor</td>
<td valign="top" align="center">NES</td>
<td valign="top" align="left">Target genes</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><italic>Irf8</italic></td>
<td valign="top" align="center">8.7502</td>
<td valign="top" align="left"><italic>Parp12, Zbp1, Tlr3, Atf3, Cxcl10, Cd40, Ccr7, Irf7, Ccl6, Ccr2, Tlr2, Mafb, Egr1, Nr3c1, Il33, Tslp, Rsad2</italic></td>
</tr>
<tr>
<td valign="top" align="left"><italic>Nfkb2</italic></td>
<td valign="top" align="center">8.20316</td>
<td valign="top" align="left"><italic>Cxcl10, Egr1, Nfkb1, Cd40, Cxcl1, Il1b, Cxcl3, Tslp, Ccr7, Atf3, Cxcl2, Spib, Smad7, Plscr1, Il23a, Tlr2, Csf1r, Mafb, Il33</italic></td>
</tr>
<tr>
<td valign="top" align="left"><italic>Irf7</italic></td>
<td valign="top" align="center">6, 986</td>
<td valign="top" align="left"><italic>Atf3, Tlr2, Cd40, Zbp1, Il23a, Irf7, Il33, Nr3c1, Cxcl10, Il1b, Tlr3, Parp12, Ccr7, Smad7, Mafb, Csf1r, Plscr1, Nfkb1, Ifng, Ccr2, Egr1, Rsad2, Ccl6, Ccl7, Tslp, Cxcl3, Cxcl1</italic></td>
</tr>
<tr>
<td valign="top" align="left"><italic>Homez</italic></td>
<td valign="top" align="center">4.708</td>
<td valign="top" align="left"><italic>Nr3c1, Egr1, Smad7, Mafb, Atf3, Csf1r, Ccr7, Nfkb1</italic></td>
</tr>
<tr>
<td valign="top" align="left"><italic>Cebpb</italic></td>
<td valign="top" align="center">4.674</td>
<td valign="top" align="left"><italic>Atf3, Smad7, Il23a, Ltf, Ddit3, Spib, Il1b, Ccr7, Cxcl1, Cxcl3, Tslp, Nfkb1, Egr1, Zbp1, Nr3c1, Il33</italic></td>
</tr>
<tr>
<td valign="top" align="left"><italic>Pbx1</italic></td>
<td valign="top" align="center">4.529</td>
<td valign="top" align="left"><italic>Smad7, Egr1, Ccr7, Atf3, Nr3c1, Mafb, Cxcl1, Nfkb1, Il33, Ccr2, Ltf, Ifng, Irg1, Tslp, Parp12, Tlr2, Zbp1, Tlr3, Cxcl3</italic></td>
</tr>
<tr>
<td valign="top" align="left"><italic>Yy1</italic></td>
<td valign="top" align="center">4.118</td>
<td valign="top" align="left"><italic>Egr1, Nr3c1, Tlr2, Mafb, Smad7, Ccr2, Il23a, Atf3, Zbp1</italic></td>
</tr>
<tr>
<td valign="top" align="left"><italic>Cebpa</italic></td>
<td valign="top" align="center">4.080</td>
<td valign="top" align="left"><italic>Il23a, Ddit3, Atf3, Ccr2, Il1b</italic></td>
</tr>
<tr>
<td valign="top" align="left"><italic>Tbx5</italic></td>
<td valign="top" align="center">4.042</td>
<td valign="top" align="left"><italic>Cxcr3, Ddit3, Nfkb1, Irf7, Ccr7, Nr3c1, Smad7, Plscr1, Atf3</italic></td>
</tr>
<tr>
<td valign="top" align="left"><italic>Scrt2</italic></td>
<td valign="top" align="center">3.999</td>
<td valign="top" align="left"><italic>Nfkb1, Ccr7, Nr3c1, Irf7</italic></td>
</tr>
</tbody>
</table></table-wrap>
</sec>
<sec id="S3.SS5">
<title>The TLR2/IRF7 Signaling Axis Potentially Mediates Neuroinflammation After SAH</title>
<p>Following SAH, microglia were activated to cope with the disruption of brain homeostasis. We examined the GO terms related to &#x201C;cellular response&#x201D; and found that response to stimulus (e.g., response to virus and response to external stimulus) and response to cytokines (e.g., response to interferon and response to macrophage colony-stimulating factor) were enriched in post-SAH microglia (<xref ref-type="fig" rid="F5">Figure 5A</xref>). We also examined SAH-induced gene expression changes of receptor on the membrane in microglia (<xref ref-type="fig" rid="F5">Figure 5B</xref>), most of which were upregulated (e.g., <italic>Bst1</italic>, <italic>Gpnmb</italic>, <italic>Fgr</italic>, and <italic>Tlr2</italic>). <xref ref-type="fig" rid="F5">Figure 5B</xref> also showed that several receptors participated in microglia &#x201C;cellular response,&#x201D; including response to external stimulus and response to interferon. Additionally, hub genes of the selected high-frequency genes were identified by CytoHubba, and the top 10 genes were calculated based on Degree algorithm (<xref ref-type="fig" rid="F5">Figure 5C</xref> and <xref ref-type="supplementary-material" rid="TS2">Supplementary Table 4</xref>). All of the hub genes were upregulated except <italic>Tlr3</italic>, and <italic>Irf7</italic> was the only one identified as TF. In addition, <italic>Tlr2</italic> was also regarded as a hub gene, and the interaction between TLR2 and IRF7 indicates that the TLR2/IRF7 signaling axis may mediate the immune inflammatory response and chemotaxis in post-SAH microglia. Furthermore, immunostaining confirmed that the expression of TLR2 was elevated and colocalized with Iba1 in post-SAH brain (<xref ref-type="fig" rid="F5">Figure 5D</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>TLR2/IRF7 signaling axis potentially mediates neuroinflammation after SAH. <bold>(A)</bold> GO enrichment analysis was performed by Metascape on all DEGs in sham and SAH microglia. Shown are the <italic>z</italic>-scores of biological functions on cell response-related pathways. <bold>(B)</bold> Expression profiles of DEGs (fold change &#x003E; 2, adj_pval &#x003C; 0.01) in SAH microglia related to cell response-related pathways. <bold>(C)</bold> Top 10 hub genes identified by CytoHubba. <bold>(D)</bold> Immunofluorescence staining results of Tlr2 and Iba1 in sham and SAH mice, <italic>n</italic> = 3 per mice group. DEG, differentially expressed gene.</p></caption>
<graphic xlink:href="fnagi-13-645649-g005.tif"/>
</fig>
</sec>
</sec>
<sec id="S4">
<title>Discussion</title>
<p>In this work, we presented, for the first time, genome-wide transcriptional analyses of microglia isolated from the brain at 72 h after SAH, compared with sham mice. The results demonstrated that (i) post-SAH microglia have robust transcriptomic changes that drive them into an activated state; (ii) transcriptional alteration contributes to SAH-induced neuroinflammation, especially the functional terms related to immune inflammatory response and chemotaxis; and (iii) the TLR2/IRF7 signaling axis may mediate the microglial activation.</p>
<p>Previous studies have reported that microglia contribute to both neuroinflammation and brain recovery, during the acute stage and recovery phase after stroke, respectively (<xref ref-type="bibr" rid="B14">Jiang et al., 2020</xref>; <xref ref-type="bibr" rid="B44">Xu et al., 2020</xref>). <xref ref-type="bibr" rid="B11">Elmore et al. (2014)</xref> found that microglia depletion by PLX3397 for either 21 days or 2 months does not affect learning, memory, motor function, or behavior in adult mice. Furthermore, the blood&#x2013;brain barrier (BBB) remains intact in microglia-depleted mice (<xref ref-type="bibr" rid="B11">Elmore et al., 2014</xref>). However, other researchers claimed that microglia depletion could have unexpected effects, including increased pro- and anti-inflammatory cytokines, circadian system disruption, and increased BBB leakage under hypoxia condition (<xref ref-type="bibr" rid="B21">Miron and Priller, 2020</xref>; <xref ref-type="bibr" rid="B36">Sominsky et al., 2021</xref>; <xref ref-type="bibr" rid="B46">Yegla et al., 2021</xref>). In our study, pharmacological depletion of microglia using PLX3397 ameliorates short-term neurological deficits in post-SAH mice, and long-term neurological functions still need to be tested.</p>
<p>Since microglia are heterogeneous cells, many specific markers are pathologically decreased. However, the expression level of CD45 is increased in injury conditions (<xref ref-type="bibr" rid="B26">Plemel et al., 2020</xref>). Therefore, we choose CD45<sup>+</sup>CD11b<sup>+</sup> to sort out microglia in this study.</p>
<p>We discovered dramatic transcriptomic changes between microglia in the post-SAH and sham mice. A total of 1576 DEGs were identified (6.85% of total &#x223C;23,000 genes), including 928 upregulated DEGs and 648 downregulated DEGs. The functional enrichment analysis showed that biological processes related to inflammatory response were significantly enriched, including inflammatory response, regulation of defense response, chemotaxis, leukocyte migration, cytokine production, and chemokine production. Flow cytometry data examined the infiltration of neutrophils and monocytes into the cortex at 72 h after SAH. These results suggested that microglia switched to pro-inflammatory state at 72 h after SAH compared to sham mice. As expected, this finding is consistent with previous studies that showed increased pro-inflammatory cytokines after SAH (<xref ref-type="bibr" rid="B47">Zheng et al., 2020</xref>). However, the underlying mechanisms of these processes remain elusive.</p>
<p>IRF7, as a TF, mainly plays a role in interferon production pathway. IRF7 is also involved in apoptosis and TLR4 pathway. According to the analysis conducted by IRegulon, IRF7 was predicted to be a master regulator whose targets are involved in immune response and cytokine production (e.g., <italic>Cd40</italic>, <italic>Il1b</italic>, <italic>Cxcl10</italic>, <italic>Ifng</italic>, <italic>Ccl6</italic>, <italic>Il33</italic>, and <italic>Tlr2</italic>). Besides, <italic>Irf7</italic> was also predicted to be a hub gene mediating inflammatory response and chemokines. We examined the protein expression level of IRF7 in post-SAH microglia. Some of these effects have been previously reported. <xref ref-type="bibr" rid="B34">Sin et al. (2020)</xref> reported that IRF7 promotes IL-1&#x03B2; production. CXCL10 production is IRF7-dependent in macrophages (<xref ref-type="bibr" rid="B42">Tsiantoulas et al., 2018</xref>). IRF7 also participates in monocyte differentiation and other inflammatory cytokine production (e.g., TNF-&#x03B1;, IL6, CCL2, and IL33) (<xref ref-type="bibr" rid="B25">Ning et al., 2011</xref>; <xref ref-type="bibr" rid="B39">Sun et al., 2014</xref>; <xref ref-type="bibr" rid="B33">Simons et al., 2019</xref>). <xref ref-type="bibr" rid="B41">Tanaka et al. (2015)</xref> demonstrated that the expression level of IRF7 increased during the M2 to M1-like switch in microglia. However, another study found that Irf7 expression induced by spinal cord injury reduced microglial pro-inflammatory activity (<xref ref-type="bibr" rid="B8">Cohen et al., 2014</xref>).</p>
<p>Toll-like receptor 2 (TLR2), a member of the TLR family, recognizes PAMPs and DAMPs, leading to upregulation of signaling pathways to modulate inflammatory response (<xref ref-type="bibr" rid="B15">Lalancette-Hebert et al., 2017</xref>). We observed an increasing expression level of <italic>Tlr2</italic> in microglia at 72 h after SAH, and it participated in biological processes, such as the cellular response to interferon, response to external stimulus, defense response, inflammatory response, cytokine production, and chemotaxis. According to the results from CytoHubba, <italic>Tlr2</italic> was confirmed as a hub gene in activating immune inflammatory response and pathways related to cytokines and chemokines. Consistent with the results of the present study, <xref ref-type="bibr" rid="B14">Jiang et al. (2020)</xref> have reported an elevated expression level of <italic>Tlr2</italic> in microglia purified from post-ischemic stroke mice. <xref ref-type="bibr" rid="B22">Mottahedin et al. (2019)</xref> and <xref ref-type="bibr" rid="B9">Deng et al. (2020)</xref> have demonstrated that TLR2 participates in microglia activation and peripheral immune cell infiltration in ischemic stroke. Administration of the inhibitor targeting TLR2 decreased the release of pro-inflammatory cytokines (<xref ref-type="bibr" rid="B43">Wang et al., 2020</xref>).</p>
<p>According to the results from the PPI network and CytoHubba calculation, we identified the TLR2/IRF7 signaling axis that potentially mediates an inflammatory response in microglia after SAH. As previous studies reported, TLR2 activation induces IFN <italic>via</italic> IRF7, leading to CXCL10 production (<xref ref-type="bibr" rid="B10">Dietrich et al., 2010</xref>).</p>
<p>Several limitations of our study should be noted. Firstly, bulk RNA-seq was performed on the sorted cells, which measured the average expression level in a sample, thus limiting us to distinguish the subpopulations of cells within each sample. Combining bulk RNA-seq with single-cell RNA-seq technology may help to improve this problem. Secondly, because microglia are heterogeneous, it is hard to distinguish them from infiltration macrophages and perivascular macrophages, and more specific markers should be considered to refine our FACS strategy. Thirdly, we obtained the data from a single time point (3 days) after SAH, because the number of microglia reached the maximum at 72 h (<xref ref-type="bibr" rid="B45">Xu et al., 2019</xref>). However, 24 h after SAH is a critical time point to investigate microglial activation, and further studies should expand the time window to confirm the protein expression levels and investigate microglia transcriptional profiles at different time points. Fourthly, the verification of the TLR2/IRF7 signaling axis is limited; <italic>in vivo</italic> and <italic>in vitro</italic> functional/mechanical experiments should be conducted in further studies.</p>
<p>In summary, we report that microglia at 72 h after SAH harbor robust transcriptional changes compared to sham mice. The alteration in post-SAH microglia genes may contribute to immune inflammatory response, cytokine and chemokine production, and chemotaxis, which then lead to a poor outcome. The TLR2/IRF7 signaling axis is considered to be capable of regulating neuroinflammatory processes after SAH. Based on these findings, further investigation targeting the TLR2/IRF7 axis may help to improve the outcome of SAH patients.</p>
</sec>
<sec id="S5">
<title>Data Availability Statement</title>
<p>The datasets generated for this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE167957">https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE167957</ext-link>.</p>
</sec>
<sec id="S6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by Institutional Ethics Committee of the Second Affiliated Hospital, Zhejiang University School of Medicine.</p>
</sec>
<sec id="S7">
<title>Author Contributions</title>
<p>SX, SM, and JL drafted the manuscript. HW and XD reviewed and modified the manuscript. LS, JYZ, and JMZ revised the manuscript. All authors agreed on the final version.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This work was supported by grants from the Key Program of Science and Technology Development of Zhejiang Province (2017C03021), the Zhejiang Provincial Natural Science Foundation of China (LQ17H090003), and the National Natural Science Foundation of China (81870916 and 82071287).</p>
</fn>
</fn-group>
<sec id="S9" sec-type="supplementary material"><title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fnagi.2021.645649/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fnagi.2021.645649/full#supplementary-material</ext-link></p>
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