Sansing Lauren H, Harris Tajie H, Kasner Scott E, Hunter Christopher A, Kariko Katalin
Department of Neurology, University of Pennsylvania Medical Center, 3 W Gates, 3400 Spruce Street, Philadelphia, PA, USA.
Acta Neurochir Suppl. 2011;111:173-8. doi: 10.1007/978-3-7091-0693-8_29.
Inflammation contributes to secondary injury and neuronal loss after intracerebral hemorrhage, but the role of individual immune populations in these processes is unclear. In a mouse model, the injection of autologous blood into the striatum was associated with an intense inflammatory cell infiltrate composed of neutrophils, monocytes, and dendritic cells. Selective depletion of neutrophils resulted in decreased infiltration of monocytes and improved functional outcomes at day 3 post-hemorrhage. These findings indicate that neutrophil infiltration into the site of hemorrhage contributes to brain injury either by direct cellular damage or the recruitment of monocytes.
炎症会导致脑出血后的继发性损伤和神经元丧失,但个体免疫细胞群在这些过程中的作用尚不清楚。在一个小鼠模型中,向纹状体注射自体血液与由中性粒细胞、单核细胞和树突状细胞组成的强烈炎症细胞浸润有关。选择性清除中性粒细胞导致单核细胞浸润减少,并在出血后第3天改善了功能结局。这些发现表明,中性粒细胞浸润到出血部位会通过直接的细胞损伤或单核细胞的募集导致脑损伤。