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部分主要组织相容性复合体构建体治疗以早期免疫扩张为特征的血栓栓塞性缺血性中风。

Partial MHC Constructs Treat Thromboembolic Ischemic Stroke Characterized by Early Immune Expansion.

作者信息

Dotson Abby L, Chen Yingxin, Zhu Wenbin, Libal Nicole, Alkayed Nabil J, Offner Halina

机构信息

Neuroimmunology Research, VA Medical Center, 3710 SW US Veterans Hospital Rd., Portland, OR, 97239, USA.

Department of Neurology, Oregon Health & Science University, Portland, OR, USA.

出版信息

Transl Stroke Res. 2016 Feb;7(1):70-8. doi: 10.1007/s12975-015-0436-4. Epub 2015 Dec 1.

Abstract

Inflammation and thrombosis are tightly linked, with inflammation contributing to thromboembolism and to stroke outcome. Thromboembolism is a frequent cause of ischemic stroke; yet, the most used occlusion mouse models of experimental stroke do not effectively replicate thromboembolism. Our group recently described a novel thromboembolic mouse model of stroke that successfully occludes the middle cerebral artery with high reproducibility. In the current study, we characterize the peripheral and local immune outcomes as well as the ischemic response to immune therapy in a clinically relevant mouse model of thromboembolic stroke. Brain and spleen tissues were harvested 24 h after thromboembolic stroke and cells immunophenotyped by flow cytometry. We observed a significant increase in neutrophils and early activated T cells in the spleen and an increase in neutrophils and activated monocytes/microglia in the ischemic cortex after thromboembolic stroke. Moreover, as was shown previously for transient MCAO models, treatment of thromboembolic stroke with partial MHC constructs significantly reduced ischemic damage indicating an equivalent effect of this immune-based therapy in the thromboembolic model that better mimics the pathophysiology of human stroke.

摘要

炎症与血栓形成紧密相关,炎症会导致血栓栓塞和中风预后。血栓栓塞是缺血性中风的常见原因;然而,最常用的实验性中风闭塞小鼠模型并不能有效复制血栓栓塞。我们团队最近描述了一种新型的血栓栓塞性中风小鼠模型,该模型能够成功且高度可重复地闭塞大脑中动脉。在当前研究中,我们在一个具有临床相关性的血栓栓塞性中风小鼠模型中,对其外周和局部免疫结果以及免疫治疗的缺血反应进行了表征。在血栓栓塞性中风后24小时采集脑和脾组织,并通过流式细胞术对细胞进行免疫表型分析。我们观察到,血栓栓塞性中风后,脾脏中的中性粒细胞和早期活化T细胞显著增加,缺血皮质中的中性粒细胞以及活化的单核细胞/小胶质细胞增加。此外,正如之前在短暂性大脑中动脉闭塞模型中所显示的那样,用部分主要组织相容性复合体构建体治疗血栓栓塞性中风可显著减少缺血损伤,这表明这种基于免疫的疗法在血栓栓塞模型中具有同等效果,该模型能更好地模拟人类中风的病理生理学。

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