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脉络丛作为出血性和缺血性卒中的损伤部位及其在损伤反应中的作用。

The choroid plexus as a site of damage in hemorrhagic and ischemic stroke and its role in responding to injury.

作者信息

Xiang Jianming, Routhe Lisa J, Wilkinson D Andrew, Hua Ya, Moos Torben, Xi Guohua, Keep Richard F

机构信息

Department of Neurosurgery, University of Michigan, R5018 BSRB, 109 Zina Pitcher Place, Ann Arbor, MI, 48109-2200, USA.

Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

出版信息

Fluids Barriers CNS. 2017 Mar 28;14(1):8. doi: 10.1186/s12987-017-0056-3.

Abstract

While the impact of hemorrhagic and ischemic strokes on the blood-brain barrier has been extensively studied, the impact of these types of stroke on the choroid plexus, site of the blood-CSF barrier, has received much less attention. The purpose of this review is to examine evidence of choroid plexus injury in clinical and preclinical studies of intraventricular hemorrhage, subarachnoid hemorrhage, intracerebral hemorrhage and ischemic stroke. It then discusses evidence that the choroid plexuses are important in the response to brain injury, with potential roles in limiting damage. The overall aim of the review is to highlight deficiencies in our knowledge on the impact of hemorrhagic and ischemic strokes on the choroid plexus, particularly with reference to intraventricular hemorrhage, and to suggest that a greater understanding of the response of the choroid plexus to stroke may open new avenues for brain protection.

摘要

虽然出血性和缺血性中风对血脑屏障的影响已得到广泛研究,但这些类型的中风对血脑脊液屏障所在部位脉络丛的影响却很少受到关注。本综述的目的是检查在脑室内出血、蛛网膜下腔出血、脑出血和缺血性中风的临床和临床前研究中脉络丛损伤的证据。然后讨论脉络丛在脑损伤反应中很重要的证据,以及其在限制损伤方面的潜在作用。该综述的总体目标是突出我们在出血性和缺血性中风对脉络丛影响方面的知识不足,特别是关于脑室内出血的情况,并表明对脉络丛对中风反应的更深入理解可能为脑保护开辟新途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e3/5371201/56750d2c0296/12987_2017_56_Fig1_HTML.jpg

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