Edwards Danielle N, Bix Gregory J
Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, United States.
Department of Neuroscience, University of Kentucky, Lexington, KY, United States.
Front Neurosci. 2019 May 28;13:540. doi: 10.3389/fnins.2019.00540. eCollection 2019.
Ischemic stroke is a leading cause of death and disability with limited therapeutic options. Resulting inflammatory mechanisms after reperfusion (removal of the thrombus) result in cytokine activation, calcium influx, and leukocytic infiltration to the area of ischemia. In particular, leukocytes migrate toward areas of inflammation by use of integrins, particularly integrins β and β. Integrins have been shown to be necessary for leukocyte adhesion and migration, and thus are of immediate interest in many inflammatory diseases, including ischemic stroke. In this review, we identify the main integrins involved in leukocytic migration following stroke (α β, αβ, αβ, and αβ) and targeted clinical therapeutic interventions.
缺血性中风是导致死亡和残疾的主要原因,治疗选择有限。再灌注(清除血栓)后产生的炎症机制会导致细胞因子激活、钙内流以及白细胞浸润到缺血区域。特别是,白细胞通过整合素,尤其是整合素β和β向炎症区域迁移。整合素已被证明是白细胞黏附和迁移所必需的,因此在包括缺血性中风在内的许多炎症性疾病中备受关注。在本综述中,我们确定了中风后白细胞迁移中涉及的主要整合素(αβ、αβ、αβ和αβ)以及有针对性的临床治疗干预措施。