Department of Anesthesiology, State Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Renji Hospital, School of Medicine Shanghai Jiao Tong University, China (Y.Z., P.L.).
Institute for Stroke and Dementia Research, SyNergy LMU University Hospital; Munich Cluster for Systems Neurology (SyNergy), Germany (A.L.).
Stroke. 2021 Dec;52(12):e837-e841. doi: 10.1161/STROKEAHA.121.036072. Epub 2021 Nov 22.
Immune cell infiltration to the injured brain is a key component of the neuroinflammatory response after ischemic stroke. In contrast to the large amount of proinflammatory immune cells, regulatory T cells, are an important subgroup of T cells that are involved in maintaining immune homeostasis and suppress an overshooting immune reaction after stroke. Numerous previous reports have consistently demonstrated the beneficial role of this immunosuppressive immune cell population during the acute phase after experimental stroke by limiting inflammatory lesion progression. Two recent studies expanded now this concept and demonstrate that regulatory T cells-mediated effects also promote chronic recovery after stroke by promoting a proregenerative tissue environment. These recent findings suggest that boosting regulatory T cells could be beneficial beyond modulating the immediate neuroinflammatory response and improve chronic functional recovery.
免疫细胞浸润到受损的大脑是缺血性中风后神经炎症反应的一个关键组成部分。与大量的促炎免疫细胞相反,调节性 T 细胞是 T 细胞的一个重要亚群,它们参与维持免疫稳态,并在中风后抑制过度的免疫反应。大量先前的报告一致表明,这种免疫抑制性免疫细胞群在实验性中风后的急性期通过限制炎症损伤进展,发挥有益作用。最近的两项研究扩展了这一概念,并证明调节性 T 细胞介导的作用也通过促进有利于组织再生的环境,促进中风后的慢性恢复。这些新发现表明,增强调节性 T 细胞可能不仅有助于调节即刻的神经炎症反应,而且还能改善慢性功能恢复。