Fang Huijie, Bo Yunfei, Hao Zhongfei, Mang Ge, Jin Jiaqi, Wang Hongjun
Department of Neurosurgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Cell Commun Signal. 2024 Apr 23;22(1):238. doi: 10.1186/s12964-024-01563-4.
Stroke is a prevalent global acute cerebrovascular condition, with ischaemic stroke being the most frequently occurring type. After a stroke, neutrophils accumulate in the brain and subsequently generate and release neutrophil extracellular traps (NETs). The accumulation of NETs exacerbates the impairment of the blood‒brain barrier (BBB), hampers neovascularization, induces notable neurological deficits, worsens the prognosis of stroke patients, and can facilitate the occurrence of t-PA-induced cerebral haemorrhage subsequent to ischaemic stroke. Alternative approaches to pharmacological thrombolysis or endovascular thrombectomy are being explored, and targeting NETs is a promising treatment that warrants further investigation.
中风是一种全球普遍存在的急性脑血管疾病,缺血性中风是最常见的类型。中风后,中性粒细胞在大脑中积聚,随后生成并释放中性粒细胞胞外陷阱(NETs)。NETs的积累会加剧血脑屏障(BBB)的损伤,阻碍新血管形成,导致明显的神经功能缺损,使中风患者的预后恶化,并可能促使缺血性中风后发生t-PA诱导的脑出血。正在探索药理学溶栓或血管内血栓切除术之外的替代方法,靶向NETs是一种有前景的治疗方法,值得进一步研究。