Achucarro Basque Center for Neuroscience, Leioa, Spain.
Departamento de Neurociencias, Universidad del País Vasco (UPV/EHU) and CIBERNED, Leioa, Spain.
Adv Neurobiol. 2024;37:405-422. doi: 10.1007/978-3-031-55529-9_23.
Ischemic stroke is a complex brain pathology caused by an interruption of blood supply to the brain. It results in neurological deficits which that reflect the localization and the size of the compromised brain area and are the manifestation of complex pathogenic events triggered by energy depletion. Inflammation plays a prominent role, worsening the injury in the early phase and influencing poststroke recovery in the late phase. Activated microglia are one of the most important cellular components of poststroke inflammation, appearing from the first few hours and persisting for days and weeks after stroke injury. In this chapter, we will discuss the nature of the inflammatory response in brain ischemia, the contribution of microglia to injury and regeneration after stroke, and finally, how ischemic stroke directly affects microglia functions and survival.
缺血性脑卒中是一种由大脑供血中断引起的复杂脑部病理变化。它导致的神经功能缺损反映了受影响脑区的定位和大小,是由能量耗竭引发的复杂病理事件的表现。炎症起着突出的作用,在早期阶段加重损伤,并在晚期影响脑卒中后的恢复。激活的小胶质细胞是脑卒中后炎症的最重要的细胞成分之一,它在脑卒中损伤后的数小时内出现,并持续数天到数周。在本章中,我们将讨论脑缺血中的炎症反应的本质、小胶质细胞在脑卒中后的损伤和再生中的作用,以及缺血性脑卒中如何直接影响小胶质细胞的功能和存活。