Piepke Marius, Jander Alina, Gagliani Nicola, Gelderblom Mathias
Department of Neurology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, Germany.
Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Eur J Immunol. 2024 Dec;54(12):e2451067. doi: 10.1002/eji.202451067. Epub 2024 Oct 13.
The activation of the immune system is crucial for the fate of the ischemic brain tissue and neurological outcome in experimental stroke. Rapidly after stroke γδ (γδ17), T cells release IL-17A in the ischemic brain and thereby amplify the early detrimental immune response. Notably, IL-17A levels in γδ17 T cells are modulated by the intestinal microbiota which is, in turn, shaped by the diet. Importantly, besides their proinflammatory effects, meningeal γδ17 T cells have been recently implicated in regulating neuronal signaling, behavior, and cognition under homeostatic and pathological conditions at the brain-meningeal interface. Against this background, we propose that a dietary intervention represents a promising treatment option to improve poststroke outcomes by the modulation of the microbiota composition and IL-17A levels in γδ T cells.
免疫系统的激活对于实验性中风中缺血性脑组织的命运和神经学转归至关重要。中风后不久,γδ(γδ17)T细胞在缺血性脑内释放白细胞介素-17A(IL-17A),从而放大早期有害的免疫反应。值得注意的是,γδ17 T细胞中的IL-17A水平受肠道微生物群调节,而肠道微生物群又受饮食影响。重要的是,除了其促炎作用外,脑膜γδ17 T细胞最近还被认为在稳态和病理条件下的脑-脑膜界面调节神经元信号传导、行为和认知。在此背景下,我们提出饮食干预是一种有前景的治疗选择,可通过调节微生物群组成和γδ T细胞中的IL-17A水平来改善中风后的转归。