T Cell Response in Ischemic Stroke: From Mechanisms to Translational Insights

Ischemic stroke, caused by a sudden disruption of blood flow to the brain, is a leading cause of death and exerts a heavy burden on both patients and public health systems. Currently available treatments for ischemic stroke are very limited and are not feasible in many patients due to strict time wi...

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Main Authors: Dianhui Zhang, Jiaxin Ren, Yun Luo, Qianyan He, Ruoyu Zhao, Junlei Chang, Yi Yang, Zhen-Ni Guo
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.707972/full
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author Dianhui Zhang
Jiaxin Ren
Yun Luo
Yun Luo
Qianyan He
Ruoyu Zhao
Junlei Chang
Yi Yang
Zhen-Ni Guo
author_facet Dianhui Zhang
Jiaxin Ren
Yun Luo
Yun Luo
Qianyan He
Ruoyu Zhao
Junlei Chang
Yi Yang
Zhen-Ni Guo
author_sort Dianhui Zhang
collection DOAJ
description Ischemic stroke, caused by a sudden disruption of blood flow to the brain, is a leading cause of death and exerts a heavy burden on both patients and public health systems. Currently available treatments for ischemic stroke are very limited and are not feasible in many patients due to strict time windows required for their administration. Thus, novel treatment strategies are keenly required. T cells, which are part of the adaptive immune system, have gained more attention for its effects in ischemic stroke. Both preclinical and clinical studies have revealed the conflicting roles for T cells in post-stroke inflammation and as potential therapeutic targets. This review summarizes the mediators of T cell recruitment, as well as the temporal course of its infiltration through the blood-brain-barrier, choroid plexus, and meningeal pathways. Furthermore, we describe the mechanisms behind the deleterious and beneficial effects of T cells in the brain, in both antigen-dependent and antigen-independent manners, and finally we specifically focus on clinical and preclinical studies that have investigated T cells as potential therapeutic targets for ischemic stroke.
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spelling doaj.art-4077506af11646f481077b11561d693c2022-12-21T21:25:30ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-07-011210.3389/fimmu.2021.707972707972T Cell Response in Ischemic Stroke: From Mechanisms to Translational InsightsDianhui Zhang0Jiaxin Ren1Yun Luo2Yun Luo3Qianyan He4Ruoyu Zhao5Junlei Chang6Yi Yang7Zhen-Ni Guo8Stroke Center, Department of Neurology, First Affiliated Hospital of Jilin University, Changchun, ChinaStroke Center, Department of Neurology, First Affiliated Hospital of Jilin University, Changchun, ChinaStroke Center, Department of Neurology, First Affiliated Hospital of Jilin University, Changchun, ChinaDepartment of Rehabilitation Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, ChinaStroke Center, Department of Neurology, First Affiliated Hospital of Jilin University, Changchun, ChinaStroke Center, Department of Neurology, First Affiliated Hospital of Jilin University, Changchun, ChinaShenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, ChinaStroke Center, Department of Neurology, First Affiliated Hospital of Jilin University, Changchun, ChinaNeuroscience Center, Department of Neurology, First Affiliated Hospital of Jilin University, Changchun, ChinaIschemic stroke, caused by a sudden disruption of blood flow to the brain, is a leading cause of death and exerts a heavy burden on both patients and public health systems. Currently available treatments for ischemic stroke are very limited and are not feasible in many patients due to strict time windows required for their administration. Thus, novel treatment strategies are keenly required. T cells, which are part of the adaptive immune system, have gained more attention for its effects in ischemic stroke. Both preclinical and clinical studies have revealed the conflicting roles for T cells in post-stroke inflammation and as potential therapeutic targets. This review summarizes the mediators of T cell recruitment, as well as the temporal course of its infiltration through the blood-brain-barrier, choroid plexus, and meningeal pathways. Furthermore, we describe the mechanisms behind the deleterious and beneficial effects of T cells in the brain, in both antigen-dependent and antigen-independent manners, and finally we specifically focus on clinical and preclinical studies that have investigated T cells as potential therapeutic targets for ischemic stroke.https://www.frontiersin.org/articles/10.3389/fimmu.2021.707972/fullT cellsischemic strokepost-stroke inflammationstroke therapyimmune responses
spellingShingle Dianhui Zhang
Jiaxin Ren
Yun Luo
Yun Luo
Qianyan He
Ruoyu Zhao
Junlei Chang
Yi Yang
Zhen-Ni Guo
T Cell Response in Ischemic Stroke: From Mechanisms to Translational Insights
Frontiers in Immunology
T cells
ischemic stroke
post-stroke inflammation
stroke therapy
immune responses
title T Cell Response in Ischemic Stroke: From Mechanisms to Translational Insights
title_full T Cell Response in Ischemic Stroke: From Mechanisms to Translational Insights
title_fullStr T Cell Response in Ischemic Stroke: From Mechanisms to Translational Insights
title_full_unstemmed T Cell Response in Ischemic Stroke: From Mechanisms to Translational Insights
title_short T Cell Response in Ischemic Stroke: From Mechanisms to Translational Insights
title_sort t cell response in ischemic stroke from mechanisms to translational insights
topic T cells
ischemic stroke
post-stroke inflammation
stroke therapy
immune responses
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.707972/full
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