Post-ischemic inflammation regulates neural damage and protection

Post-ischemic inflammation is important in ischemic stroke pathology. However, details of the inflammation process, its resolution after stroke and its effect on pathology and neural damage have not been clarified. Brain swelling, which is often fatal in ischemic stroke patients, occurs at an early...

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Main Authors: Takashi eShichita, Minako eIto, Akihiko eYoshimura
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-10-01
Series:Frontiers in Cellular Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fncel.2014.00319/full
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author Takashi eShichita
Takashi eShichita
Minako eIto
Akihiko eYoshimura
author_facet Takashi eShichita
Takashi eShichita
Minako eIto
Akihiko eYoshimura
author_sort Takashi eShichita
collection DOAJ
description Post-ischemic inflammation is important in ischemic stroke pathology. However, details of the inflammation process, its resolution after stroke and its effect on pathology and neural damage have not been clarified. Brain swelling, which is often fatal in ischemic stroke patients, occurs at an early stage of stroke due to endothelial cell injury and severe inflammation by infiltrated mononuclear cells including macrophages, neutrophils, and lymphocytes. At early stage of inflammation, macrophages are activated by molecules released from necrotic cells (danger-associated molecular patterns (DAMPs)), and inflammatory cytokines and mediators that increase ischemic brain damage by disruption of the blood-brain barrier are released. After post-ischemic inflammation, macrophages function as scavengers of necrotic cell and brain tissue debris. Such macrophages are also involved in tissue repair and neural cell regeneration by producing tropic factors. The mechanisms of inflammation resolution and conversion of inflammation to neuroprotection are largely unknown. In this review, we summarize information accumulated recently about DAMP-induced inflammation and the neuroprotective effects of inflammatory cells, and discuss next generation strategies to treat ischemic stroke.
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spelling doaj.art-6768922f10b741c2b2bbea2eb8630a212022-12-22T00:30:00ZengFrontiers Media S.A.Frontiers in Cellular Neuroscience1662-51022014-10-01810.3389/fncel.2014.00319111473Post-ischemic inflammation regulates neural damage and protectionTakashi eShichita0Takashi eShichita1Minako eIto2Akihiko eYoshimura3Keio Univeristy, School of MeidicineJapan Science and Technology AgencyKeio Univeristy, School of MeidicineKeio Univeristy, School of MeidicinePost-ischemic inflammation is important in ischemic stroke pathology. However, details of the inflammation process, its resolution after stroke and its effect on pathology and neural damage have not been clarified. Brain swelling, which is often fatal in ischemic stroke patients, occurs at an early stage of stroke due to endothelial cell injury and severe inflammation by infiltrated mononuclear cells including macrophages, neutrophils, and lymphocytes. At early stage of inflammation, macrophages are activated by molecules released from necrotic cells (danger-associated molecular patterns (DAMPs)), and inflammatory cytokines and mediators that increase ischemic brain damage by disruption of the blood-brain barrier are released. After post-ischemic inflammation, macrophages function as scavengers of necrotic cell and brain tissue debris. Such macrophages are also involved in tissue repair and neural cell regeneration by producing tropic factors. The mechanisms of inflammation resolution and conversion of inflammation to neuroprotection are largely unknown. In this review, we summarize information accumulated recently about DAMP-induced inflammation and the neuroprotective effects of inflammatory cells, and discuss next generation strategies to treat ischemic stroke.http://journal.frontiersin.org/Journal/10.3389/fncel.2014.00319/fullCytokinesInflammationInflammasomeresolution of inflammationDAMPs (damage-associated molecular patterns)
spellingShingle Takashi eShichita
Takashi eShichita
Minako eIto
Akihiko eYoshimura
Post-ischemic inflammation regulates neural damage and protection
Frontiers in Cellular Neuroscience
Cytokines
Inflammation
Inflammasome
resolution of inflammation
DAMPs (damage-associated molecular patterns)
title Post-ischemic inflammation regulates neural damage and protection
title_full Post-ischemic inflammation regulates neural damage and protection
title_fullStr Post-ischemic inflammation regulates neural damage and protection
title_full_unstemmed Post-ischemic inflammation regulates neural damage and protection
title_short Post-ischemic inflammation regulates neural damage and protection
title_sort post ischemic inflammation regulates neural damage and protection
topic Cytokines
Inflammation
Inflammasome
resolution of inflammation
DAMPs (damage-associated molecular patterns)
url http://journal.frontiersin.org/Journal/10.3389/fncel.2014.00319/full
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