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Leukocyte Recruitment and Ischemic Brain Injury

Open access
Yilmaz, Gokhan, Granger, D. Neil·2010·NeuroMolecular Medicine

Abstract

Leukocytes are recruited into the cerebral microcirculation following an ischemic insult. The leukocyte–endothelial cell adhesion manifested within a few hours after ischemia (followed by reperfusion, I/R) largely reflects an infiltration of neutrophils, while other leukocyte populations appear to dominate the adhesive interactions with the vessel wall at 24 h of reperfusion. The influx of rolling and adherent leukocytes is accompanied by the recruitment of adherent platelets, which likely enhances the cytotoxic potential of the leukocytes to which they are attached. The recruitment of leukocytes and platelets in the postischemic brain is mediated by specific adhesion glycoproteins expressed by the activated blood cells and on cerebral microvascular endothelial cells. This process is also modulated by different signaling pathways (e.g., CD40/CD40L, Notch) and cytokines (e.g., RANTES) that are activated/released following I/R. Some of the known risk factors for cardiovascular disease, including hypercholesterolemia and obesity appear to exacerbate the leukocyte and platelet recruitment elicited by brain I/R. Although lymphocyte–endothelial cell and –platelet interactions in the postischemic cerebral microcirculation have not been evaluated to date, recent evidence in experimental animals implicate both CD4+ and CD8+ T-lymphocytes in the cerebral microvascular dysfunction, inflammation, and tissue injury associated with brain I/R. Evidence implicating regulatory T-cells as cerebroprotective modulators of the inflammatory and tissue injury responses to brain I/R support a continued focus on leukocytes as a target for therapeutic intervention in ischemic stroke.

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Metadata

Authors
Yilmaz, G., & Granger, D. N.
Venue
NeuroMolecular Medicine
Published
2009-07-05
Volume
12
Issue
2
Pages
193-204
ISSN
  • 1535-1084 (ISSN-L)
  • 1559-1174
OpenAlex
W1977267175
Cited by
290
References
96
FWCI
6.49
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Leukocyte Recruitment and Ischemic Brain Injury. https://app.cochat.ai/papers/10.1007/s12017-009-8074-1
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Yilmaz, G., & Granger, D. N. (2010). Leukocyte Recruitment and Ischemic Brain Injury. NeuroMolecular Medicine. https://doi.org/10.1007/s12017-009-8074-1

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