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Cited by 299

The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.

Neutrophils Obstructing Brain Capillaries Are a Major Cause of No-Reflow in Ischemic Stroke

Open access
El Amki, Mohamad, Glück, Chaim, Binder, Nadine, Middleham, William, Wyss, Matthias T., Weiss, Tobias, Meister, Hanna, Luft, Andreas, Weller, Michael, Weber, Bruno, Wegener, Susanne·2020·Cell Reports

Abstract

Despite successful clot retrieval in large vessel occlusion stroke, ∼50% of patients have an unfavorable clinical outcome. The mechanisms underlying this functional reperfusion failure remain unknown, and therapeutic options are lacking. In the thrombin-model of middle cerebral artery (MCA) stroke in mice, we show that, despite successful thrombolytic recanalization of the proximal MCA, cortical blood flow does not fully recover. Using in vivo two-photon imaging, we demonstrate that this is due to microvascular obstruction of ∼20%-30% of capillaries in the infarct core and penumbra by neutrophils adhering to distal capillary segments. Depletion of circulating neutrophils using an anti-Ly6G antibody restores microvascular perfusion without increasing the rate of hemorrhagic complications. Strikingly, infarct size and functional deficits are smaller in mice treated with anti-Ly6G. Thus, we propose neutrophil stalling of brain capillaries to contribute to reperfusion failure, which offers promising therapeutic avenues for ischemic stroke.

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Metadata

Authors
El Amki, M., Glück, C., Binder, N., Middleham, W., Wyss, M. T., Weiss, T., Meister, H., Luft, A., Weller, M., Weber, B., & Wegener, S.
Venue
Cell Reports
Publisher
Elsevier BV
Published
2020-10
Volume
33
Issue
2
Pages
108260
ISSN
2211-1247 (ISSN-L)
OpenAlex
W3093119237
Cited by
299
References
46
FWCI
18.43
Type
journal article
Language
en
Open access
gold

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El Amki, M., Glück, C., Binder, N., Middleham, W., Wyss, M. T., Weiss, T., Meister, H., Luft, A., Weller, M., Weber, B., & Wegener, S. (2020). Neutrophils Obstructing Brain Capillaries Are a Major Cause of No-Reflow in Ischemic Stroke. Cell Reports. https://doi.org/10.1016/j.celrep.2020.108260

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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