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Cited by 602

The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.

Cerebral Microvessel Responses to Focal Ischemia

del Zoppo, Gregory J, Mabuchi, Takuma·2003·Journal of Cerebral Blood Flow & Metabolism

Abstract

Cerebral microvessels have a unique ultrastructure form, which allows for the close relationship of the endothelium and blood elements to the neurons they serve, via intervening astrocytes. To focal ischemia, the cerebral microvasculature rapidly displays multiple dynamic responses. Immediate events include breakdown of the primary endothelial cell permeability barrier, with transudation of plasma, expression of endothelial cell-leukocyte adhesion receptors, loss of endothelial cell and astrocyte integrin receptors, loss of their matrix ligands, expression of members of several matrix-degrading protease families, and the appearance of receptors associated with angiogenesis and neovascularization. These events occur pari passu with neuron injury. Alterations in the microvessel matrix after the onset of ischemia also suggest links to changes in nonvascular cell viability. Microvascular obstruction within the ischemic territory occurs after occlusion and reperfusion of the feeding arteries (“focal no-reflow” phenomenon). This can result from extrinsic compression and intravascular events, including leukocyte(-platelet) adhesion, platelet-fibrin interactions, and activation of coagulation. All of these events occur in microvessels heterogeneously distributed within the ischemic core. The panorama of acute microvessel responses to focal cerebral ischemia provide opportunities to understand interrelationships between neurons and their microvascular supply and changes that underlie a number of central nervous system neurodegenerative disorders.

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Crossref · 10.1097/01.wcb.0000078322.96027.78

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Metadata

Authors
del Zoppo, G. J., & Mabuchi, T.
Venue
Journal of Cerebral Blood Flow & Metabolism
Published
2003-08
Volume
23
Issue
8
Pages
879-894
ISSN
  • 0271-678X (ISSN-L)
  • 1559-7016
OpenAlex
W2035569448
Cited by
602
References
8
FWCI
17.23
Type
journal article
Language
en
Open access
closed

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