Journal of Cerebral Blood Flow & Metabolism · 2015 · 49 citations · 15 references
Life SciencesCell BiologyImmunologyInflammationInnate ImmunityNeuroimmunologyAcute InflammationAcute Ischemic StrokeInflammatory SignalingNeuroinflammationNeutrophil BiologyStrokeFlow Cytometric AnalysisFlow Cytometric Cell AnalysisInterferon Gamma ProductionInterferon ProductionIschemic Stroke PathologyIschemic Stroke PathophysiologyMurine ModelsNeutrophil Involvement
Transient suppression of peripheral immunity is a major source of complication for patients suffering from ischemic stroke. The release of Arginase I (ArgI) from activated neutrophils has recently been associated with T-cell dysfunction in a number of pathologies. However, this pathway has not been previously explored in ischemic stroke. Using the murine model of transient middle cerebral artery occlusion, we explored effects of stroke on peripheral T-cell function and evaluated the role of neutrophils and ArgI. Stimulation of splenic T cells from post-stroke animals with anti-CD3/CD28 resulted in decreased proliferation and interferon-γ production when compared with sham-surgery controls. Flow cytometric analysis of intrasplenic leukocytes exposed the presence of a transient population of activated neutrophils that correlated quantitatively with elevated ArgI levels in culture media. In vitro activation of purified resting neutrophils from unmanipulated controls confirmed the capacity for murine neutrophils to release ArgI from preformed granules. We observed decreased expression of the L-arg-sensitive CD3ζ on T cells, consistent with decreased functional activity. Critically, L-arg supplementation restored the functional response of post-stroke T cells to mitogenic stimulation. Together, these data outline a novel mechanism of reversible, neutrophil-mediated peripheral immunosuppression related to ArgI release following ischemic stroke.
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Konstantin Prass, Christian Meisel, Conny Höflich et al. · The Journal of Experimental Medicine · 2003 · 909 citations · Full text
Life Sciences, Immunology, Neurology +17
The effect of pneumonia on mortality among patients hospitalized for acute stroke
Irene Katzan, Randall D. Cebul, S. H. Husak et al. · Neurology · 2003 · 558 citations
Stroke-Induced Immunodepression
Ulrich Dirnagl, Juliane Klehmet, Johann Braun et al. · Stroke · 2007 · 463 citations
Suppression of T-cell functions by human granulocyte arginase
Markus Munder · Blood · 2006 · 415 citations · Full text