Monday, August 11, 2014

Inflammatory Mechanisms after Ischemia and Stroke

Only 13 years old and I bet we still have no answers to what might stop inflammation post-stroke. I bet I'll have to research this on my own prior to my next stroke. No one else seems to care about saving neurons post-stroke.
What the hell has your doctor been doing about this problem for the past 13 years? Waiting for Godot?
http://journals.lww.com/jneuropath/Abstract/2003/02000/Inflammatory_Mechanisms_after_Ischemia_and_Stroke.2.aspx

DANTON, GARY H. PhD; DIETRICH, W. DALTON PhD

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Abstract

Inflammation has been implicated as a secondary injury mechanism following ischemia and stroke. A variety of experimental models, including thromboembolic stroke, focal and global ischemia, have been used to evaluate the importance of inflammation. The vasculature endothelium promotes inflammation through the upregulation of adhesion molecules such as ICAM, E-selectin, and P-selectin that bind to circulating leukocytes and facilitate their migration into the CNS. Once in the CNS, the production of cytotoxic molecules may facilitate cell death. The macrophage and microglial response to injury may either be beneficial by scavenging necrotic debris or detrimental by facilitating cell death in neurons that would otherwise recover. While many studies have tested these hypotheses, the importance of inflammation in these models is inconclusive. This review summarizes data regarding the role of the vasculature, leukocytes, blood-brain barrier, macrophages, and microglia after experimental and clinical stroke.


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