An emerging role of mast cells in cerebral ischemia and hemorrhage

被引:62
作者
Strbian, Daniel [1 ]
Kovanen, Petri T. [2 ]
Karjalainen-Lindsberg, Marja-Liisa [3 ]
Tatlisumak, Turgut [1 ]
Lindsberg, Perttu J. [1 ,4 ]
机构
[1] Univ Helsinki, Cent Hosp, Dept Neurol, FIN-00290 Helsinki, Finland
[2] Wihuri Res Inst, SF-00140 Helsinki, Finland
[3] Univ Helsinki, Cent Hosp, Dept Pathol, FIN-00290 Helsinki, Finland
[4] Univ Helsinki, Program Mol Neurol, Biomedicum Helsinki, FIN-00290 Helsinki, Finland
关键词
Blood-brain barrier; cerebral hemorrhage; cerebral ischemia; ischemic brain edema; mast cells; reperfusion injury; BLOOD-BRAIN-BARRIER; TUMOR-NECROSIS-FACTOR; ACTIVATED RECEPTORS PARS; FC-EPSILON-RI; INTRACEREBRAL HEMORRHAGE; MATRIX-METALLOPROTEINASE; TNF-ALPHA; ULTRASTRUCTURAL EVIDENCE; DIFFERENTIAL RELEASE; REPERFUSION INJURY;
D O I
10.1080/07853890902887303
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Mast cells (MCs) are perivascularly located resident cells of hematopoietic origin, recognized as effectors in inflammation and immunity. Their subendothelial location at the boundary between the intravascular and extravascular milieus, and their ability to rapidly respond to blood-and tissue-borne stimuli via release of potent vasodilatatory, proteolytic, fibrinolytic, and proinflammatory mediators, render MCs with a unique status to act in the first-line defense in various pathologies. We review experimental evidence suggesting a role for MCs in the pathophysiology of brain ischemia and hemorrhage. In newborn rats, MCs contributed to brain damage in hypoxic-ischemic insults. In experimental cerebral ischemia/reperfusion, MCs regulated permeability of the blood-brain barrier, brain edema formation, and the intensity of local neutrophil infiltration. MCs were reported to play a role in the tissue plasminogen activator-mediated cerebral hemorrhages after experimental ischemic stroke, and to be involved in the expansion of hematoma and edema following intracerebral hemorrhage. Importantly, the MC-stabilizing drug cromoglycate inhibited MC-mediated adverse effects on brain pathology and improved survival of experimental animals. This brings us to a position to consider MC stabilization as a novel initial adjuvant therapy in the prevention of brain injuries in hypoxia-ischemia in new-borns, as well as in ischemic stroke and intracerebral hemorrhage in adults.
引用
收藏
页码:438 / 450
页数:13
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