Moderate hypothermia inhibits brain inflammation and attenuates stroke-induced immunodepression in rats.

Moderate hypothermia inhibits brain inflammation and attenuates stroke-induced immunodepression in rats.
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DOI:
10.1111/cns.12160
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发表时间:
2014-01
影响因子:
5.5
通讯作者:
Zhao H
Zhao H
中科院分区:
医学1区
文献类型:
--
作者:
Gu LJ;Xiong XX;Ito T;Lee J;Xu BH;Krams S;Steinberg GK;Zhao H

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Stroke causes both brain inflammation and immunodepression. Mild to moderate hypothermia is known to attenuate brain inflammation but its role in stroke-induced immunodepression (SIID) of the peripheral immune system remains unknown. This study investigated the effects in rats of moderate intra-ischemic hypothermia on SIID and brain inflammation. Stroke was induced in rats by permanent distal MCA occlusion combined with transient bilateral CCA occlusion while body temperature was reduced to 30°C. Real-time PCR, flow cytometry, in vitro T cell proliferation assays and confocal microscopy were used to study SIID and brain inflammation. Brief Intra-Ischemic hypothermia helped maintain certain leukocytes in the peripheral blood and spleen, and enhanced T cell proliferation in vitro and delayed-type hypersensitivity in vivo, suggesting that hypothermia reduces SIID. In contrast, in the brain, brief intra-Ischemic hypothermia inhibited mRNA expression of anti-inflammatory cytokine IL-10 and pro-inflammatory cytokines INF-γ, TNF-α, IL-2, IL-1β and MIP-2. Brief intra-Ischemic hypothermia also attenuated the infiltration of lymphocytes, neutrophils (MPO+ cells) and macrophages (CD68+ cells) into the ischemic brain, suggesting that hypothermia inhibited brain inflammation. Brief intra-ischemic hypothermia attenuated SIID and protected against acute brain inflammation.
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