Article ; Online: Mast cells as early responders in the regulation of acute blood-brain barrier changes after cerebral ischemia and hemorrhage.
2010 Volume 30, Issue 4, Page(s) 689–702
Abstract: The inflammatory response triggered by stroke has been viewed as harmful, focusing on the influx and migration of blood-borne leukocytes, neutrophils, and macrophages. This review hypothesizes that the brain and meninges have their own resident cells ... ...
Abstract | The inflammatory response triggered by stroke has been viewed as harmful, focusing on the influx and migration of blood-borne leukocytes, neutrophils, and macrophages. This review hypothesizes that the brain and meninges have their own resident cells that are capable of fast host response, which are well known to mediate immediate reactions such as anaphylaxis, known as mast cells (MCs). We discuss novel research suggesting that by acting rapidly on the cerebral vessels, this cell type has a potentially deleterious role in the very early phase of acute cerebral ischemia and hemorrhage. Mast cells should be recognized as a potent inflammatory cell that, already at the outset of ischemia, is resident within the cerebral microvasculature. By releasing their cytoplasmic granules, which contain a host of vasoactive mediators such as tumor necrosis factor-alpha, histamine, heparin, and proteases, MCs act on the basal membrane, thus promoting blood-brain barrier (BBB) damage, brain edema, prolonged extravasation, and hemorrhage. This makes them a candidate for a new pharmacological target in attempts to even out the inflammatory responses of the neurovascular unit, and to stabilize the BBB after acute stroke. |
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MeSH term(s) | Animals ; Antigens, CD/metabolism ; Astrocytes/cytology ; Astrocytes/metabolism ; Basement Membrane/metabolism ; Blood-Brain Barrier/physiology ; Blood-Brain Barrier/physiopathology ; Brain/cytology ; Brain/immunology ; Brain/pathology ; Brain Ischemia/immunology ; Brain Ischemia/pathology ; Brain Ischemia/physiopathology ; Cerebral Hemorrhage/immunology ; Cerebral Hemorrhage/pathology ; Cerebral Hemorrhage/physiopathology ; Cerebrovascular Circulation ; Endothelial Cells/metabolism ; Fibrinolysis ; Humans ; Mast Cells/cytology ; Mast Cells/metabolism ; Neurons/cytology ; Neurons/metabolism ; Peptide Hydrolases/metabolism |
Chemical Substances | Antigens, CD ; Peptide Hydrolases (EC 3.4.-) |
Language | English |
Publishing date | 2010-01-20 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't ; Review |
ZDB-ID | 604628-9 |
ISSN | 1559-7016 ; 0271-678X |
ISSN (online) | 1559-7016 |
ISSN | 0271-678X |
DOI | 10.1038/jcbfm.2009.282 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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