2016
DOI: 10.1016/j.coph.2015.10.004
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Gene expression profiling in stroke: relevance of blood–brain interaction

Abstract: Biomarker profiling is utilized to identify diagnostic and prognostic candidates for stroke. Clinical and preclinical biomarker data suggest altered circulating immune responses may illuminate the mechanisms of stroke recovery. However, how peripheral blood biomarker profile(s) relate to brain profiles following stroke is unknown. Data show that neutrophil lymphocyte ratio (NLR) predicts stroke outcome. Neutrophils release Arginase 1 (ARG1) resulting in T lymphocyte suppression in peripheral blood. Interesting… Show more

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Cited by 26 publications
(21 citation statements)
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“…This was accompanied by a greater influx of peripheral leukocytes, particularly neutrophils ( Figure 4D), which are the strongest producers of reactive oxygen species (ROS) and matrix metallopeptidases (MMPs) and promote neuronal injury and BBB disruption [124][125][126] . In agreement, an increased number of neutrophils with altered phenotypic responses was previously seen in aged male mice and human stroke patients compared to their younger counterparts 127 and an increased neutrophil to lymphocyte ratio has been associated with stroke severity and outcome 128 . Although the absence of neuroprotective signal in bulk tissue does not rule out the possibility of its presence in individual cell types, these results suggest that an increased neuroinflammation and infiltration of circulating immune cells are one of the primary drivers for the exacerbated pathology in aged mice.…”
Section: Discussionsupporting
confidence: 85%
“…This was accompanied by a greater influx of peripheral leukocytes, particularly neutrophils ( Figure 4D), which are the strongest producers of reactive oxygen species (ROS) and matrix metallopeptidases (MMPs) and promote neuronal injury and BBB disruption [124][125][126] . In agreement, an increased number of neutrophils with altered phenotypic responses was previously seen in aged male mice and human stroke patients compared to their younger counterparts 127 and an increased neutrophil to lymphocyte ratio has been associated with stroke severity and outcome 128 . Although the absence of neuroprotective signal in bulk tissue does not rule out the possibility of its presence in individual cell types, these results suggest that an increased neuroinflammation and infiltration of circulating immune cells are one of the primary drivers for the exacerbated pathology in aged mice.…”
Section: Discussionsupporting
confidence: 85%
“…These chemokines have important roles in WNV-induced neuroinflammation (7,35,36) and are prominently produced by activated microglia (31)(32)(33)(34); the genes were significantly downregulated after minocycline administration during WNV infection. Some proinflammatory genes do not change significantly with minocycline treatment (CXCL10 and IFN-␣), which is likely due to nonmicroglial production; notably, WNV-infected neurons are able to produce CXCL10 (66), and neurons and astrocytes have the ability to produce significant amounts of proinflammatory cytokines/chemokines during viral infections (67)(68)(69)(70).…”
Section: Discussionmentioning
confidence: 99%
“…LPS is well known to induce the macrophage M1 phenotype that is characterized by increases in iNOS and decreases in Arg-1 [50] . Preclinical evidence suggests that increased expression of Arg-1 in microglia following ischemic stroke is associated with improved tissue remodeling as well as behavioral recovery [48] . Additionally, evidence has demonstrated the significant increase in the expression of the M1 microglial marker iNOS in a model of epilepsy induced by kainate in mice that causes severe damage to brain tissue [51] .…”
mentioning
confidence: 99%
“…There are 2 arginase isoforms that are encoded by separate genes with different intracellular localization: Arg-1 is a cytosolic enzyme, while Arg-2 (arginase-2) is mainly expressed in mitochondria [49] . In the CNS, Arg-1 has been recognized as a marker of the M2 macrophage phenotypic shift that is associated with neuroprotection [48] . Given that L -arginine is also an indispensable substrate for NOS in NO formation, arginase has been recently recognized as a critical regulator of NO production by competing with NOS for L -arginine.…”
mentioning
confidence: 99%
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