1991
DOI: 10.1161/01.str.22.10.1276
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Polymorphonuclear leukocytes occlude capillaries following middle cerebral artery occlusion and reperfusion in baboons.

Abstract: Background and Purpose: Microvascular perfusion defects may accompany sustained occlusion and subsequent reperfusion of the middle cerebral artery; however, the nature of such "no-reflow" defects remains unclear.Methods: In the absence of antithrombotic pretreatment, we documented lenticulostriatal microvascular flow integrity following 3-hour middle cerebral artery occlusion and 1-hour reperfusion in a baboon occlusion/reperfusion model by two methods identifying 1) microvascular occlusion and 2) microvascula… Show more

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Cited by 667 publications
(438 citation statements)
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“…Although not a universal finding (Hayward et al, 1996;Emerich et al, 2002), considerable evidence supports the notion that adherent and infiltrating leukocytes contribute to ischemic damage following focal ischemia (see Jean et al, 1998 andWang et al, 2005 for reviews). In particular, the degree of leukocyte infiltration following focal stroke correlates with the severity of neuronal injury and neurological deficits in animals Clark et al, 1994;del Zoppo et al, 1991) and humans (Akopov et al, 1996). Moreover, in focal ischemia models, anti-leukocyte interventions decrease cerebral edema (Strachan et al, 1992), improve cerebral blood flow (Grogaard et al, 1989;Connolly et al, 1996;Ishikawa et al, 2004), and reduce infarct size (Connolly et al, 1996;Chopp et al, 1994;Beech et al, 2001;Xu et al, 2004;Zheng et al, 2004).…”
Section: Discussionmentioning
confidence: 99%
“…Although not a universal finding (Hayward et al, 1996;Emerich et al, 2002), considerable evidence supports the notion that adherent and infiltrating leukocytes contribute to ischemic damage following focal ischemia (see Jean et al, 1998 andWang et al, 2005 for reviews). In particular, the degree of leukocyte infiltration following focal stroke correlates with the severity of neuronal injury and neurological deficits in animals Clark et al, 1994;del Zoppo et al, 1991) and humans (Akopov et al, 1996). Moreover, in focal ischemia models, anti-leukocyte interventions decrease cerebral edema (Strachan et al, 1992), improve cerebral blood flow (Grogaard et al, 1989;Connolly et al, 1996;Ishikawa et al, 2004), and reduce infarct size (Connolly et al, 1996;Chopp et al, 1994;Beech et al, 2001;Xu et al, 2004;Zheng et al, 2004).…”
Section: Discussionmentioning
confidence: 99%
“…In the periphery, neutrophils are the first circulating leukocytes to arrive at the site of injury. When they accumulate in blood vessels, neutrophils may bring about a reduction in blood flow and occlusion of microvessels (del Zoppo et al, 1991). The release of lysosomal enzymes and free radicals by neutrophils also produces an increase in vascular permeability, which gives rise to edema (Weiss, 1989).…”
mentioning
confidence: 99%
“…1,2 Various mechanisms have been proposed including enhanced production of inflammatory mediators, [3][4][5] recruitment of polymorphonuclear leukocytes (PMN), 6,7 and blockage of blood flow. [7][8][9] The leukocyte-endothelial interaction that occurs following ischemia/reperfusion (I/Rp) injury has been shown to be important for microvascular dysfunction and release of cytotoxic mediators such as reactive oxygen intermediates and a variety of proteases. [10][11][12] We 13 and others 5,6,9,14,15 have shown leukocyte accumulation to be a critical determinant of hepatic I/Rp injury.…”
mentioning
confidence: 99%