Stroke, Vol 23, 1367-1379, Copyright © 1992 by American Heart Association
PM Kochanek and JM Hallenbeck
BACKGROUND: The extent to which polymorphonuclear leukocytes and
monocytes/macrophages contribute to the pathobiology of cerebral ischemia
and stroke is an issue of long-standing contradiction and controversy.
Recent developments in the ability to selectively modify leukocyte adhesion
with antiadhesion antibodies and the potential clinical application of this
therapeutic approach have spurred a resurgence of experimental studies
examining the role of leukocytes in cerebral ischemia and stroke. SUMMARY
OF REVIEW: We review studies examining leukocyte accumulation, initiation
of thrombosis, and exacerbation of ischemic brain injury in stroke, and we
examine other proposed contributions of leukocytes to cerebrovascular
pathophysiology. CONCLUSIONS: The importance of specific characteristics of
a given ischemia model and of underlying stroke risk factors in determining
the degree of leukocyte involvement and effectiveness of therapies directed
against these cells is discussed.
ARTICLES
Polymorphonuclear leukocytes and monocytes/macrophages in the pathogenesis of cerebral ischemia and stroke
Department of Anesthesiology, University of Pittsburgh, Pa.
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