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on April 24, 2006

Circulation. 2006
Published online before print April 24, 2006, doi: 10.1161/CIRCULATIONAHA.105.593046
A more recent version of this article appeared on May 2, 2006
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Submitted on October 4, 2005
Revised on January 11, 2006
Accepted on March 1, 2006

Role of T Lymphocytes and Interferon-{gamma} in Ischemic Stroke

Gokhan Yilmaz MD, Thiruma V. Arumugam PhD, Karen Y. Stokes PhD, and D. Neil Granger PhD*

From the Department of Molecular and Cellular Physiology, Louisiana State University Health Sciences Center, Shreveport.

* To whom correspondence should be addressed. E-mail: dgrang{at}lsuhsc.edu.

Background--Although lymphocyte recruitment and activation are associated with cerebral ischemia-reperfusion (I/R) injury, the contributions of specific lymphocyte subpopulations and lymphocyte-derived interferon-{gamma} (IFN-{gamma}) to stroke remain unknown. The objectives of this study were to define the contribution of specific populations of lymphocytes to the inflammatory and prothrombogenic responses elicited in the cerebral microvasculature by I/R and to investigate the role of T-cell-associated IFN-{gamma} in the pathogenesis of ischemic stroke.

Methods and Results--Middle cerebral artery occlusion was induced for 1 hour (followed by 4 or 24 hours of reperfusion) in wild-type mice and mice deficient in lymphocytes (Rag1-/-), CD4+ T cells, CD8+ T cells, B cells, or IFN-{gamma}. Platelet and leukocyte adhesion was assessed in cortical venules with intravital video microscopy. Neurological deficit and infarct volume were determined 24 hours after reperfusion. Rag1-/-, CD4+ T-cell-/-, CD8+ T-cell-/-, and IFN-{gamma}-/- mice exhibited comparable significant reductions in I/R-induced leukocyte and platelet adhesion compared with wild-type mice exposed to I/R. Infarct volume was reduced and I/R-induced neurological deficit was improved in immunodeficient Rag1-/- mice. These protective responses were reversed in Rag1-/- mice reconstituted with either wild-type or, to a lesser extent, IFN-{gamma}-/- splenocytes. B-cell-deficient mice failed to show improvement against ischemic stroke injury.

Conclusions--These findings indicate that CD4+ and CD8+ T lymphocytes, but not B lymphocytes, contribute to the inflammatory and thrombogenic responses, brain injury, and neurological deficit associated with experimental stroke. Although IFN-{gamma} plays a pivotal role in stroke-induced inflammatory responses, T lymphocytes appear to be a minor source of this cytokine.


Key words: cerebral ischemia • leukocytes • lymphocytes • microcirculation • platelets




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