Role of Immune and Inflammatory Mechanisms in Stroke: A Review of Current Advances

Neuroimmunomodulation. 2022;29(4):255-268. doi: 10.1159/000524951. Epub 2022 May 31.

Abstract

Stroke accounts for a large proportion of morbidity and mortality burden in China. Moreover, there is a high prevalence of the leading risk factors for stroke, including hypertension and smoking. Understanding the underlying mechanisms and developing effective therapeutic interventions for patients with stroke is a key imperative. The pathophysiology of stroke involves a complex interplay between the immune and inflammatory mechanisms. Focal brain inflammation triggered by neuronal cell death and the release of factors such as damage-associated molecular patterns can further exacerbate neuronal injury; in addition, impairment of the blood-brain barrier, oxidative stress, microvascular dysfunction, and brain edema cause secondary brain injury. Immune cells, including microglia and other infiltrating inflammatory cells, play a key role in triggering focal and global brain inflammation. Anti-inflammatory therapies targeting the aforementioned mechanisms can alleviate primary and secondary brain injury in the aftermath of a stroke. Further experimental and clinical studies are required to explore the beneficial effects of anti-inflammatory drugs in stroke.

Keywords: Anti-inflammatory therapies; Immune and inflammatory mechanisms; Stroke.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Brain Injuries* / complications
  • Brain Injuries* / drug therapy
  • Encephalitis* / drug therapy
  • Humans
  • Inflammation / complications
  • Microglia
  • Stroke* / drug therapy

Substances

  • Anti-Inflammatory Agents