Immune cell infiltration in malignant middle cerebral artery infarction: comparison with transient cerebral ischemia

J Cereb Blood Flow Metab. 2014 Mar;34(3):450-9. doi: 10.1038/jcbfm.2013.217. Epub 2013 Dec 11.

Abstract

We tested whether significant leukocyte infiltration occurs in a mouse model of permanent cerebral ischemia. C57BL6/J male mice underwent either permanent (3 or 24 hours) or transient (1 or 2 hours+22- to 23-hour reperfusion) middle cerebral artery occlusion (MCAO). Using flow cytometry, we observed ∼15,000 leukocytes (CD45(+high) cells) in the ischemic hemisphere as early as 3 hours after permanent MCAO (pMCAO), comprising ∼40% lymphoid cells and ∼60% myeloid cells. Neutrophils were the predominant cell type entering the brain, and were increased to ∼5,000 as early as 3 hours after pMCAO. Several cell types (monocytes, macrophages, B lymphocytes, CD8(+) T lymphocytes, and natural killer cells) were also increased at 3 hours to levels sustained for 24 hours, whereas others (CD4(+) T cells, natural killer T cells, and dendritic cells) were unchanged at 3 hours, but were increased by 24 hours after pMCAO. Immunohistochemical analysis revealed that leukocytes typically had entered and widely dispersed throughout the parenchyma of the infarct within 3 hours. Moreover, compared with pMCAO, there were ∼50% fewer infiltrating leukocytes at 24 hours after transient MCAO (tMCAO), independent of infarct size. Microglial cell numbers were bilaterally increased in both models. These findings indicate that a profound infiltration of inflammatory cells occurs in the brain early after focal ischemia, especially without reperfusion.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Chemotaxis, Leukocyte / immunology*
  • Disease Models, Animal
  • Flow Cytometry
  • Immunohistochemistry
  • Infarction, Middle Cerebral Artery / immunology*
  • Ischemic Attack, Transient / immunology*
  • Leukocyte Count
  • Lymphocyte Count
  • Lymphocytes / cytology
  • Lymphocytes / immunology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Neutrophil Infiltration / immunology*
  • Time Factors