An official website of the United States government
The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before
sharing sensitive information, make sure you’re on a federal
government site.
The site is secure.
The https:// ensures that you are connecting to the
official website and that any information you provide is encrypted
and transmitted securely.
Figure 1. Proposed mechanism of monocyte release from the bone marrow following stroke
Sympathetic nerve…
Figure 1. Proposed mechanism of monocyte release from the bone marrow following stroke
Sympathetic nerve terminals, which end in the bone marrow, secrete noradrenaline
after stroke. Noradrenaline binds to β3-adrenergic receptors (ADRB3)
expressed on bone marrow stromal cells. In the resting bone marrow, vascular
cell adhesion molecule 1 (VCAM-1) binds to the integrin α4β1
(VLA-4) to retain hematopoietic stem cells (HSCs) in the stem cell niche.
Additionally, high concentrations of the bone marrow stromal C-X-C motif
chemokine 12 (CXCL12) with high affinity to the receptor CXCR-4 expressed on
HSCs contribute to their retention. After stroke, expression of VCAM-1 and
CXCL12 decreases by a yet undefined mechanism. As a result, HSCs, myeloid
progenitor cells, such as GMPs and MDPs, as well as monocytes enter the blood
circulation. Moreover, ADRB3 signaling enhances HSC proliferation, increases the
myeloid transcription factor PU-1, and generates a myeloid bias with higher
numbers of pro-inflammatory Ly6Chigh monocytes. Yet it is unknown,
whether stroke-associated monocytosis stroke is protective by improving host
defense or detrimental by worsening reperfusion injury and neuronal
survival.
Courties G, Herisson F, Sager HB, Heidt T, Ye Y, Wei Y, Sun Y, Severe N, Dutta P, Scharff J, Scadden DT, Weissleder R, Swirski FK, Moskowitz MA, Nahrendorf M.Courties G, et al.Circ Res. 2015 Jan 30;116(3):407-17. doi: 10.1161/CIRCRESAHA.116.305207. Epub 2014 Oct 31.Circ Res. 2015.PMID: 25362208Free PMC article.
References
Lozano R, Naghavi M, Foreman K, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the global burden of disease study 2010. Lancet. 2012;380:2095–2128.
-
PMC
-
PubMed
Urra X, Arino H, Llull L, Amaro S, Obach V, Cervera A, Chamorro A. The outcome of patients with mild stroke improves after treatment with systemic thrombolysis. PLoS One. 2013;8:e59420.
-
PMC
-
PubMed