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https://dx.doi.org/10.25560/39...
Other literature type . 2013
Data sources: Datacite
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Resolving Inflammation after Stroke through Modulation of Formyl Peptide Receptor 2/The Lipoxin Receptor

Authors: Smith, Helen Katherine;

Resolving Inflammation after Stroke through Modulation of Formyl Peptide Receptor 2/The Lipoxin Receptor

Abstract

Stroke kills 15 million people a year and causes disabilities in many more millions who survive. Most strokes are caused by a blood clot, yet only seven percent of patients qualify for early pharmacological clot removal. Damage is frequently exacerbated even as blood reperfuses an ischaemic brain region, through a concomitant inflammatory response to the damaged tissue. Following the continual failure in clinical trials of drugs intended to tackle both initial excitotoxic cell death and pro-­‐inflammatory mechanisms during ischaemia/reperfusion (I/R), this thesis is premised on enhancing 'pro-­‐resolving' anti-­‐inflammatory pathways. Formyl Peptide Receptor 2/the lipoxin receptor (FPR2/ALX; mouse orthologue Fpr2/3) and two of its ligands, Lipoxin A4 (LXA4) and Annexin A1 (AnxA1), are part of an endogenous anti-­‐ inflammatory system. They actively resolve inflammation through a reduction in characteristic leukocyte-­‐endothelial (L-­‐E) interactions, while promoting the production of anti-­‐inflammatory cytokines and non-­‐phlogistic phagocytosis of leukocytes already within tissue. Chapters 3-­‐5 of this thesis describe the development of mouse model of global cerebral I/R (5 min ischaemia/40 min or 2 h reperfusion) through which L-­‐E interactions are assessed using intravital microscopy. Substantial reductions in L-­‐E interactions following treatment with FPR2/ALX ligands (AnxA1 N-­‐ terminal peptide AnxA1Ac2-­‐26 and LXA4 analogue 15-­‐epi-­‐LXA4) are demonstrated along with variations in cytokine levels (MCP-­‐1, IL-­‐6 and IL-­‐10) after 2 h of reperfusion. The reductions are shown to be variable with respect to the duration of reperfusion, concentration of 15-­‐epi-­‐LXA4 and the time of treatment administration. In addition, the effects are abrogated by co-­‐treatment with FPR antagonists, which independently cause a highly pronounced acute inflammatory response in the model. Chapters 6 and 7 provide further investigation into the role of FPRs in stroke and inflammation, through chemotaxis studies on human monocytes (from stroke patients and healthy controls) and through use of an FPR1-­‐target MRI contrast agent in mice following lipopolysaccaride-­‐induced inflammation. Overall, the data provide evidence that Fpr2/3 ligands are able to reduce inflammation following cerebral I/R, that an FPR2/ALX-­‐targeted drug may therefore be effective in human stroke, and that its optimal use is likely to be administration time, dose and FPR2/ALX ligand-­‐dependent.

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United Kingdom
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
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Green