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Thromboinflammatory challenges in stroke pathophysiology

Szepanowski, R D ; Haupeltshofer, S LU ; Vonhof, S E ; Frank, B ; Kleinschnitz, C and Casas, A I (2023) In Seminars in Immunopathology 45(3). p.389-410
Abstract

Despite years of encouraging translational research, ischemic stroke still remains as one of the highest unmet medical needs nowadays, causing a tremendous burden to health care systems worldwide. Following an ischemic insult, a complex signaling pathway emerges leading to highly interconnected thrombotic as well as neuroinflammatory signatures, the so-called thromboinflammatory cascade. Here, we thoroughly review the cell-specific and time-dependent role of different immune cell types, i.e., neutrophils, macrophages, T and B cells, as key thromboinflammatory mediators modulating the neuroinflammatory response upon stroke. Similarly, the relevance of platelets and their tight crosstalk with a variety of immune cells highlights the... (More)

Despite years of encouraging translational research, ischemic stroke still remains as one of the highest unmet medical needs nowadays, causing a tremendous burden to health care systems worldwide. Following an ischemic insult, a complex signaling pathway emerges leading to highly interconnected thrombotic as well as neuroinflammatory signatures, the so-called thromboinflammatory cascade. Here, we thoroughly review the cell-specific and time-dependent role of different immune cell types, i.e., neutrophils, macrophages, T and B cells, as key thromboinflammatory mediators modulating the neuroinflammatory response upon stroke. Similarly, the relevance of platelets and their tight crosstalk with a variety of immune cells highlights the relevance of this cell-cell interaction during microvascular dysfunction, neovascularization, and cellular adhesion. Ultimately, we provide an up-to-date overview of therapeutic approaches mechanistically targeting thromboinflammation currently under clinical translation, especially focusing on phase I to III clinical trials.

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author
; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Inflammation, Thrombosis/etiology, Stroke/therapy, Blood Platelets, Signal Transduction
in
Seminars in Immunopathology
volume
45
issue
3
pages
389 - 410
publisher
Springer
external identifiers
  • scopus:85160856040
  • pmid:37273022
ISSN
1863-2300
DOI
10.1007/s00281-023-00994-4
language
English
LU publication?
no
additional info
© 2023. The Author(s).
id
50470d9b-428f-4c4c-93a3-3d4ebe6e7e15
date added to LUP
2026-01-20 10:40:04
date last changed
2026-01-21 04:02:06
@article{50470d9b-428f-4c4c-93a3-3d4ebe6e7e15,
  abstract     = {{<p>Despite years of encouraging translational research, ischemic stroke still remains as one of the highest unmet medical needs nowadays, causing a tremendous burden to health care systems worldwide. Following an ischemic insult, a complex signaling pathway emerges leading to highly interconnected thrombotic as well as neuroinflammatory signatures, the so-called thromboinflammatory cascade. Here, we thoroughly review the cell-specific and time-dependent role of different immune cell types, i.e., neutrophils, macrophages, T and B cells, as key thromboinflammatory mediators modulating the neuroinflammatory response upon stroke. Similarly, the relevance of platelets and their tight crosstalk with a variety of immune cells highlights the relevance of this cell-cell interaction during microvascular dysfunction, neovascularization, and cellular adhesion. Ultimately, we provide an up-to-date overview of therapeutic approaches mechanistically targeting thromboinflammation currently under clinical translation, especially focusing on phase I to III clinical trials.</p>}},
  author       = {{Szepanowski, R D and Haupeltshofer, S and Vonhof, S E and Frank, B and Kleinschnitz, C and Casas, A I}},
  issn         = {{1863-2300}},
  keywords     = {{Humans; Inflammation; Thrombosis/etiology; Stroke/therapy; Blood Platelets; Signal Transduction}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{389--410}},
  publisher    = {{Springer}},
  series       = {{Seminars in Immunopathology}},
  title        = {{Thromboinflammatory challenges in stroke pathophysiology}},
  url          = {{http://dx.doi.org/10.1007/s00281-023-00994-4}},
  doi          = {{10.1007/s00281-023-00994-4}},
  volume       = {{45}},
  year         = {{2023}},
}