PMID- 35805099 OWN - NLM STAT- MEDLINE DCOM- 20220712 LR - 20220725 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 11 IP - 13 DP - 2022 Jun 24 TI - T-Lymphocyte Interactions with the Neurovascular Unit: Implications in Intracerebral Hemorrhage. LID - 10.3390/cells11132011 [doi] LID - 2011 AB - In the pathophysiology of hemorrhagic stroke, the perturbation of the neurovascular unit (NVU), a functional group of the microvascular and brain intrinsic cellular components, is implicated in the progression of secondary injury and partially informs the ultimate patient outcome. Given the broad NVU functions in maintaining healthy brain homeostasis through its maintenance of nutrients and energy substrates, partitioning central and peripheral immune components, and expulsion of protein and metabolic waste, intracerebral hemorrhage (ICH)-induced dysregulation of the NVU directly contributes to numerous destructive processes in the post-stroke sequelae. In ICH, the damaged NVU precipitates the emergence and evolution of perihematomal edema as well as the breakdown of the blood-brain barrier structural coherence and function, which are critical facets during secondary ICH injury. As a gateway to the central nervous system, the NVU is among the first components to interact with the peripheral immune cells mobilized toward the injured brain. The release of signaling molecules and direct cellular contact between NVU cells and infiltrating leukocytes is a factor in the dysregulation of NVU functions and further adds to the acute neuroinflammatory environment of the ICH brain. Thus, the interactions between the NVU and immune cells, and their reverberating consequences, are an area of increasing research interest for understanding the complex pathophysiology of post-stroke injury. This review focuses on the interactions of T-lymphocytes, a major cell of the adaptive immunity with expansive effector function, with the NVU in the context of ICH. In cataloging the relevant clinical and experimental studies highlighting the synergistic actions of T-lymphocytes and the NVU in ICH injury, this review aimed to feature emergent knowledge of T cells in the hemorrhagic brain and their diverse involvement with the neurovascular unit in this disease. FAU - Shi, Samuel X AU - Shi SX AD - Clinical Neuroscience Research Center, Department of Neurosurgery & Neurology, Tulane University School of Medicine, New Orleans, LA 70112, USA. FAU - Vodovoz, Samuel J AU - Vodovoz SJ AD - Clinical Neuroscience Research Center, Department of Neurosurgery & Neurology, Tulane University School of Medicine, New Orleans, LA 70112, USA. FAU - Xiu, Yuwen AU - Xiu Y AD - Clinical Neuroscience Research Center, Department of Neurosurgery & Neurology, Tulane University School of Medicine, New Orleans, LA 70112, USA. FAU - Liu, Ning AU - Liu N AD - Clinical Neuroscience Research Center, Department of Neurosurgery & Neurology, Tulane University School of Medicine, New Orleans, LA 70112, USA. FAU - Jiang, Yinghua AU - Jiang Y AUID- ORCID: 0000-0002-7344-7028 AD - Clinical Neuroscience Research Center, Department of Neurosurgery & Neurology, Tulane University School of Medicine, New Orleans, LA 70112, USA. FAU - Katakam, Prasad V G AU - Katakam PVG AD - Clinical Neuroscience Research Center, Department of Neurosurgery & Neurology, Tulane University School of Medicine, New Orleans, LA 70112, USA. FAU - Bix, Gregory AU - Bix G AD - Clinical Neuroscience Research Center, Department of Neurosurgery & Neurology, Tulane University School of Medicine, New Orleans, LA 70112, USA. FAU - Dumont, Aaron S AU - Dumont AS AD - Clinical Neuroscience Research Center, Department of Neurosurgery & Neurology, Tulane University School of Medicine, New Orleans, LA 70112, USA. FAU - Wang, Xiaoying AU - Wang X AUID- ORCID: 0000-0003-3636-7931 AD - Clinical Neuroscience Research Center, Department of Neurosurgery & Neurology, Tulane University School of Medicine, New Orleans, LA 70112, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220624 PL - Switzerland TA - Cells JT - Cells JID - 101600052 SB - IM MH - Blood-Brain Barrier/metabolism MH - Brain/metabolism MH - Cerebral Hemorrhage/metabolism MH - Humans MH - *Stroke/metabolism MH - *T-Lymphocytes/metabolism PMC - PMC9266108 OTO - NOTNLM OT - T cells OT - immunology OT - intracerebral hemorrhage OT - neurovascular unit OT - stroke COIS- The authors declare no conflict of interest. EDAT- 2022/07/10 06:00 MHDA- 2022/07/14 06:00 PMCR- 2022/06/24 CRDT- 2022/07/09 01:05 PHST- 2022/04/25 00:00 [received] PHST- 2022/06/15 00:00 [revised] PHST- 2022/06/22 00:00 [accepted] PHST- 2022/07/09 01:05 [entrez] PHST- 2022/07/10 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/06/24 00:00 [pmc-release] AID - cells11132011 [pii] AID - cells-11-02011 [pii] AID - 10.3390/cells11132011 [doi] PST - epublish SO - Cells. 2022 Jun 24;11(13):2011. doi: 10.3390/cells11132011.