Document Detail


Splenectomy may be a prophylactic treatment for cerebral ischemia?
MedLine Citation:
PMID:  20381261     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cerebral ischemia, a phenomenon of reduction in cerebral blood flow, accounts for approximately 80% of all strokes, the third leading cause of death and the leading cause of adult disability. Cerebral ischemia causes heterogeneous changes in tissue oxygenation and cellular metabolism. Focal brain ischemia induces a profound and long-lasting inflammatory reaction which is dominated by macrophages derived from both resident microglia and circulating monocytic precursors. Bone marrow and spleen serve as a reservoir for hematopoietic progenitor cells, especially in rodents. Spleen-derived mononuclear cells home to the site of vascular injury and reduced neointima formation. The migration and engraftment of systematically administered spleen-derived mononuclear cells can be visualized in the post-ischemic brain. Therefore, we hypothesise that removal of the spleen may possibly decrease the production of mononuclear cells, and thus hinder or relieve the inflammatory reaction occured after cerebral ischemia/reperfusion injury. So, the splenectomy may be a prophylactic treatment method for cerebral ischemia.
Authors:
Yusuf Izci
Publication Detail:
Type:  Journal Article     Date:  2010-04-08
Journal Detail:
Title:  Medical hypotheses     Volume:  75     ISSN:  1532-2777     ISO Abbreviation:  Med. Hypotheses     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505668     Medline TA:  Med Hypotheses     Country:  United States    
Other Details:
Languages:  eng     Pagination:  347-9     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Neurosurgery, Gulhane Military Medical Academy, 06018 Etlik, Ankara, Turkey. yusufizci@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Brain Ischemia / complications*,  surgery
Cell Movement / physiology*
Hematopoietic Stem Cells / cytology
Humans
Inflammation / etiology*,  prevention & control*,  surgery
Macrophages / immunology*
Spleen / cytology*
Splenectomy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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