Abstract
Stroke is one of the leading causes of mortality and morbidity worldwide. The bloodbrain barrier (BBB) is a characteristic structure of microvessel within the brain. Under normal physiological conditions, the BBB plays a role in the prevention of harmful substances entering into the brain parenchyma within the central nervous system. However, stroke stimuli induce the breakdown of BBB leading to the influx of cytotoxic substances, vasogenic brain edema, and hemorrhagic transformation. Therefore, BBB disruption is a major complication, which needs to be addressed in order to improve clinical outcomes in stroke. In this review, we first discuss the structure and function of the BBB. Next, we discuss the progress of the techniques utilized to study BBB breakdown in in-vitro and in-vivo studies, along with biomarkers and imaging techniques in clinical settings. Lastly, we highlight the mechanisms of stroke-induced neuroinflammation and apoptotic process of endothelial cells causing BBB breakdown, and the potential therapeutic targets to protect BBB integrity after stroke. Secondary products arising from stroke-induced tissue damage provide transformation of myeloid cells such as microglia and macrophages to pro-inflammatory phenotype followed by further BBB disruption via neuroinflammation and apoptosis of endothelial cells. In contrast, these myeloid cells are also polarized to anti-inflammatory phenotype, repairing compromised BBB. Therefore, therapeutic strategies to induce anti-inflammatory phenotypes of the myeloid cells may protect BBB in order to improve clinical outcomes of stroke patients.
Keywords: Blood-brain barrier, macrophage, microglia, neuroinflammation, programmed cell death, stroke, tight junction.
Graphical Abstract
[http://dx.doi.org/10.1161/CIRCRESAHA.116.308413] [PMID: 28154096]
[http://dx.doi.org/10.1161/CIR.0000000000000485] [PMID: 28122885]
[http://dx.doi.org/10.1039/c2lc41208j] [PMID: 23344641]
[http://dx.doi.org/10.1152/ajpcell.00095.2018] [PMID: 29949404]
[http://dx.doi.org/10.1007/s11011-015-9651-7] [PMID: 25624154]
[http://dx.doi.org/10.3389/fncel.2014.00388] [PMID: 25477782]
[http://dx.doi.org/10.3389/fncel.2016.00056] [PMID: 26973468]
[http://dx.doi.org/10.1007/BF00691095] [PMID: 3564903]
[http://dx.doi.org/10.1016/S1474-4422(10)70313-6] [PMID: 21247806]
[http://dx.doi.org/10.1161/01.STR.0000015624.29071.1F] [PMID: 11988595]
[http://dx.doi.org/10.1177/0271678X18768670] [PMID: 29611451]
[http://dx.doi.org/10.1002/ana.20199] [PMID: 15389899]
[http://dx.doi.org/10.1161/STROKEAHA.107.497719] [PMID: 18258832]
[http://dx.doi.org/10.1212/WNL.0b013e3182695848] [PMID: 23008382]
[http://dx.doi.org/10.1212/WNL.0b013e3182697e70] [PMID: 23008413]
[http://dx.doi.org/10.1159/000321893] [PMID: 21178345]
[http://dx.doi.org/10.1016/S1474-4422(08)70267-9] [PMID: 19097942]
[http://dx.doi.org/10.1161/01.STR.0000171066.25248.1d] [PMID: 15961709]
[http://dx.doi.org/10.1161/STROKEAHA.107.497115] [PMID: 18309168]
[http://dx.doi.org/10.3892/etm.2018.6454] [PMID: 30186459]
[http://dx.doi.org/10.3390/ijms17040497] [PMID: 27049383]
[http://dx.doi.org/10.1016/j.arcmed.2014.11.016] [PMID: 25453223]
[http://dx.doi.org/10.1016/j.pneurobio.2013.09.002] [PMID: 24076160]
[PMID: 31705427]
[http://dx.doi.org/10.1007/s00415-005-0596-3] [PMID: 15672209]
[http://dx.doi.org/10.1136/jnnp.2007.126425] [PMID: 17991703]
[http://dx.doi.org/10.1523/JNEUROSCI.1751-04.2004] [PMID: 15356194]
[http://dx.doi.org/10.1016/j.nbd.2006.10.006] [PMID: 17188501]
[http://dx.doi.org/10.1016/j.nbd.2012.06.024] [PMID: 22782081]
[http://dx.doi.org/10.1523/JNEUROSCI.2323-09.2009] [PMID: 19710312]
[http://dx.doi.org/10.1016/j.eplepsyres.2009.03.005] [PMID: 19362806]
[http://dx.doi.org/10.1093/brain/awl317] [PMID: 17121744]
[http://dx.doi.org/10.1155/2011/765923]] [PMID: 21436875]
[http://dx.doi.org/10.1007/s12975-019-00755-2] [PMID: 31776837]
[http://dx.doi.org/10.1136/svn-2018-000198] [PMID: 31338215]
[http://dx.doi.org/10.1016/j.neuropharm.2017.10.034] [PMID: 29107626]
[PMID: 21499332]
[http://dx.doi.org/10.1093/jn/136.1.218S] [PMID: 16365086]
[http://dx.doi.org/10.1161/STROKEAHA.114.005427] [PMID: 24938839]
[http://dx.doi.org/10.1016/j.neuron.2008.01.003] [PMID: 18215617]
[http://dx.doi.org/10.1038/ncomms4413] [PMID: 24583950]
[http://dx.doi.org/10.1038/325253a0] [PMID: 3543687]
[http://dx.doi.org/10.1152/physrev.00035.2003] [PMID: 15269339]
[http://dx.doi.org/10.1111/j.1749-6632.1988.tb51416.x] [PMID: 3395069]
[http://dx.doi.org/10.1177/0271678X18774666] [PMID: 29737222]
[http://dx.doi.org/10.1023/A:1006995910836] [PMID: 10690502]
[http://dx.doi.org/10.1152/ajpcell.00136.2018] [PMID: 30379577]
[http://dx.doi.org/10.1177/2211068214561025] [PMID: 25586998]
[http://dx.doi.org/10.1080/21688370.2016.1154641]] [PMID: 27141427]
[http://dx.doi.org/10.1016/j.nbd.2009.07.030] [PMID: 19664713]
[http://dx.doi.org/10.1530/JOE-10-0377] [PMID: 21307119]
[http://dx.doi.org/10.1002/dneu.20954] [PMID: 21780303]
[http://dx.doi.org/10.1126/science.1176009]
[http://dx.doi.org/10.1186/2045-8118-11-18] [PMID: 25120903]
[http://dx.doi.org/10.1038/nrn1824] [PMID: 16371949]
[http://dx.doi.org/10.1158/1078-0432.CCR-06-2854] [PMID: 17363519]
[http://dx.doi.org/10.1161/STROKEAHA.112.661728] [PMID: 22773559]
[http://dx.doi.org/10.1161/STROKEAHA.114.007265] [PMID: 25550365]
[http://dx.doi.org/10.18632/oncotarget.10821] [PMID: 27463015]
[http://dx.doi.org/10.1016/j.neuroscience.2013.06.061] [PMID: 23845748]
[http://dx.doi.org/10.1097/00008505-200207000-00014] [PMID: 12271567]
[PMID: 8253711]
[http://dx.doi.org/10.1007/BF00360662] [PMID: 7579895]
[http://dx.doi.org/10.1093/oxfordjournals.jbchem.a022003] [PMID: 9562604]
[http://dx.doi.org/10.1242/dev.01037] [PMID: 14998921]
[http://dx.doi.org/10.1534/genetics.106.064733] [PMID: 17179069]
[http://dx.doi.org/10.1093/hmg/ddt560] [PMID: 24203695]
[http://dx.doi.org/10.1016/j.ajhg.2011.11.022] [PMID: 22209247]
[http://dx.doi.org/10.1097/00004647-200205000-00004] [PMID: 11973425]
[http://dx.doi.org/10.3389/fnint.2017.00015] [PMID: 28860977]
[http://dx.doi.org/10.1038/sj.jcbfm.9600585] [PMID: 18030304]
[http://dx.doi.org/10.1242/jcs.00059] [PMID: 12244123]
[http://dx.doi.org/10.1186/1755-1536-4-21] [PMID: 21923916]
[http://dx.doi.org/10.18632/oncotarget.19969] [PMID: 29050309]
[http://dx.doi.org/10.1111/j.1471-4159.2005.03521.x] [PMID: 16269008]
[PMID: 8306876]
[http://dx.doi.org/10.1006/mcne.2002.1151] [PMID: 12213443]
[http://dx.doi.org/10.1038/85471] [PMID: 11231631]
[http://dx.doi.org/10.1172/JCI74630] [PMID: 25180602]
[http://dx.doi.org/10.1002/(SICI)1097-0177(200006)218:2<213:AID-DVDY1>3.0.CO;2-R] [PMID: 10842354]
[http://dx.doi.org/10.1152/physrev.00014.2004] [PMID: 15987800]
[http://dx.doi.org/10.1016/S1534-5807(03)00128-X] [PMID: 12737798]
[http://dx.doi.org/10.1146/annurev.cellbio.20.010403.094555] [PMID: 15473841]
[http://dx.doi.org/10.1242/dev.01112] [PMID: 15102706]
[http://dx.doi.org/10.1083/jcb.153.5.933] [PMID: 11381080]
[http://dx.doi.org/10.1006/dbio.1997.8668] [PMID: 9299121]
[http://dx.doi.org/10.1016/0306-4522(95)00496-3] [PMID: 8684619]
[http://dx.doi.org/10.1111/j.1432-1033.1994.tb19031.x] [PMID: 8055931]
[http://dx.doi.org/10.1007/s00441-002-0604-1] [PMID: 12242480]
[http://dx.doi.org/10.1046/j.1471-4159.1998.71031151.x] [PMID: 9721740]
[http://dx.doi.org/10.1083/jcb.144.1.151] [PMID: 9885251]
[http://dx.doi.org/10.1083/jcb.201212032] [PMID: 23857767]
[http://dx.doi.org/10.1128/MCB.22.4.1194-1202.2002] [PMID: 11809810]
[http://dx.doi.org/10.1523/JNEUROSCI.22-14-06029.2002] [PMID: 12122064]
[http://dx.doi.org/10.1161/CIRCULATIONAHA.107.689984] [PMID: 17646580]
[http://dx.doi.org/10.1016/S0014-5793(97)01007-7] [PMID: 9326364]
[http://dx.doi.org/10.1083/jcb.143.6.1713] [PMID: 9852162]
[http://dx.doi.org/10.4161/cam.22680] [PMID: 23263631]
[http://dx.doi.org/10.1152/ajpcell.00151.2018] [PMID: 30462535]
[http://dx.doi.org/10.1111/j.1749-6632.1993.tb18304.x] [PMID: 8512187]
[http://dx.doi.org/10.1046/j.0305-1846.2003.00524.x] [PMID: 15043714]
[http://dx.doi.org/10.1016/j.expneurol.2011.10.017] [PMID: 22056225]
[http://dx.doi.org/10.1016/j.ebiom.2017.01.005] [PMID: 28153772]
[http://dx.doi.org/10.1007/s12975-019-00709-8] [PMID: 31292838]
[http://dx.doi.org/10.1007/s12975-019-0688-5] [PMID: 30693425]
[http://dx.doi.org/10.1016/0736-5748(90)90010-Y] [PMID: 2327290]
[http://dx.doi.org/10.4103/1673-5374.264442] [PMID: 31535636]
[http://dx.doi.org/10.1002/(SICI)1098-1136(199911)28:2<138:AID-GLIA5>3.0.CO;2-8] [PMID: 10533057]
[http://dx.doi.org/10.1091/mbc.11.11.3911] [PMID: 11071916]
[http://dx.doi.org/10.1097/01.LAB.0000042240.52093.0F] [PMID: 12480912]
[http://dx.doi.org/10.1128/MCB.20.18.7007-7012.2000] [PMID: 10958695]
[http://dx.doi.org/10.1038/jid.2008.65] [PMID: 18356808]
[http://dx.doi.org/10.1074/jbc.M607886200] [PMID: 17023412]
[http://dx.doi.org/10.1128/MCB.25.15.6846-6856.2005] [PMID: 16024816]
[http://dx.doi.org/10.1128/MCB.22.19.6820-6830.2002] [PMID: 12215539]
[http://dx.doi.org/10.1016/S0945-053X(02)00070-7] [PMID: 12475645]
[http://dx.doi.org/10.1084/jem.20051342] [PMID: 16585265]
[http://dx.doi.org/10.1007/s00018-006-6162-z] [PMID: 16952056]
[http://dx.doi.org/10.1021/bi8013938] [PMID: 18826258]
[http://dx.doi.org/10.1016/0014-5793(96)01082-4] [PMID: 8914972]
[http://dx.doi.org/10.1074/jbc.272.7.4316] [PMID: 9020150]
[http://dx.doi.org/10.1006/jmbi.2001.4878] [PMID: 11493006]
[http://dx.doi.org/10.1002/(SICI)1097-0177(199710)210:2<130:AID-AJA6>3.0.CO;2-H] [PMID: 9337134]
[http://dx.doi.org/10.1083/jcb.147.5.1109] [PMID: 10579729]
[http://dx.doi.org/10.1002/dvdy.10298] [PMID: 12761845]
[http://dx.doi.org/10.1371/journal.pone.0045257]] [PMID: 23028886]
[http://dx.doi.org/10.1038/jcbfm.2009.276] [PMID: 20087368]
[http://dx.doi.org/10.1007/s12975-020-00800-5] [PMID: 32253702]
[http://dx.doi.org/10.1172/JCI46358] [PMID: 21747167]
[http://dx.doi.org/10.3389/fphar.2012.00155] [PMID: 22936915]
[http://dx.doi.org/10.1002/glia.21227] [PMID: 21850672]
[http://dx.doi.org/10.1016/j.brainres.2009.02.062] [PMID: 19285050]
[http://dx.doi.org/10.1007/s00441-014-1969-7] [PMID: 25107608]
[http://dx.doi.org/10.1016/S0092-8674(00)81253-2] [PMID: 8653788]
[http://dx.doi.org/10.1002/(SICI)1097-0177(199701)208:1<62:AID-AJA6>3.0.CO;2-#] [PMID: 8989521]
[http://dx.doi.org/10.1074/jbc.273.1.600] [PMID: 9417121]
[http://dx.doi.org/10.1007/s00401-002-0524-x] [PMID: 12070669]
[http://dx.doi.org/10.1007/s00441-009-0812-z] [PMID: 19449033]
[http://dx.doi.org/10.1111/j.1749-6632.2012.06686.x] [PMID: 22994231]
[http://dx.doi.org/10.2174/138161211797440113] [PMID: 21827409]
[http://dx.doi.org/10.2174/138161212802002625] [PMID: 22574987]
[http://dx.doi.org/10.1038/jcbfm.2012.25] [PMID: 22395208]
[http://dx.doi.org/10.1038/nn980] [PMID: 12469126]
[http://dx.doi.org/10.1016/j.devcel.2011.07.001] [PMID: 21839917]
[http://dx.doi.org/10.1038/nature09522] [PMID: 20944627]
[http://dx.doi.org/10.1215/S1152851705000232] [PMID: 16212810]
[http://dx.doi.org/10.1038/nn.2946] [PMID: 22030551]
[http://dx.doi.org/10.1002/glia.22575] [PMID: 24123158]
[http://dx.doi.org/10.1016/j.nurt.2010.07.003] [PMID: 20880511]
[http://dx.doi.org/10.1038/ncpneuro0355] [PMID: 17117171]
[http://dx.doi.org/10.3389/fneng.2013.00007] [PMID: 24009582]
[http://dx.doi.org/10.1038/nature09513] [PMID: 20944625]
[http://dx.doi.org/10.1371/journal.pone.0124362] [PMID: 25884837]
[http://dx.doi.org/10.1016/j.neuron.2010.09.043] [PMID: 21040844]
[http://dx.doi.org/10.1016/j.cryobiol.2007.08.009] [PMID: 17923122]
[http://dx.doi.org/10.1161/01.STR.0000119383.76447.05] [PMID: 15001799]
[http://dx.doi.org/10.1006/mvre.2002.2413] [PMID: 12074637]
[PMID: 10212003]
[http://dx.doi.org/10.2174/1570159X15666170112170226] [PMID: 28088914]
[http://dx.doi.org/10.1177/0271678X17697340] [PMID: 28273726]
[http://dx.doi.org/10.1007/s12035-015-9386-9] [PMID: 26289408]
[http://dx.doi.org/10.1172/JCI60842] [PMID: 22653056]
[http://dx.doi.org/10.1111/j.1468-1331.2009.02731.x] [PMID: 19566899]
[http://dx.doi.org/10.1038/jcbfm.2009.182] [PMID: 19756022]
[http://dx.doi.org/10.1038/srep33428] [PMID: 27641997]
[http://dx.doi.org/10.1002/(SICI)1098-1136(199701)19:1<13:AID-GLIA2>3.0.CO;2-B] [PMID: 8989564]
[http://dx.doi.org/10.1016/S0168-0102(99)00079-6] [PMID: 10616919]
[http://dx.doi.org/10.1111/j.1600-0714.2010.00990.x] [PMID: 21198869]
[http://dx.doi.org/10.4103/bc.bc_11_18] [PMID: 30693340]
[http://dx.doi.org/10.1007/s00401-009-0619-8] [PMID: 20012068]
[http://dx.doi.org/10.1177/030098589403100201] [PMID: 8203078]
[http://dx.doi.org/10.1002/glia.10333] [PMID: 14966864]
[http://dx.doi.org/10.1097/00004647-200007000-00003] [PMID: 10908037]
[http://dx.doi.org/10.1073/pnas.0808698106] [PMID: 19174516]
[http://dx.doi.org/10.4049/jimmunol.177.8.5574] [PMID: 17015745]
[http://dx.doi.org/10.1023/A:1006907608230] [PMID: 10640176]
[http://dx.doi.org/10.1093/jnen/61.10.914] [PMID: 12387457]
[PMID: 7032321]
[http://dx.doi.org/10.1085/jgp.77.4.349] [PMID: 7241087]
[http://dx.doi.org/10.1007/s10571-004-1377-8] [PMID: 15962509]
[http://dx.doi.org/10.1016/j.jneumeth.2012.10.001] [PMID: 23068604]
[http://dx.doi.org/10.1111/j.1749-6632.1991.tb15667.x] [PMID: 1789585]
[http://dx.doi.org/10.1523/JNEUROSCI.07-10-03293.1987] [PMID: 3668629]
[http://dx.doi.org/10.1038/nbt.2247] [PMID: 22729031]
[http://dx.doi.org/10.1007/s00418-015-1351-1] [PMID: 26223877]
[http://dx.doi.org/10.1186/1471-2202-14-59] [PMID: 23773766]
[http://dx.doi.org/10.1152/physiologyonline.2001.16.3.126] [PMID: 11443232]
[http://dx.doi.org/10.1006/excr.1999.4538] [PMID: 10413610]
[http://dx.doi.org/10.1038/s41596-018-0066-x] [PMID: 30382243]
[http://dx.doi.org/10.1080/10739680701409811] [PMID: 17934962]
[http://dx.doi.org/10.1161/STROKEAHA.115.008861] [PMID: 26463696]
[http://dx.doi.org/10.1186/1471-2202-11-12] [PMID: 20122276]
[http://dx.doi.org/10.1016/j.nbd.2014.03.010] [PMID: 24657919]
[http://dx.doi.org/10.1007/s12975-014-0323-4] [PMID: 24510780]
[http://dx.doi.org/10.1016/j.pneurobio.2013.11.003] [PMID: 24291544]
[http://dx.doi.org/10.1111/j.1600-065X.2012.01127.x] [PMID: 22725965]
[http://dx.doi.org/10.1089/ars.2011.3929]
[http://dx.doi.org/10.1016/j.xphs.2017.02.011] [PMID: 28238901]
[http://dx.doi.org/10.1161/01.STR.0000083051.93319.28] [PMID: 12855824]
[http://dx.doi.org/10.3109/00365517709091496] [PMID: 337459]
[http://dx.doi.org/10.3109/00365517709091497] [PMID: 337460]
[http://dx.doi.org/10.1016/S0009-8981(01)00573-3] [PMID: 11498083]
[http://dx.doi.org/10.1007/BF00313347] [PMID: 6160221]
[http://dx.doi.org/10.1089/neu.2010.1653] [PMID: 21428722]
[http://dx.doi.org/10.1212/WNL.0b013e31826e9a83] [PMID: 22993287]
[http://dx.doi.org/10.1089/neu.2008.0738] [PMID: 19257803]
[http://dx.doi.org/10.1161/STROKEAHA.106.481556] [PMID: 17478737]
[http://dx.doi.org/10.1161/01.STR.0000131656.47979.39] [PMID: 15166391]
[http://dx.doi.org/10.1007/s12035-018-1213-7] [PMID: 29982982]
[http://dx.doi.org/10.1179/016164109X12478302362491] [PMID: 19703360]
[http://dx.doi.org/10.1007/s12975-011-0117-x] [PMID: 22207885]
[http://dx.doi.org/10.1007/s12975-019-00744-5] [PMID: 31701356]
[http://dx.doi.org/10.1159/000358297] [PMID: 24853726]
[http://dx.doi.org/10.3174/ajnr.A2244] [PMID: 20947643]
[http://dx.doi.org/10.1161/STROKEAHA.106.480475] [PMID: 17569874]
[http://dx.doi.org/10.1097/RMR.0b013e31802f5df9] [PMID: 17198226]
[http://dx.doi.org/10.1007/978-1-60761-938-3_8] [PMID: 21082372]
[http://dx.doi.org/10.1016/j.nicl.2014.09.002] [PMID: 25379439]
[http://dx.doi.org/10.1088/0031-9155/57/2/R1] [PMID: 22173205]
[http://dx.doi.org/10.1002/mrm.20629] [PMID: 16142715]
[http://dx.doi.org/10.1002/mrm.21289] [PMID: 17654586]
[http://dx.doi.org/10.1161/01.STR.0000144051.32131.09] [PMID: 15472105]
[http://dx.doi.org/10.1186/2045-8118-10-9] [PMID: 23388348]
[http://dx.doi.org/10.1002/jmri.20529] [PMID: 16506143]
[http://dx.doi.org/10.1002/jmri.22215] [PMID: 20578023]
[http://dx.doi.org/10.1259/bjr/70653746] [PMID: 12684231]
[http://dx.doi.org/10.1016/j.jalz.2019.01.013] [PMID: 31031101]
[PMID: 14660714]
[http://dx.doi.org/10.1007/s00415-012-6445-2] [PMID: 22323212]
[http://dx.doi.org/10.1007/s11883-001-0029-4] [PMID: 11389801]
[http://dx.doi.org/10.1007/BF01809748] [PMID: 8955437]
[PMID: 8290699]
[PMID: 3712064]
[http://dx.doi.org/10.1007/978-3-211-09469-3_15] [PMID: 19066086]
[http://dx.doi.org/10.3389/fncel.2019.00168] [PMID: 31105534]
[http://dx.doi.org/10.1016/j.pneurobio.2017.10.001] [PMID: 28987927]
[http://dx.doi.org/10.1056/NEJM199403033300907] [PMID: 7905600]
[http://dx.doi.org/10.1016/0896-6273(95)90186-8] [PMID: 7576644]
[http://dx.doi.org/10.1007/s12028-019-00710-x] [PMID: 31012056]
[http://dx.doi.org/10.1111/j.1600-065X.2012.01146.x] [PMID: 22889221]
[http://dx.doi.org/10.1208/s12248-017-0091-7] [PMID: 28484963]
[http://dx.doi.org/10.1161/STROKEAHA.106.481515] [PMID: 17673717]
[http://dx.doi.org/10.1002/jnr.24330] [PMID: 30242870]
[http://dx.doi.org/10.4103/1673-5374.251190] [PMID: 30804237]
[http://dx.doi.org/10.1016/j.neulet.2012.01.036] [PMID: 22306092]
[http://dx.doi.org/10.1007/s12975-014-0380-8] [PMID: 25502277]
[http://dx.doi.org/10.1161/01.STR.25.8.1658] [PMID: 8042219]
[http://dx.doi.org/10.1016/j.bbi.2017.07.015] [PMID: 28736035]
[http://dx.doi.org/10.1161/STROKEAHA.111.000427] [PMID: 23613493]
[http://dx.doi.org/10.1007/s12031-017-0883-3] [PMID: 28097491]
[http://dx.doi.org/10.1515/hsz-2013-0142] [PMID: 23828426]
[http://dx.doi.org/10.1007/s12031-014-0313-8] [PMID: 24770901]
[http://dx.doi.org/10.1097/WNR.0000000000000434] [PMID: 26237245]
[http://dx.doi.org/10.1007/s11064-016-2104-9] [PMID: 27868153]
[http://dx.doi.org/10.1007/s11064-015-1745-4] [PMID: 26498936]
[http://dx.doi.org/10.1089/neu.2011.1958] [PMID: 21770745]
[http://dx.doi.org/10.1007/s12975-018-0636-9] [PMID: 29949086]
[http://dx.doi.org/10.1016/S1474-4422(12)70104-7] [PMID: 22698888]
[http://dx.doi.org/10.1007/s12975-018-0685-0] [PMID: 30628008]
[http://dx.doi.org/10.1007/s11011-014-9609-1] [PMID: 25270004]
[http://dx.doi.org/10.1007/s12975-019-00713-y] [PMID: 31214920]
[http://dx.doi.org/10.1016/S1474-4422(05)70283-0] [PMID: 16361023]
[http://dx.doi.org/10.1161/STROKEAHA.110.596718] [PMID: 21527759]
[http://dx.doi.org/10.1155/2013/746068] [PMID: 24223607]
[http://dx.doi.org/10.1038/sj.jcbfm.9600403] [PMID: 17033693]
[http://dx.doi.org/10.1186/1742-2094-7-32] [PMID: 20507613]
[http://dx.doi.org/10.1016/j.nurt.2010.07.002] [PMID: 20880501]
[http://dx.doi.org/10.1007/s12975-016-0472-8] [PMID: 27206851]
[http://dx.doi.org/10.1007/s12975-015-0428-4] [PMID: 26446073]
[PMID: 31628642]
[http://dx.doi.org/10.1016/S0304-3940(00)00971-X] [PMID: 10754230]
[http://dx.doi.org/10.1074/jbc.R114.619304] [PMID: 25391648]
[http://dx.doi.org/10.3390/ijms19072035] [PMID: 30011792]
[http://dx.doi.org/10.4103/1673-5374.200795] [PMID: 28400792]
[http://dx.doi.org/10.1016/j.cyto.2008.11.015] [PMID: 19144539]
[http://dx.doi.org/10.15698/cst2019.11.203] [PMID: 31799500]
[http://dx.doi.org/10.1111/j.1365-2990.2010.01140.x] [PMID: 20946472]
[http://dx.doi.org/10.1016/j.jns.2008.05.019] [PMID: 18573502]
[http://dx.doi.org/10.1097/NEN.0b013e31820d94a5] [PMID: 21293296]
[http://dx.doi.org/10.1016/j.expneurol.2007.06.025] [PMID: 17698063]
[http://dx.doi.org/10.1007/s12035-018-1145-2] [PMID: 29855971]
[http://dx.doi.org/10.1016/j.brainres.2009.12.046] [PMID: 20043889]
[http://dx.doi.org/10.1146/annurev.pathol.4.110807.092239] [PMID: 18928408]
[http://dx.doi.org/10.1016/j.cell.2010.01.040] [PMID: 20303873]
[http://dx.doi.org/10.1016/j.redox.2015.01.008] [PMID: 25625584]
[PMID: 32026458]
[http://dx.doi.org/10.1016/j.immuni.2017.06.020] [PMID: 28723547]
[http://dx.doi.org/10.1523/JNEUROSCI.5512-08.2009] [PMID: 19321774]
[http://dx.doi.org/10.1002/glia.23056] [PMID: 27629990]
[http://dx.doi.org/10.1038/nature04515] [PMID: 16407890]
[http://dx.doi.org/10.1074/jbc.M806084200] [PMID: 19258328]
[http://dx.doi.org/10.1016/j.nbd.2013.06.011] [PMID: 23816751]
[http://dx.doi.org/10.1074/jbc.M117.790741] [PMID: 28798231]
[http://dx.doi.org/10.1186/1476-9255-4-5] [PMID: 17367517]
[http://dx.doi.org/10.1038/s41419-019-1413-8] [PMID: 30755589]
[http://dx.doi.org/10.1097/CCM.0b013e31829a8246] [PMID: 23963136]
[http://dx.doi.org/10.1016/j.brainresbull.2019.01.027] [PMID: 30716395]
[http://dx.doi.org/10.3390/ijms17091418] [PMID: 27589720]
[http://dx.doi.org/10.1161/STROKEAHA.117.018904] [PMID: 29212744]
[http://dx.doi.org/10.1074/jbc.M110.169342] [PMID: 21209080]
[http://dx.doi.org/10.5808/GI.2013.11.4.224] [PMID: 24465234]
[http://dx.doi.org/10.1016/j.bbapap.2014.06.017] [PMID: 24982031]
[http://dx.doi.org/10.1038/sj.embor.7400205] [PMID: 15272298]
[http://dx.doi.org/10.1007/s12640-010-9231-x] [PMID: 21116767]
[http://dx.doi.org/10.1186/1479-5876-7-17] [PMID: 19292913]
[http://dx.doi.org/10.1177/0271678X16629484] [PMID: 26823474]
[http://dx.doi.org/10.1172/JCI88647] [PMID: 27893460]
[http://dx.doi.org/10.1227/01.NEU.0000197333.55473.AD] [PMID: 16528196]
[http://dx.doi.org/10.3389/fncel.2018.00288] [PMID: 30233326]
[http://dx.doi.org/10.1161/STROKEAHA.110.608257] [PMID: 21940972]
[http://dx.doi.org/10.1155/2013/914104] [PMID: 24023566]
[http://dx.doi.org/10.1016/j.expneurol.2006.12.001] [PMID: 17307165]
[http://dx.doi.org/10.1179/174313208X341102] [PMID: 18826803]
[http://dx.doi.org/10.1016/j.nbd.2016.07.012] [PMID: 27425889]
[http://dx.doi.org/10.1016/j.nbd.2008.05.020] [PMID: 18602008]
[http://dx.doi.org/10.1038/sj.jcbfm.9600375] [PMID: 16850029]
[http://dx.doi.org/10.1007/978-1-61779-185-7_24] [PMID: 21717368]
[http://dx.doi.org/10.1016/j.neuroscience.2018.02.035] [PMID: 29524637]
[http://dx.doi.org/10.1111/j.1471-4159.2011.07487.x] [PMID: 21923664]
[http://dx.doi.org/10.3389/fneur.2013.00032] [PMID: 23565108]
[http://dx.doi.org/10.1523/JNEUROSCI.6409-11.2012] [PMID: 22378877]
[http://dx.doi.org/10.1016/j.brainres.2010.02.054] [PMID: 20197061]
[http://dx.doi.org/10.1016/j.brainresbull.2018.11.006] [PMID: 30448453]
[http://dx.doi.org/10.1093/brain/awh489] [PMID: 15800021]
[http://dx.doi.org/10.1161/STROKEAHA.108.540393] [PMID: 19359644]
[http://dx.doi.org/10.1212/WNL.48.4.921] [PMID: 9109878]
[http://dx.doi.org/10.1111/j.1460-9568.2004.03829.x] [PMID: 15654856]
[http://dx.doi.org/10.1186/1471-2202-10-126] [PMID: 19807907]
[http://dx.doi.org/10.1177/1352458506070319] [PMID: 17463074]
[http://dx.doi.org/10.1038/sj.jcbfm.9600572] [PMID: 17971790]
[http://dx.doi.org/10.1159/000341686] [PMID: 23052179]
[http://dx.doi.org/10.1159/000321965] [PMID: 21135557]
[http://dx.doi.org/10.1111/j.1742-4658.2008.06766.x] [PMID: 19087196]
[http://dx.doi.org/10.3171/jns.2005.103.2.0289] [PMID: 16175859]
[http://dx.doi.org/10.1161/STROKEAHA.109.554824] [PMID: 19556529]
[http://dx.doi.org/10.1007/s12975-014-0381-7] [PMID: 25476155]
[http://dx.doi.org/10.1016/j.neuroscience.2013.08.068] [PMID: 24035828]
[http://dx.doi.org/10.1016/j.neuroscience.2012.03.036] [PMID: 22521821]
[http://dx.doi.org/10.1097/00001756-200109170-00050] [PMID: 11588620]
[http://dx.doi.org/10.1016/S0304-3940(97)00859-8] [PMID: 9464653]
[http://dx.doi.org/10.1161/STROKEAHA.112.673590] [PMID: 23391772]
[http://dx.doi.org/10.1007/978-3-7091-0356-2_12] [PMID: 21125447]
[http://dx.doi.org/10.1111/bph.13139] [PMID: 25800044]
[http://dx.doi.org/10.1186/s12974-016-0763-8] [PMID: 27881137]
[http://dx.doi.org/10.1172/JCI90604] [PMID: 28758903]
[http://dx.doi.org/10.3892/mmr.2020.11003] [PMID: 32323760]
[http://dx.doi.org/10.1186/s12974-019-1401-z] [PMID: 30651101]
[http://dx.doi.org/10.3390/ijms18102135] [PMID: 29027964]
[http://dx.doi.org/10.1038/aps.2016.162] [PMID: 28260801]
[http://dx.doi.org/10.1038/sj.jcbfm.9600233] [PMID: 16208315]
[http://dx.doi.org/10.1161/STROKEAHA.108.533158] [PMID: 19064796]
[http://dx.doi.org/10.1155/2012/728461]] [PMID: 22481914]
[http://dx.doi.org/10.1002/jcp.21638] [PMID: 19016245]
[http://dx.doi.org/10.1016/j.regpep.2004.05.023] [PMID: 15518896]
[http://dx.doi.org/10.1038/nm.2022] [PMID: 19718040]
[http://dx.doi.org/10.1007/s10571-008-9322-x] [PMID: 18987969]
[http://dx.doi.org/10.1016/j.nbd.2010.10.020] [PMID: 21074616]
[http://dx.doi.org/10.1038/nature13165] [PMID: 24670647]
[http://dx.doi.org/10.1177/0271678X15608396] [PMID: 26661190]
[http://dx.doi.org/10.1016/S0169-328X(03)00085-8] [PMID: 12750005]
[http://dx.doi.org/10.1002/glia.23232] [PMID: 28925083]
[http://dx.doi.org/10.18632/oncotarget.22022] [PMID: 29212271]
[http://dx.doi.org/10.3390/ijms20030571] [PMID: 30699952]
[http://dx.doi.org/10.1161/STROKEAHA.113.004339] [PMID: 24569814]
[http://dx.doi.org/10.1016/j.expneurol.2019.113057]] [PMID: 31499062]
[http://dx.doi.org/10.1016/j.matbio.2014.07.005] [PMID: 25064829]
[http://dx.doi.org/10.3171/2015.4.JNS15484] [PMID: 26473781]
[http://dx.doi.org/10.1161/STROKEAHA.117.016629] [PMID: 28242775]
[http://dx.doi.org/10.4103/1673-5374.221150] [PMID: 29323034]
[http://dx.doi.org/10.4103/1673-5374.244789] [PMID: 30531008]
[PMID: 29414883]
[http://dx.doi.org/10.1161/STROKEAHA.118.021757] [PMID: 30355205]
[http://dx.doi.org/10.4103/1673-5374.264456] [PMID: 31535648]
[http://dx.doi.org/10.1097/CCM.0b013e3181c027ae] [PMID: 19851092]
[http://dx.doi.org/10.1016/j.hest.2019.12.004]
[http://dx.doi.org/10.1002/glia.22885] [PMID: 26148976]
[http://dx.doi.org/10.1016/j.brs.2018.01.034] [PMID: 29496430]
[http://dx.doi.org/10.1186/s12868-016-0299-y] [PMID: 27733124]
[http://dx.doi.org/10.1186/cc11670] [PMID: 23036239]
[http://dx.doi.org/10.3390/ijms17122050] [PMID: 27941618]
[http://dx.doi.org/10.2174/157015910791233132] [PMID: 21119879]