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Updated: Nov 5, 2025

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Published on: April 5, 2017
Stroke affects intestinal immune cell trafficking to the central nervous system
David Brea1, Carrie Poon1, Corinne Benakis1
1Feil Family Brain and Mind Research Institute, Weill Cornell Medical College, New York, NY, United States.
Stroke mobilizes immune cells from the gut to the brain and other organs. This study tracked these gut-derived immune cells after stroke, revealing increased trafficking to the central nervous system (CNS).
Area of Science:
- Neuroimmunology
- Gastroenterology
- Immunology
Background:
- Stroke is an acute neurological disease with significant inflammatory components.
- The intestinal microbiota and immune cells play a role in regulating inflammation.
- While stroke alters gut immune cell populations, their trafficking dynamics remain unclear.
Purpose of the Study:
- To investigate the trafficking of gut-derived immune cells to the periphery and central nervous system (CNS) following stroke.
- To understand the dynamics of immune cell migration from the intestine after ischemic injury.
Main Methods:
- Utilized mice expressing a photoconvertible protein (Kikume Green-Red) to track immune cells.
- Photoconverted immune cells in the small intestine and analyzed their presence in lymphoid organs, meninges, and brain post-stroke (transient middle cerebral artery occlusion).
Main Results:
- Stroke significantly increased the mobilization of gut-derived immune cells (KikR+) to peripheral lymphoid organs, meninges, and brain, particularly at 3 days post-stroke.
- A notable migration of CD45hi immune cells from the gut to the brain and meninges was observed 3 days after stroke.
- Intestinal CD11c+ cells showed a preference for migrating to the brain and meninges following stroke.
Conclusions:
- Stroke enhances the trafficking of immune cells from the small intestine to both peripheral lymphoid organs and the CNS.
- These gut-derived immune cells may contribute to the inflammatory processes occurring in the brain after a stroke.
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