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      Monocyte Transmodulation: The Next Novel Therapeutic Approach in Overcoming Ischemic Stroke?

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          Abstract

          The immune response following neuroinflammation is a vital element of ischemic stroke pathophysiology. After the onset of ischemic stroke, a specialized vasculature system that effectively protects central nervous system tissues from the invasion of blood cells and other macromolecules is broken down within minutes, thereby triggering the inflammation cascade, including the infiltration of peripheral blood leukocytes. In this series of processes, blood-derived monocytes have a significant effect on the outcome of ischemic stroke through neuroinflammatory responses. As neuroinflammation is a necessary and pivotal component of the reparative process after ischemic stroke, understanding the role of infiltrating monocytes in the modulation of inflammatory responses may offer a great opportunity to explore new therapies for ischemic stroke. In this review, we discuss and highlight the function and involvement of monocytes in the brain after ischemic injury, as well as their impact on tissue damage and repair.

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          Most cited references182

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          Heart Disease and Stroke Statistics—2018 Update: A Report From the American Heart Association

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            Fate mapping reveals origins and dynamics of monocytes and tissue macrophages under homeostasis.

            Mononuclear phagocytes, including monocytes, macrophages, and dendritic cells, contribute to tissue integrity as well as to innate and adaptive immune defense. Emerging evidence for labor division indicates that manipulation of these cells could bear therapeutic potential. However, specific ontogenies of individual populations and the overall functional organization of this cellular network are not well defined. Here we report a fate-mapping study of the murine monocyte and macrophage compartment taking advantage of constitutive and conditional CX(3)CR1 promoter-driven Cre recombinase expression. We have demonstrated that major tissue-resident macrophage populations, including liver Kupffer cells and lung alveolar, splenic, and peritoneal macrophages, are established prior to birth and maintain themselves subsequently during adulthood independent of replenishment by blood monocytes. Furthermore, we have established that short-lived Ly6C(+) monocytes constitute obligatory steady-state precursors of blood-resident Ly6C(-) cells and that the abundance of Ly6C(+) blood monocytes dynamically controls the circulation lifespan of their progeny. Copyright © 2013 Elsevier Inc. All rights reserved.
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              Tissue-resident macrophages originate from yolk-sac-derived erythro-myeloid progenitors.

              Most haematopoietic cells renew from adult haematopoietic stem cells (HSCs), however, macrophages in adult tissues can self-maintain independently of HSCs. Progenitors with macrophage potential in vitro have been described in the yolk sac before emergence of HSCs, and fetal macrophages can develop independently of Myb, a transcription factor required for HSC, and can persist in adult tissues. Nevertheless, the origin of adult macrophages and the qualitative and quantitative contributions of HSC and putative non-HSC-derived progenitors are still unclear. Here we show in mice that the vast majority of adult tissue-resident macrophages in liver (Kupffer cells), brain (microglia), epidermis (Langerhans cells) and lung (alveolar macrophages) originate from a Tie2(+) (also known as Tek) cellular pathway generating Csf1r(+) erythro-myeloid progenitors (EMPs) distinct from HSCs. EMPs develop in the yolk sac at embryonic day (E) 8.5, migrate and colonize the nascent fetal liver before E10.5, and give rise to fetal erythrocytes, macrophages, granulocytes and monocytes until at least E16.5. Subsequently, HSC-derived cells replace erythrocytes, granulocytes and monocytes. Kupffer cells, microglia and Langerhans cells are only marginally replaced in one-year-old mice, whereas alveolar macrophages may be progressively replaced in ageing mice. Our fate-mapping experiments identify, in the fetal liver, a sequence of yolk sac EMP-derived and HSC-derived haematopoiesis, and identify yolk sac EMPs as a common origin for tissue macrophages.
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                Author and article information

                Contributors
                Journal
                Front Neurol
                Front Neurol
                Front. Neurol.
                Frontiers in Neurology
                Frontiers Media S.A.
                1664-2295
                22 October 2020
                2020
                : 11
                : 578003
                Affiliations
                [1] 1Department of Anatomy, Yonsei University College of Medicine , Seoul, South Korea
                [2] 2Brain Korea 21 Plus Project for Medical Science, Yonsei University College of Medicine , Seoul, South Korea
                [3] 3Brain Research Institute, Yonsei University College of Medicine , Seoul, South Korea
                Author notes

                Edited by: Johannes Boltze, University of Warwick, United Kingdom

                Reviewed by: Slava Rom, Temple University, United States; Sudhanshu P. Raikwar, University of Missouri, United States

                *Correspondence: Jong Eun Lee jelee@ 123456yuhs.ac

                This article was submitted to Stroke, a section of the journal Frontiers in Neurology

                Article
                10.3389/fneur.2020.578003
                7642685
                33193029
                9675a72b-0dec-4e24-b839-659b13c3ffa4
                Copyright © 2020 Park, Chang, Kim and Lee.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 01 July 2020
                : 22 September 2020
                Page count
                Figures: 4, Tables: 3, Equations: 0, References: 182, Pages: 17, Words: 12953
                Funding
                Funded by: National Research Foundation of Korea 10.13039/501100003725
                Categories
                Neurology
                Review

                Neurology
                ischemic stroke,neuroinflammation,monocytes,monocyte conversion,macrophages
                Neurology
                ischemic stroke, neuroinflammation, monocytes, monocyte conversion, macrophages

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