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Title:
The role of circulating cell-free DNA as an inflammatory mediator after stroke | Seminars in Immunopathology
Description:
Stroke is the second leading cause of death worldwide and a leading cause of disability. Clinical and experimental studies highlighted the complex role of the immune system in the pathophysiology of stroke. Ischemic brain injury leads to the release of cell-free DNA, a damage-associated molecular pattern, which binds to pattern recognition receptors on immune cells such as toll-like receptors and cytosolic inflammasome sensors. The downstream signaling cascade then induces a rapid inflammatory response. In this review, we are highlighting the characteristics of cell-free DNA and how these can affect a local as well as a systemic response after stroke. For this purpose, we screened literature on clinical studies investigating cell-free DNA concentration and properties after brain ischemia. We report the current understanding for mechanisms of DNA uptake and sensing in the context of post-stroke inflammation. Moreover, we compare possible treatment options targeting cell-free DNA, DNA-sensing pathways, and the downstream mediators. Finally, we describe clinical implications of this inflammatory pathway for stroke patients, open questions, and potential future research directions.
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Keywords {🔍}
pubmed, stroke, article, google, scholar, dna, cas, cfdna, central, aim, patients, ischemic, blood, tlr, cellfree, dnase, activation, inflammasome, immune, studies, injury, response, clinical, brain, cell, systemic, cells, binding, inflammatory, plasma, concentrations, release, inflammation, increased, outcome, treatment, tissue, hmgb, signaling, ilβ, receptor, circulating, sensing, pathway, leads, concentration, acute, cgas, human, experimental,
Topics {✒️}
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headline:The role of circulating cell-free DNA as an inflammatory mediator after stroke
description:Stroke is the second leading cause of death worldwide and a leading cause of disability. Clinical and experimental studies highlighted the complex role of the immune system in the pathophysiology of stroke. Ischemic brain injury leads to the release of cell-free DNA, a damage-associated molecular pattern, which binds to pattern recognition receptors on immune cells such as toll-like receptors and cytosolic inflammasome sensors. The downstream signaling cascade then induces a rapid inflammatory response. In this review, we are highlighting the characteristics of cell-free DNA and how these can affect a local as well as a systemic response after stroke. For this purpose, we screened literature on clinical studies investigating cell-free DNA concentration and properties after brain ischemia. We report the current understanding for mechanisms of DNA uptake and sensing in the context of post-stroke inflammation. Moreover, we compare possible treatment options targeting cell-free DNA, DNA-sensing pathways, and the downstream mediators. Finally, we describe clinical implications of this inflammatory pathway for stroke patients, open questions, and potential future research directions.
datePublished:2023-05-22T00:00:00Z
dateModified:2023-05-22T00:00:00Z
pageStart:411
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license:http://creativecommons.org/licenses/by/4.0/
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Cell-free DNA
Tissue injury
Stroke
Inflammation
Inflammasome
Immunology
Internal Medicine
Pathology
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headline:The role of circulating cell-free DNA as an inflammatory mediator after stroke
description:Stroke is the second leading cause of death worldwide and a leading cause of disability. Clinical and experimental studies highlighted the complex role of the immune system in the pathophysiology of stroke. Ischemic brain injury leads to the release of cell-free DNA, a damage-associated molecular pattern, which binds to pattern recognition receptors on immune cells such as toll-like receptors and cytosolic inflammasome sensors. The downstream signaling cascade then induces a rapid inflammatory response. In this review, we are highlighting the characteristics of cell-free DNA and how these can affect a local as well as a systemic response after stroke. For this purpose, we screened literature on clinical studies investigating cell-free DNA concentration and properties after brain ischemia. We report the current understanding for mechanisms of DNA uptake and sensing in the context of post-stroke inflammation. Moreover, we compare possible treatment options targeting cell-free DNA, DNA-sensing pathways, and the downstream mediators. Finally, we describe clinical implications of this inflammatory pathway for stroke patients, open questions, and potential future research directions.
datePublished:2023-05-22T00:00:00Z
dateModified:2023-05-22T00:00:00Z
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license:http://creativecommons.org/licenses/by/4.0/
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Cell-free DNA
Tissue injury
Stroke
Inflammation
Inflammasome
Immunology
Internal Medicine
Pathology
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