T cell–derived interleukin (IL)-21 promotes brain injury following stroke in mice

BDS Clarkson, C Ling, Y Shi, MG Harris… - Journal of Experimental …, 2014 - rupress.org
BDS Clarkson, C Ling, Y Shi, MG Harris, A Rayasam, D Sun, MS Salamat, V Kuchroo
Journal of Experimental Medicine, 2014rupress.org
T lymphocytes are key contributors to the acute phase of cerebral ischemia reperfusion
injury, but the relevant T cell–derived mediators of tissue injury remain unknown. Using a
mouse model of transient focal brain ischemia, we report that IL-21 is highly up-regulated in
the injured mouse brain after cerebral ischemia. IL-21–deficient mice have smaller infarcts,
improved neurological function, and reduced lymphocyte accumulation in the brain within 24
h of reperfusion. Intracellular cytokine staining and adoptive transfer experiments revealed …
T lymphocytes are key contributors to the acute phase of cerebral ischemia reperfusion injury, but the relevant T cell–derived mediators of tissue injury remain unknown. Using a mouse model of transient focal brain ischemia, we report that IL-21 is highly up-regulated in the injured mouse brain after cerebral ischemia. IL-21–deficient mice have smaller infarcts, improved neurological function, and reduced lymphocyte accumulation in the brain within 24 h of reperfusion. Intracellular cytokine staining and adoptive transfer experiments revealed that brain-infiltrating CD4+ T cells are the predominant IL-21 source. Mice treated with decoy IL-21 receptor Fc fusion protein are protected from reperfusion injury. In postmortem human brain tissue, IL-21 localized to perivascular CD4+ T cells in the area surrounding acute stroke lesions, suggesting that IL-21–mediated brain injury may be relevant to human stroke.
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