• J Neuroinflamm · Jan 2014

    Review

    Cross-talk between the inflammatory response, sympathetic activation and pulmonary infection in the ischemic stroke.

    • Pawel J Winklewski, Marek Radkowski, and Urszula Demkow.
    • Institute of Human Physiology, Medical University of Gdansk, Tuwima Street 15, 80-210, Gdansk, Poland. pawelwinklewski@wp.pl.
    • J Neuroinflamm. 2014 Jan 1;11:213.

    AbstractThe immune system response and inflammation play a key role in brain injury during and after a stroke. The acute immune response is responsible for secondary brain tissue damage immediately after the stroke, followed by immunosuppression due to sympathetic nervous system activation. The latter increases risk of infection complications, such as pneumonia. The pneumonia-related inflammatory state can release a bystander autoimmune response against central nervous system antigens, thereby initiating a vicious circle. The aim of this review is to summarize the relationship between ischemic stroke, sympathetic nervous system activation and pulmonary infection.

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