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Meningeal lymphatics clear erythrocytes that arise from subarachnoid hemorrhage.

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机构: [1]Longhua Hospital, Shanghai University of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China [2]Spine Institute, ShanghaiUniversity of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China [3]School of Rehabilitation Science, Shanghai University ofTraditional Chinese Medicine, 1200 Cailun Road, 201203 Shanghai, China [4]Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry ofEducation (Shanghai University of Traditional Chinese Medicine), 1200 Cailun Road, 201203 Shanghai, China [5]Department of Anatomy, School of BasicMedicine, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, 201203 Shanghai, China [6]Department of Pathology and LaboratoryMedicine and Center for Musculoskeletal Research, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA [7]TheInternational Education College, Nanjing University of Chinese Medicine, 138 Xianlin Road, 210029 Nanjing, China [8]The Fourth Clinical Medical College,Guangzhou University of Traditional Chinese Medicine, 232 Huandong Road, 510006 Guangdong, China
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Extravasated erythrocytes in cerebrospinal fluid (CSF) critically contribute to the pathogenesis of subarachnoid hemorrhage (SAH). Meningeal lymphatics have been reported to drain macromolecules and immune cells from CSF into cervical lymph nodes (CLNs). However, whether meningeal lymphatics are involved in clearing extravasated erythrocytes in CSF after SAH remains unclear. Here we show that a markedly higher number of erythrocytes are accumulated in the lymphatics of CLNs and meningeal lymphatics after SAH. When the meningeal lymphatics are depleted in a mouse model of SAH, the degree of erythrocyte aggregation in CLNs is significantly lower, while the associated neuroinflammation and the neurologic deficits are dramatically exacerbated. In addition, during SAH lymph flow is increased but without significant lymphangiogenesis and lymphangiectasia. Taken together, this work demonstrates that the meningeal lymphatics drain extravasated erythrocytes from CSF into CLNs after SAH, while suggesting that modulating this draining may offer therapeutic approaches to alleviate SAH severity.

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出版当年[2019]版:
大类 | 1 区 综合性期刊
小类 | 1 区 综合性期刊
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大类 | 1 区 综合性期刊
小类 | 1 区 综合性期刊
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Q1 MULTIDISCIPLINARY SCIENCES
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Q1 MULTIDISCIPLINARY SCIENCES

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第一作者机构: [1]Longhua Hospital, Shanghai University of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China [2]Spine Institute, ShanghaiUniversity of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China [3]School of Rehabilitation Science, Shanghai University ofTraditional Chinese Medicine, 1200 Cailun Road, 201203 Shanghai, China [4]Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry ofEducation (Shanghai University of Traditional Chinese Medicine), 1200 Cailun Road, 201203 Shanghai, China
通讯作者:
通讯机构: [1]Longhua Hospital, Shanghai University of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China [2]Spine Institute, ShanghaiUniversity of Traditional Chinese Medicine, 725 Wan-Ping South Road, 200032 Shanghai, China [3]School of Rehabilitation Science, Shanghai University ofTraditional Chinese Medicine, 1200 Cailun Road, 201203 Shanghai, China [4]Key Laboratory of Theory and Therapy of Muscles and Bones, Ministry ofEducation (Shanghai University of Traditional Chinese Medicine), 1200 Cailun Road, 201203 Shanghai, China
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