Isolation and identification of leukocyte populations in intracranial blood collected during mechanical thrombectomy

Benjamin C. Shaw, G. Benton Maglinger, Thomas Ujas, Chintan Rupareliya, Justin F. Fraser, Stephen Grupke, Melissa Kesler, Mathias Gelderblom, Keith R. Pennypacker, Jadwiga Turchan-Cholewo, Ann M. Stowe

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Using standard techniques during mechanical thrombectomy, the Blood and Clot Thrombectomy Registry and Collaboration (BACTRAC) protocol (NCT03153683) isolates intracranial arterial blood distal to the thrombus and proximal systemic blood in the carotid artery. We augmented the current protocol to study leukocyte subpopulations both distal and proximal to the thrombus during human stroke (n = 16 patients), and from patients with cerebrovascular disease (CVD) undergoing angiography for unrelated conditions (e.g. carotid artery stenosis; n = 12 patients). We isolated leukocytes for flow cytometry from small volume (<1 mL) intracranial blood and systemic blood (5–10 mL) to identify adaptive and innate leukocyte populations, in addition to platelets and endothelial cells (ECs). Intracranial blood exhibited significant increases in T cell representation and decreases in myeloid/macrophage representation compared to within-patient carotid artery samples. CD4+ T cells and classical dendritic cells were significantly lower than CVD controls and correlated to within-patient edema volume and last known normal. This novel protocol successfully isolates leukocytes from small volume intracranial blood samples of stroke patients at time of mechanical thrombectomy and can be used to confirm preclinical results, as well as identify novel targets for immunotherapies.

Original languageEnglish
Pages (from-to)280-291
Number of pages12
JournalJournal of Cerebral Blood Flow and Metabolism
Volume42
Issue number2
DOIs
StatePublished - Feb 2022

Bibliographical note

Publisher Copyright:
© The Author(s) 2021.

Keywords

  • Cerebrovascular endothelium
  • T cells
  • emergent large vessel occlusion (ELVO)
  • flow cytometry
  • ischemic stroke

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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