ROLE OF CELL-ADHESION MOLECULES IN BRAIN INJURY AFTER TRANSIENT MIDDLE CEREBRAL-ARTERY OCCLUSION IN THE RAT

Activated neutrophils appear to be directly involved in tissue injury after focal cerebral ischemia and reperfusion. Intercellular adhesion molecules-1 (ICAM-1) and CD11/CD18 integrins have been implicated in i schemia-reperfusion induced neutrophil endothelial adhesion and transm igration. We therefore investigated the roles of CD11a/CD18 (LFA-1) an d ICAM-1 in cerebral ischemia-reperfusion injury by using monoclonal a ntibodies, WT1 (anti-CD11a), WT3 (anti-CD18), and 1A29 (anti-ICAM-1). Rats were subjected to 1 h of middle cerebral artery occlusion (MCAO). Individual antibodies were administered at a dose of 5 mg/kg intraper itoneally at 15 min before ischemia and immediately after reperfusion. Rats were killed at 24 h after reperfusion, and brain edema, neutroph il infiltration and infarct size were measured. Sustained enhancement of ICAM-1 expression on capillaries was observed up to 24 h (beginning between 1 and 3 h after reperfusion). While, leukocytes began to infi ltrate into the ischemic hemisphere between 6 and 12 h after reperfusi on. Treatment with individual antibodies against cell adhesion molecul es reduced edema formation and infarct size in addition to neutrophil accumulation 24 h after reperfusion. These results strongly implicate the invasion of neutrophils in the development of post-ischemic brain injury, and suggest that interactions between CD11a/CD18 and ICAM-1 co ntribute to neutrophil infiltration into the ischemic brain.