| Home > Publications database > Complement C3a treatment accelerates recovery after stroke via modulation of astrocyte reactivity and cortical connectivity > print |
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| 100 | 1 | _ | |a Stokowska, Anna |0 P:(DE-HGF)0 |b 0 |
| 245 | _ | _ | |a Complement C3a treatment accelerates recovery after stroke via modulation of astrocyte reactivity and cortical connectivity |
| 260 | _ | _ | |a Ann Arbor, Mich. |c 2023 |b ASCJ |
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| 520 | _ | _ | |a Despite advances in acute care, ischemic stroke remains a major cause of long-term disability. Approaches targeting both neuronal and glial responses are needed to enhance recovery and improve long-term outcome. The complement C3a receptor (C3aR) is a regulator of inflammation with roles in neurodevelopment, neural plasticity, and neurodegeneration. Using mice lacking C3aR (C3aR–/–) and mice overexpressing C3a in the brain, we uncovered 2 opposing effects of C3aR signaling on functional recovery after ischemic stroke: inhibition in the acute phase and facilitation in the later phase. Peri-infarct astrocyte reactivity was increased and density of microglia reduced in C3aR–/– mice; C3a overexpression led to the opposite effects. Pharmacological treatment of wild-type mice with intranasal C3a starting 7 days after stroke accelerated recovery of motor function and attenuated astrocyte reactivity without enhancing microgliosis. C3a treatment stimulated global white matter reorganization, increased peri-infarct structural connectivity, and upregulated Igf1 and Thbs4 in the peri-infarct cortex. Thus, C3a treatment from day 7 after stroke exerts positive effects on astrocytes and neuronal connectivity while avoiding the deleterious consequences of C3aR signaling during the acute phase. Intranasal administration of C3aR agonists within a convenient time window holds translational promise to improve outcome after ischemic stroke. |
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| 700 | 1 | _ | |a Aswendt, Markus |0 P:(DE-Juel1)196051 |b 1 |
| 700 | 1 | _ | |a Zucha, Daniel |0 0000-0002-2469-1315 |b 2 |
| 700 | 1 | _ | |a Lohmann, Stephanie |0 P:(DE-HGF)0 |b 3 |
| 700 | 1 | _ | |a Wieters, Frederique |0 P:(DE-HGF)0 |b 4 |
| 700 | 1 | _ | |a Morán Suarez, Javier |0 P:(DE-HGF)0 |b 5 |
| 700 | 1 | _ | |a Atkins, Alison L. |b 6 |
| 700 | 1 | _ | |a Li, YiXian |b 7 |
| 700 | 1 | _ | |a Miteva, Maria |b 8 |
| 700 | 1 | _ | |a Lewin, Julia |b 9 |
| 700 | 1 | _ | |a Wiedermann, Dirk |b 10 |
| 700 | 1 | _ | |a Diedenhofen, Michael |b 11 |
| 700 | 1 | _ | |a Torinsson Naluai, Åsa |b 12 |
| 700 | 1 | _ | |a Abaffy, Pavel |0 0000-0002-7571-8880 |b 13 |
| 700 | 1 | _ | |a Valihrach, Lukas |0 0000-0002-6704-4337 |b 14 |
| 700 | 1 | _ | |a Kubista, Mikael |b 15 |
| 700 | 1 | _ | |a Hoehn, Mathias |0 P:(DE-Juel1)176651 |b 16 |
| 700 | 1 | _ | |a Pekny, Milos |0 P:(DE-HGF)0 |b 17 |
| 700 | 1 | _ | |a Pekna, Marcela |0 0000-0003-2734-8237 |b 18 |e Corresponding author |
| 773 | _ | _ | |a 10.1172/JCI162253 |g Vol. 133, no. 10, p. e162253 |0 PERI:(DE-600)2018375-6 |n 10 |p e162253 |t The journal of clinical investigation |v 133 |y 2023 |x 0021-9738 |
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