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Intracerebral hemorrhage (ICH) is a cerebrovascular disease. Kallikrein-related peptidase 8 (KLK8) is a serine peptidase, while its role in ICH remains unclarified. Western blot (WB) showed that KLK8 was upregulated in rat perihematomal tissues 24 h following autologous blood injection. KLK8 overexpression aggravated behavioral deficits and increased water content and Fluoro-Jade B (FJB)-positive neuron numbers in brain tissue of rats. Immunofluorescence (IF) assay showed that overexpressed-KLK8 promoted Iba-1 and iNOS expression in perihematomal tissue of rats. Overexpressed-KLK8 increased COX-2, iNOS, and Arg-1 expression and the content of IL-6, IL-1β, and TNF-α in perihematomal tissue of rats, confirmed by WB and ELISA. IF staining confirmed the expression of CCR5 was co-expressed with Iba-1, and the WB results shown increased CCR5 expression and decreased p-PKA and p-CREB expression in perihematomal tissue. Maraviroc (MVC, CCR5 inhibitor) administration rescued KLK8-induced behavioral deficits and brain injury (decreased water content and FJB-positive neuron numbers) in rats. Additionally, MVC suppressed p-PKA and p-CREB expression and the content of IL-6, IL-1β, and TNF-α in perihematomal tissue, induced by overexpressed-KLK8. Co-IP confirmed the binding of CCR5 and CCL14 in HMC3 cells. Transwell assay shown that KLK8 plus CCL4 promoted the chemotactic activity of cells, which was rescued by MVC. The biological function of KLK8/CCL14/CCR5 axis in ICH injury was also proved by MVC administration in HMC3 cells. Overall, our work revealed that KLK8 overexpression aggravated ICH process and involved in microglial activation. KLK8 might activate CCL14 thereby turning on downstream CCR5/PKA/CREB pathway, providing a theoretical basis for future therapy.
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http://dx.doi.org/10.1016/j.intimp.2023.110855 | DOI Listing |
Front Neurol
July 2025
Department of Neurosurgery, The First People's Hospital of Yibin, Yibin, Sichuan, China.
Background: Perihematomal edema (PHE) after a brain hemorrhage is an increase in the water content of the brain tissue surrounding the haematoma, which can be observed and measured on imaging. PHE is one of the major secondary brain injuries after a brain hemorrhage and is strongly associated with poor patient prognosis. The relationship between the neutrophil-lymphocyte ratio (NLR) and cerebral oedema after cerebral hemorrhage remains unclear.
View Article and Find Full Text PDFCureus
May 2025
Neurosurgery, Kurume University, Kurume, JPN.
Introduction: Surgery for putaminal hemorrhage during the acute phase does not improve motor and cognitive impairments. We investigated the effect of stereotactic evacuation performed seven days after the onset of putaminal hemorrhage on the Functional Independence Measurement (FIM) score, compared with that of conservative treatment.
Methods: We included 203 patients admitted for putaminal hemorrhage treatment between January 2012 and December 2022.
Quant Imaging Med Surg
May 2025
School of Computer Science and Technology, Changchun University of Science and Technology, Changchun, China.
Background: Perihematomal edema (PHE) in spontaneous intracranial hemorrhage can lead to intracranial hypertension, cerebral hernia, and even death; therefore, accurate segmentation of PHE has some value in determining medical management strategies. Despite the rapid advancements in deep learning (DL), the gray-scale overlap and indistinct boundaries between PHE and surrounding tissues continue to pose challenges for segmentation. The aim of this study was to enhance the efficiency and reliability of clinical diagnosis by improving the accuracy of PHE segmentation.
View Article and Find Full Text PDFStem Cell Res Ther
April 2025
Department of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China.
Background: Exosome-based therapeutics have garnered significant attention for intracerebral hemorrhage (ICH) treatment due to their capacity to regulate metabolic dysregulation, restore cellular homeostasis, and modulate the injury microenvironment via bioactive cargoes such as microRNAs and proteins. However, rapid systemic clearance and enzymatic degradation critically limit their therapeutic efficacy. To address this challenge, we engineered a three-dimensional (3D) bioprinted scaffold capable of encapsulating and sustaining the release of human umbilical cord mesenchymal stem cell-derived exosomes (hUCMSC-exos).
View Article and Find Full Text PDFJ Stroke Cerebrovasc Dis
May 2025
Department of Neurosurgery, Qinghai Provincial People's Hospital, Xining, Qinghai, China. Electronic address:
Backround: In patients with intracerebral hemorrhage (ICH), perihematomal edema (PHE) significantly worsens the prognosis. This condition leads to the formation of a hypoxic microenvironment surrounding the blood-brain barrier (BBB), which in turn activates hypoxia-inducible factor-1 alpha (HIF-1α), a highly sensitive hypoxia-related transcription factor. Additionally, tumor necrosis factor-alpha (TNF-α) emerges as a promising biomarker for tracking inflammation in the vicinity of the BBB.
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