Imbalanced VWF-ADAMTS13 axis contributes to the detrimental impact of a preceding respiratory tract infection on stroke.

Publication date: Jan 09, 2025

Respiratory tract infections (RTIs) caused by bacteria or viruses are associated with stroke severity. Recent studies have revealed an imbalance in the von Willebrand factor (VWF)-ADAMTS13 axis in patients with RTIs, including COVID-19. We examined whether this imbalance contributes to RTI-mediated stroke severity. Wild-type (WT), Vwf -/-, or Adamts13-/- mice with respective littermate controls (Vwf +/+, or Adamts13+/+) were infected intranasally with sublethal doses of S. aureus (on days 0, 2, and 5) or mouse-adapted SARS-CoV-2 (on day 0) and subjected to transient (30 or 45 min) cerebral ischemia followed by reperfusion. In S. aureus-infected mice, infarct volumes were assessed on day 2 and functional outcomes on weeks 1 and 4 post-reperfusion. In SARS-CoV-2-infected mice, infarct volumes and functional outcomes (Bederson score) were assessed on day 1 post-reperfusion. We demonstrated that S. aureus or SARS-CoV-2 RTI was accompanied by an imbalance in the VWF-ADAMTS13 axis and an increase in plasma levels of IL-6, CXCL1, and MCP-1, which was associated with larger infarcts and worse functional outcomes (P

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Concepts Keywords
Adamts13 Adamts13
Day Aureus
Mice Axis
Reperfusion Contributes
Viruses Cov
Day
Functional
Imbalance
Infected
Outcomes
Reperfusion
Respiratory
Sars
Stroke
Vwf

Semantics

Type Source Name
disease MESH respiratory tract infection
disease MESH stroke
disease IDO bacteria
drug DRUGBANK Von Willebrand Factor Human
disease MESH COVID-19
disease MESH cerebral ischemia
disease MESH infarct
disease IDO blood

Original Article

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