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Cerebral ischemia was initiated in 12-weeks old male C57BL/6 mice via transient filament occlusion of the left middle cerebral artery (MCAO). For sham operation the filament was inserted to occlude the left middle cerebral artery and withdrawn immediately to allow instant reperfusion. Importantly, cellular neuroinflammation differs substantially among commonly applied stroke models19. This has to be kept in mind especially when extrapolating findings from animal studies to the heterogeneous pathophysiology of human stroke.
Mice were sacrificed 24 hr after MCAO to analyze early immune cell invasion to the ischemic brain. Cell counts obtained from the ischemic hemisphere (MCAO ipsi; 0.95 ± 0.25 x 10E6) after density gradient centrifugation were comparable to those from the contralateral hemisphere (MCAO contra; 1.09 ± 0.30 x 10E6) and the ipsilateral hemisphere of sham-operated mice (sham ipsi; 1.12 ± 0.18 x 10E6, one-way ANOVA, p = 0.524). Viability of the isolated cells measured by trypan blue exclusion was high and did not significantly differ among the groups (sham 96.85 ± 0.60%, MCAO contra 97.12 ± 1.18%, MCAO ipsi 95.68 ± 2.04%, one-way-ANOVA, p = 0.253).
The composition of the brain infiltrate 24 hr after MCAO was determined by flow cytometric analysis. Figure 1 illustrates the gating strategy schematically (A) and in a representative stroke animal (B). Brain-infiltrating leukocytes were defined as CD45high cells that can be differentiated from CD45int microglia. Within the CD45high population, polymorphonuclear neutrophils (PMN) were identified by Ly-6G expression, while T lymphocytes were delineated as CD45high CD3+ cells. The remaining CD45high cells were then distinguished by CD19 (B lymphocytes) and CD11b expression. The CD11b+ fraction was further subcategorized into Ly-6Chigh `inflammatory monocytes` and a Ly-6Clow population that encompasses monocytes, dendritic cells (DC) and macrophages.
In the acute stage of stroke, myeloid immune cells dominate the brain infiltrate3,20. Neutrophils enter the brain rapidly after vessel occlusion and promote the extravasation of inflammatory monocytes21. Figure 2A displays the percentage increase of Ly6-G+ neutrophils in the ischemic hemisphere 24 hr after MCAO compared to the contralateral hemisphere and sham surgery. By contrast, the proportion of CD3+ T cells in the ischemic hemisphere is (relatively) lower than in the healthy brain. Within the CD11b+ population, brain ischemia shifts the balance towards a strong preponderance of Ly-6Chigh inflammatory monocytes (Figure 2B).
In addition to relative distributions, counting tubes were used to determine absolute numbers of immune cell subsets in samples on the basis of CD45 positive events (Figure 3). Counting tubes contain a lyophilized pellet which releases a known number of fluorescent beads. The absolute number of positive cells in the sample can be determined by relating cellular events to bead events. To calculate the number of CD45high leukocytes per hemisphere the following equation was used: CD45high cells per hemisphere = (CD45high events x total counting beads/ sample bead events) x (total suspension volume (100 µl)/sample volume (10 µl)). 24 hr after MCAO, total leukocyte counts in the infarct hemisphere were significantly increased as compared to the contralateral hemisphere and sham surgery (Figure 3D, one-way ANOVA, p = 0.0004). Counts of the distinct immune cell subsets (PMN, T-cells, B-cells, Ly-6Chigh and Ly-6Clow monocytes) can be easily computed by multiplying their relative frequency with the total CD45high leukocyte number of the respective sample.

Figure 1. Gating Strategy for Flow Cytometry. (A) Schematic illustration of the gating strategy. (B) shows flow cytometric analysis of leukocytes isolated from a representative mouse brain 24 hr after middle cerebral artery occlusion. FSC forward scatter, PMN polymorphonuclear neutrophils, cDC classical dendritic cells. Please click here to view a larger version of this figure.

Figure 2. Differentiation of Immune Cell Subsets. Relative distribution of Ly-6G+-neutrophils (A), CD3+ T cells (A) and monocyte subsets identified by differential expression of Ly-6C (B) in the ipsilateral (ipsi) and contralateral (contra) hemisphere 24 hr after middle cerebral artery occlusion (MCAO) or a respective sham surgery. Percentage of each population is indicated in the gate. Please click here to view a larger version of this figure.

Figure 3. Quantification of Brain Leukocytes by Counting Beads. (A) shows the highly double-positive bead gate. Within the single cell population (B) CD45int microglia can be differentiated from CD45high leukocytes (C). For quantification, the number of gated CD45high events was normalized to the counted bead events. Note that total leukocyte (CD45high) counts are significantly increased in the ipsilateral (ipsi) hemisphere compared to the contralateral (contra) hemisphere and sham surgery 24 hr after middle cerebral artery occlusion (MCAO). **p <0.01, ***p <0.001 by one-way ANOVA and Tukey`s post hoc multiple comparisons test. n = 4 - 6 per group. FSC forward scatter. Please click here to view a larger version of this figure.
| Fluorochrome | FITC | PE | PerCP | PC7 | APC-Cy7 | V500 |
| (Cy5.5) |
| Antigen | CD45.2 | CD3 | Ly-6G | CD19 | Ly-6C | CD11b |
| Final concentration [µg/ml] | 5 | 1 | 0.2 | 0.2 | 1 | 1 |
| Dilution factor | 1/100 | 1/200 | 1/1,000 | 1/1,000 | 1/200 | 1/200 |
| Clone | 104 | 145-2C11 | 1A8 | 6D5 | AL-21 | M1/70 |
Table 1. Basic Antibody Cocktail for Immune Cell Identification in the Ischemic Brain.