The time course of
ICAM-1 expression and leukocyte subset infiltration was studied in a model of CNS
reperfusion injury in adult rats. Leukocyte adhesion and infiltration, mediated in part by
intercellular adhesion molecule-1 (ICAM-1), appears to potentiate CNS
reperfusion injury. The timing and relationship between
ICAM-1 staining and leukocyte infiltration postglobal CNS
ischemia is unknown. Reversible forebrain
ischemia was produced in 32 adult Sprague-Dawley rats using the two-vessel occlusion model with histologic analysis performed at specific intervals postischemia: 1, 3, 6, 12, and 24 h, 4 and 7 d, or
sham-operated controls (n = 4 each group).
Monoclonal antibodies against
ICAM-1 (1A29 and TM8), a specific granulocyte (PMN) (HIS48), and a specific monocyte/macrophage (M phi) (ED1) were used. No specific leukocyte and only rare
ICAM-1 vessel immunoreactivity was observed in
sham controls. ICAM-1: Significant expression in microvessels beginning at 1 h with additional diffuse CA1 pyramidal layer staining beginning at 4 d. Leukocytes: No PMN cells and rare M phi identified at 6 and 12 h. By 24 h: moderate infiltrate in areas of
ICAM-1 expression of PMN and M phi. At 4 and 7 d: only M phi accumulation, cellular morphology now similar to microglia. The results of this study indicate that early and persistent
ICAM-1 expression occurs following CNS
ischemia with associated leukocyte infiltration.