RT journal article T1 Changes in Adhesion and the Expression of Adhesion Molecules in PBMCs after Aneurysmal Subarachnoid Hemorrhage: Relation to Cerebral Vasospasm A1 Revilla González, Gonzalo A1 Varela, Lourdes María A1 Ruiz de Azua-López, Zaida A1 Amaya Villar, Rosario A1 Pezzotti, María Rosa A1 Castro, María José A1 Ureña, Juan A1 González Montelongo, María del Carmen A1 Castellano, Antonio A2 BiomedicinaBiotecnología y Salud Pública K1 Aneurysmal subarachnoid hemorrhage (aSAH) K1 Peripheral blood mononuclear cells (PBMCs) K1 Vasospasm (VSP) K1 Adhesion to the endothelium K1 Adhesion molecules AB Aneurysmal subarachnoid hemorrhage (aSAH) is a neurovascular disease produced by extravasation of blood to the subarachnoid space after rupture of the cerebral vessels. After bleeding, the immune response is activated. The role of peripheral blood mononuclear cells (PBMCs) in this response is a current subject of research. We have analysed the changes in PBMCs of patients with aSAH and their interaction with the endothelium, focusing on their adhesion and the expression of adhesion molecules. Using an in vitro adhesion assay, we observed that the adhesion of PBMCs of patients with aSAH is increased. Flow cytometry analysis shows that monocytes increased significantly in patients, especially in those who developed vasospasm (VSP). In aSAH patients, the expression of CD162, CD49d, CD62L and CD11a in T lymphocytes and of CD62L in monocytes increased. However, the expression of CD162, CD43, and CD11a decreased in monocytes. Furthermore, monocytes from patients who developed arteriographic VSP had lower expression of CD62L. In conclusion, our results confirm that after aSAH, monocyte count and adhesion of PBMCs increase, especially in patients with VSP, and that the expression of several adhesion molecules is altered. These observations can help predict VSP and to improve the treatment of this pathology. PB Springer SN 1868-4483 YR 2024 FD 2024-02-23 LK http://hdl.handle.net/10498/31628 UL http://hdl.handle.net/10498/31628 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 12-nov-2026