Is There a Place for Cerebral Preconditioning in the Clinic?

被引:26
作者
Keep, Richard F. [1 ,2 ]
Wang, Michael M. [1 ,3 ]
Xiang, Jianming [1 ]
Hua, Ya [1 ]
Xi, Guohua [1 ]
机构
[1] Univ Michigan, Dept Neurosurg, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Dept Mol & Integrat Physiol, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Dept Neurol, Ann Arbor, MI 48109 USA
基金
美国国家卫生研究院;
关键词
Translational research; Preconditioning; Ischemic tolerance; Cerebral ischemia; TRANSIENT ISCHEMIC ATTACK; HEALTH-CARE PROFESSIONALS; ARTERY-BYPASS SURGERY; SHORT-TERM PROGNOSIS; BRAIN EDEMA; HYPERBARIC-OXYGEN; INDUCED TOLERANCE; FOCAL ISCHEMIA; UP-REGULATION; DOUBLE-BLIND;
D O I
10.1007/s12975-009-0007-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Preconditioning (PC) describes a phenomenon whereby a sub-injury-inducing stress can protect against a later injurious stress. Great strides have been made in identifying the mechanisms of PC-induced protection in animal models of brain injury. While these may help elucidate potential therapeutic targets, there are questions over the clinical utility of cerebral PC, primarily because of questions over the need to give the PC stimulus prior to the injury, narrow therapeutic windows, and safety. The object of this review is to address the question of whether there may indeed be a clinical use for cerebral PC and to discuss the deficiencies in our knowledge of PC that may hamper such clinical translation.
引用
收藏
页码:4 / 18
页数:15
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