Neuroinflammation and Neuroprotective Strategies in Acute Ischaemic Stroke - from bench to bedside

被引:50
作者
Shah, Imtiaz M. [2 ]
Macrae, I. Mhairi [3 ]
Di Napoli, Mario [1 ,4 ]
机构
[1] SMDN Ctr Cardiovasc Med & Cerebrovasc Dis Prevent, Neurol Sect, I-67039 Sulmona, AQ, Italy
[2] Victoria Infirm, Mansionhouse Unit, Dept Med Elderly, Glasgow G41 3DX, Lanark, Scotland
[3] Univ Glasgow, Wellcome Surg Inst, Div Clin Neurosci, Glasgow G61 1QH, Lanark, Scotland
[4] San Camillo deLellis Gen Hosp, Neurol Serv, Rieti, Italy
关键词
Acute stroke; neuroinflammation; neuroprotection; cytokines; inflammatory mediators; oxidative stress; systemic inflammatory response; translational medicine; FOCAL CEREBRAL-ISCHEMIA; MONOCYTE-CHEMOATTRACTANT PROTEIN-1; NITRIC-OXIDE SYNTHASE; C-REACTIVE PROTEIN; NF-KAPPA-B; INTERLEUKIN-1 RECEPTOR ANTAGONIST; TUMOR-NECROSIS-FACTOR; INFLAMMATORY RESPONSE SYNDROME; CENTRAL-NERVOUS-SYSTEM; INDUCED NEUTROPHIL CHEMOATTRACTANT;
D O I
10.2174/156652409787847236
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Cerebrovascular disease is one of the commonest causes of disability and mortality worldwide. Over the past two decades, a tremendous amount of research has been undertaken into developing effective therapeutic strategies for the treatment of acute stroke. Unfortunately, many neuroprotective agents that have shown successful results in treating animal models of acute stroke have failed to translate into clinical treatments. Only tissue-plasminogen activator (t-PA) is currently licensed for use in the treatment of acute ischaemic stroke. One of the important pathophysiological mechanisms involved during the acute phase of stroke is neuroinflammation. This review article will discuss the molecular aspects of neuroinflammation in acute ischaemic stroke and potential therapeutic strategies as part of translational medicine research.
引用
收藏
页码:336 / 354
页数:19
相关论文
共 345 条
  • [1] Matrix metalloproteinase-9 concentration after spontaneous intracerebral hemorrhage
    Abilleira, S
    Montaner, J
    Molina, CA
    Monasterio, J
    Castillo, J
    Alvarez-Sabín, J
    [J]. JOURNAL OF NEUROSURGERY, 2003, 99 (01) : 65 - 70
  • [2] Multiple levels of regulation of the interleukin-6 system in stroke
    Acalovschi, D
    Wiest, T
    Hartmann, M
    Farahmi, M
    Mansmann, U
    Auffarth, GU
    Grau, AJ
    Green, FR
    Grond-Ginsbach, C
    Schwaninger, M
    [J]. STROKE, 2003, 34 (08) : 1864 - 1869
  • [3] Guidelines for the early management of adults with ischemic stroke - A guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the atherosclerotic peripheral vascular disease and quality of care outcomes in research interdisciplinary working groups
    Adams, Harold P., Jr.
    del Zoppo, Gregory
    Alberts, Mark J.
    Bhatt, Deepak L.
    Brass, Lawrence
    Furlan, Anthony
    Grubb, Robert L.
    Higashida, Randall T.
    Jauch, Edward C.
    Kidwell, Chelsea
    Lyden, Patrick D.
    Morgenstern, Lewis B.
    Qureshi, Adnan I.
    Rosenwasser, Robert H.
    Scott, Phillip A.
    Wijdicks, Eelco F. M.
    [J]. STROKE, 2007, 38 (05) : 1655 - 1711
  • [4] Toll-like receptor signalling
    Akira, S
    Takeda, K
    [J]. NATURE REVIEWS IMMUNOLOGY, 2004, 4 (07) : 499 - 511
  • [5] Protective effect of C1 esterase inhibitor on reperfusion injury in the rat middle cerebral artery occlusion model
    Akita, N
    Nakase, H
    Kaido, T
    Kanemoto, Y
    Sakaki, T
    [J]. NEUROSURGERY, 2003, 52 (02) : 395 - 400
  • [6] Interferon regulatory factor-1 immunoreactivity in neurons and inflammatory cells following ischemic stroke in rodents and humans
    Alexander, M
    Forster, C
    Sugimoto, K
    Clark, HB
    Vogel, S
    Ross, ME
    Iadecola, C
    [J]. ACTA NEUROPATHOLOGICA, 2003, 105 (05) : 420 - 424
  • [7] Interleukin-1 and neuronal injury
    Allan, SM
    Tyrrell, PJ
    Rothwell, NJ
    [J]. NATURE REVIEWS IMMUNOLOGY, 2005, 5 (08) : 629 - 640
  • [8] Andjelkovic AV, 2000, J LEUKOCYTE BIOL, V68, P545
  • [9] TWEAK/Fn14 interaction regulates RANTES production, BMP-2-induced differentiation, and RANKL expression in mouse osteoblastic MC3T3-E1 cells
    Ando, Takashi
    Ichikawa, Jiro
    Wako, Masanori
    Hatsushika, Kyosuke
    Watanabe, Yoshiyuki
    Sakuma, Michitomo
    Tasaka, Kachio
    Ogawa, Hideoki
    Hamada, Yoshiki
    Yagita, Hideo
    Nakao, Atsuhito
    [J]. ARTHRITIS RESEARCH & THERAPY, 2006, 8 (05)
  • [10] Enzymatic function of nitric oxide synthases
    Andrew, PJ
    Mayer, B
    [J]. CARDIOVASCULAR RESEARCH, 1999, 43 (03) : 521 - 531