Wang Jian, Doré Sylvain
Department of Anesthesiology/Critical Care Medicine, The Johns Hopkins University, School of Medicine, Baltimore, Maryland 21205, USA.
J Cereb Blood Flow Metab. 2007 May;27(5):894-908. doi: 10.1038/sj.jcbfm.9600403. Epub 2006 Oct 11.
Intracerebral hemorrhage (ICH) is a devastating clinical event without effective therapies. Increasing evidence suggests that inflammatory mechanisms are involved in the progression of ICH-induced brain injury. Inflammation is mediated by cellular components, such as leukocytes and microglia, and molecular components, including prostaglandins, chemokines, cytokines, extracellular proteases, and reactive oxygen species. Better understanding of the role of the ICH-induced inflammatory response and its potential for modulation might have profound implications for patient treatment. In this review, a summary of the available literature on the inflammatory responses after ICH is presented along with discussion of some of the emerging opportunities for potential therapeutic strategies. In the near future, additional strategies that target inflammation could offer exciting new promise in the therapeutic approach to ICH.
脑出血(ICH)是一种毁灭性的临床事件,目前尚无有效治疗方法。越来越多的证据表明,炎症机制参与了脑出血所致脑损伤的进展。炎症由细胞成分(如白细胞和小胶质细胞)以及分子成分(包括前列腺素、趋化因子、细胞因子、细胞外蛋白酶和活性氧)介导。更好地理解脑出血诱导的炎症反应的作用及其调节潜力可能对患者治疗具有深远意义。在本综述中,我们总结了脑出血后炎症反应的现有文献,并讨论了一些潜在治疗策略的新机遇。在不久的将来,针对炎症的其他策略可能会为脑出血的治疗方法带来令人兴奋的新希望。